Abstract:
Spread of HIV infection worldwide and increased survival of AIDS patients forebodes emergence of AIDS-associated cancers of epidemic proportions. The cancers comprise Kaposi's sarcoma, non-Hodgkin's B-cell lymphoma and genital-anorectal carcinomas. Etiologic agents remain unknown except that immunosuppressed state is a cofactor. The present paper will review various hypotheses in the evolution of AIDS-related neoplasms. Persistent immune stimulation, cytokine release, dysfunction of specific lymphoid cells controlling proliferation of certain cell types and their subsequent immortalization by endogenous chemicals and viruses will be discussed. Next, an animal model of AIDS-associated malignancies will be presented which will consist of dimethylhydrazine (DMH)-induced angiosarcoma (as an internal KS equivalent) and colon-anal carcinomas and LPBM5 (MAIDS virus) induced immune suppression, lymphadenopathy and B-cell neoplasms. Culture of DMH-induced angiosarcoma will be described. Lastly, the paper will propose immunotherapy with maltose tetrapalmitate (MTP) alone or with low-dose cyclophosphamide at the asymptomatic stage of AIDS because of MTP localization to lymph nodes (a hiding place for virus) and angiotherapy with nonimmunosuppressive steroid and MTP to prevent tumor vol increase.
Keywords: Acquired Immunodeficiency Syndrome/*COMPLICATIONS/IMMUNOLOGY/ METABOLISM/THERAPY Animal Anus Neoplasms/IMMUNOLOGY Cell Division Colonic Neoplasms/IMMUNOLOGY Cyclophosphamide/ADMINISTRATION & DOSAGE Cytokines/METABOLISM Dimethylhydrazines/ADVERSE EFFECTS Glycolipids/ADMINISTRATION & DOSAGE Hemangiosarcoma/CHEMICALLY INDUCED/COMPLICATIONS Immunization Immunotherapy Lymphocytes/METABOLISM Lymphoma, B-Cell/IMMUNOLOGY Murine Acquired Immunodeficiency Syndrome/IMMUNOLOGY Steroids/THERAPEUTIC USE ABSTRACT 931030
M93A0777
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