Gibellini Davide, Clò Alberto, Morini Silvia, Miserocchi Anna, Ponti Cristina, Re Maria Carla
Davide Gibellini, Alberto Clò, Silvia Morini, Anna Miserocchi, Maria Carla Re, Department of Haematology and Oncological Sciences, Microbiology Section, University of Bologna, 40138 Bologna, Italy.
World J Virol. 2013 May 12;2(2):91-101. doi: 10.5501/wjv.v2.i2.91.
Anaemia and thrombocytopenia are haematological disorders that can be detected in many human immunodeficiency virus (HIV)-positive patients during the development of HIV infection. The progressive decline of erythrocytes and platelets plays an important role both in HIV disease progression and in the clinical and therapeutic management of HIV-positive patients. HIV-dependent impairment of the megakaryocyte and erythrocyte lineages is multifactorial and particularly affects survival, proliferation and differentiation of bone marrow (BM) CD34+ haematopoietic progenitor cells, the activity of BM stromal cells and the regulation of cytokine networks. In this review, we analyse the major HIV-related mechanisms that are involved in the genesis and development of the anaemia and thrombocytopenia observed in HIV positive patients.
贫血和血小板减少症是血液系统疾病,在许多人类免疫缺陷病毒(HIV)阳性患者的HIV感染过程中都能被检测到。红细胞和血小板的逐渐减少在HIV疾病进展以及HIV阳性患者的临床和治疗管理中都起着重要作用。HIV对巨核细胞和红细胞谱系的损害是多因素的,尤其会影响骨髓(BM)CD34+造血祖细胞的存活、增殖和分化、BM基质细胞的活性以及细胞因子网络的调节。在这篇综述中,我们分析了与HIV阳性患者中观察到的贫血和血小板减少症的发生和发展相关的主要HIV相关机制。