Impact of Human Immunodeficiency Virus in the Pathogenesis and Outcome of Patients with Glioblastoma Multiforme.
10.14791/btrt.2016.4.2.77
- Author:
Winward CHOY
1
;
Carlito LAGMAN
;
Seung J LEE
;
Timothy T BUI
;
Michael SAFAEE
;
Isaac YANG
Author Information
1. Department of Neurosurgery, University of California, Los Angeles, Los Angeles, CA, USA. iyang@mednet.ucla.edu
- Publication Type:Original Article
- Keywords:
Acquired Immune Deficiency Syndrome;
Antiretroviral therapy, highly active;
Glioblastoma;
HIV
- MeSH:
Acquired Immunodeficiency Syndrome;
Antiretroviral Therapy, Highly Active;
CD4 Lymphocyte Count;
Diagnosis;
Female;
Follow-Up Studies;
Glioblastoma*;
HIV*;
Humans*;
Male;
World Health Organization
- From:Brain Tumor Research and Treatment
2016;4(2):77-86
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Improvement in antiviral therapies have been accompanied by an increased frequency of non-Acquired Immune Deficiency Syndrome (AIDS) defining malignancies, such as glioblastoma multiforme. Here, we investigated all reported cases of human immunodeficiency virus (HIV)-positive patients with glioblastoma and evaluated their clinical outcomes. A comprehensive review of the molecular pathogenetic mechanisms underlying glioblastoma development in the setting of HIV/AIDS is provided. METHODS: We performed a PubMed search using keywords “HIV glioma” AND “glioblastoma,” and “AIDS glioma” AND “glioblastoma.” Case reports and series describing HIV-positive patients with glioblastoma (histologically-proven World Health Organization grade IV astrocytoma) and reporting on HAART treatment status, clinical follow-up, and overall survival (OS), were included for the purposes of quantitative synthesis. Patients without clinical follow-up data or OS were excluded. Remaining articles were assessed for data extraction eligibility. RESULTS: A total of 17 patients met our inclusion criteria. Of these patients, 14 (82.4%) were male and 3 (17.6%) were female, with a mean age of 39.5±9.2 years (range 19–60 years). Average CD4 count at diagnosis of glioblastoma was 358.9±193.4 cells/mm3. Tumor progression rather than AIDS-associated complications dictated patient survival. There was a trend towards increased median survival with HAART treatment (12.0 vs 7.5 months, p=0.10) CONCLUSION: Our data suggests that HAART is associated with improved survival in patients with HIV-associated glioblastoma, although the precise mechanisms underlying this improvement remain unclear.
