Gessese Tesfaye, Asrie Fikir, Mulatie Zewudu
Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Department of Hematology and Immunohematology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Blood Lymphat Cancer. 2023 May 29;13:13-24. doi: 10.2147/BLCTT.S407086. eCollection 2023.
Human immunodeficiency virus infection is related with an increased risk of hematological malignancy principally, non-Hodgkin lymphoma. Most non-Hodgkin lymphomas are acquired immunodeficiency syndrome defining and constitute greater than 50% of all acquired immunodeficiency syndrome defining cancers. The main pathogenesis mechanisms are immunodeficiency, chronic antigenic stimulation, and the ability to infect cancer cells causing direct carcinogenesis. Human immunodeficiency virus related non-Hodgkin lymphomas are heterogeneous in immunophenotyping and molecular features; and choice of drug treatments is similar with sporadic types. The main objective is to assess the epidemiology, pathogenesis, and morphology of human immunodeficiency virus related non-Hodgkin lymphoma. The searching strategy was done by searching relevant original and review articles from www.biosemanticjane/org, Google scholar, Google, and PubMed sites using keywords like; Acquired immunodeficiency syndrome, Human immunodeficiency virus, and non-Hodgkin lymphoma. In conclusion, human immunodeficiency virus infected people continue to have elevated risk of non-Hodgkin lymphoma. Diffuse large B-cell lymphomas are the most common and severe subtype. The pathogenesis of this type of lymphoma is associated with chromosomal abnormalities that deregulate the expression of various oncogenes by different viral particles and cytokines. However, the role of these viral particles and cytokines on pathogenesis is not clearly stated, so further study could be required.
人类免疫缺陷病毒感染主要与血液系统恶性肿瘤风险增加有关,尤其是非霍奇金淋巴瘤。大多数非霍奇金淋巴瘤是获得性免疫缺陷综合征的定义性疾病,占所有获得性免疫缺陷综合征定义性癌症的50%以上。主要发病机制是免疫缺陷、慢性抗原刺激以及感染癌细胞导致直接致癌的能力。人类免疫缺陷病毒相关的非霍奇金淋巴瘤在免疫表型和分子特征上具有异质性;药物治疗选择与散发性类型相似。主要目的是评估人类免疫缺陷病毒相关非霍奇金淋巴瘤的流行病学、发病机制和形态学。检索策略是通过使用诸如“获得性免疫缺陷综合征”“人类免疫缺陷病毒”和“非霍奇金淋巴瘤”等关键词,在www.biosemanticjane/org、谷歌学术、谷歌和PubMed网站上搜索相关的原始文章和综述文章。总之,人类免疫缺陷病毒感染者患非霍奇金淋巴瘤的风险持续升高。弥漫性大B细胞淋巴瘤是最常见和最严重的亚型。这种类型淋巴瘤的发病机制与染色体异常有关,这些异常通过不同的病毒颗粒和细胞因子使各种癌基因的表达失调。然而,这些病毒颗粒和细胞因子在发病机制中的作用尚未明确阐明,因此可能需要进一步研究。