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Adult T-cell leukemia/lymphoma and HTLV-1.
Mahieux R., Gessain A.
Current hematologic malignancy reports 2, 4 (2007) 257-64 - http://hal-pasteur.archives-ouvertes.fr/pasteur-00531344
(20425378)
Adult T-cell leukemia/lymphoma and HTLV-1.
Renaud Mahieux1, Antoine Gessain1
1 :  Epidémiologie et Physiopathologie des Virus Oncogènes
Institut Pasteur de Paris – CNRS : URA3015
25-28 rue du Docteur Roux F-75724 Paris Cedex 15
France
Human T-cell leukemia/lymphoma virus type 1 (HTLV-1) was the first oncogenic human retrovirus to be discovered, more than 25 years ago. HTLV-1 infects 15 to 20 million individuals worldwide. This oncoretrovirus can be transmitted in three ways: horizontally (sexually), vertically (mother to child), and via blood transfusion. HTLV-1 causes two major diseases: adult T-cell leukemia/lymphoma (ATLL) and tropical spastic paraparesis/HTLV-1-associated myelopathy (TSP/HAM). ATLL can be classified into four major subtypes: a smoldering type, a chronic type, a lymphoma type, and a leukemic type. Because of intrinsic chemoresistance and severe immunosuppression, the survival rate of ATLL patients, especially those who develop the acute leukemic or lymphoma forms, is very poor, and such clonal malignant CD4 expansion remains one of the most severe lymphoproliferations. This article discusses a number of recent treatments including antiretroviral therapy, aggressive chemotherapy, and allogeneic bone-marrow transplantation, as well as new drugs.
Sciences du Vivant/Microbiologie et Parasitologie
Anglais
1558-822X

Articles dans des revues avec comité de lecture
10.1007/s11899-007-0035-x
Current hematologic malignancy reports
internationale
10/2007
2
4
257-64

Adult – Antibodies – Monoclonal – Neoplasm – Antineoplastic Agents – Antineoplastic Combined Chemotherapy Protocols – Arsenicals – CD4-Positive T-Lymphocytes – Clinical Trials as Topic – Drug Resistance – Endemic Diseases – Female – Gene Products – tax – Genes – pX – Human T-lymphotropic virus 1 – Humans – Immunoglobulin G – Immunophenotyping – Immunotherapy – Infant – Newborn – Infectious Disease Transmission – Vertical – Interferon-alpha – Leukemia-Lymphoma – Adult T-Cell – Male – Oxides – Paraparesis – Tropical Spastic – Pregnancy – Pregnancy Complications – Infectious – Zidovudine