Abstract
The change in the incidence of lymphomas in function of the presence or absence of sustained virological response after anti-hepatitis C therapy in a cohort of human immunodeficiency (HIV)-hepatitis C (HCV) viruses coinfected patients was analyzed. A prospective cohort of 755 HIV-HCV coinfected patients who received their first anti-HCV therapy, based on interferon + ribavirin schemas, was evaluated. Incidence and histologic types of lymphomas were analyzed in two periods: (1) before administration of anti-HCV therapy and (2) after anti-HCV therapy. The association between lymphoma incidence and demographic, HIV- (minimum CD4+ cell count and CD4+ cell count at diagnosis of lymphoma, antiretroviral therapy, maximal HIV load and HIV load at diagnosis of lymphoma) and HCV-related variables (HCV load, genotype, sustained viral response to anti-HCV therapy) were analyzed. A total of 13 lymphomas [incidence rate (95% confidence interval), 0.72 (0.33–1.11) × 1000 person-years, time from HIV diagnosis to lymphoma diagnosis (median, interquartile range), 15 (11–19) years] were diagnosed. Nine of them were non-Hodgkin and four Hodgkin lymphomas. The median CD4+ T cell count at diagnosis of lymphoma was 457/mm3, with only two cases with values lower than 200/mm3. The incidence rate of non-Hodgkin lymphomas was similar pre- and post-anti HCV therapy [0.33 (0.00–0.65) vs 0.68 (0.08–1.26) × 1000 person-years, respectively, p > 0.05]. Patients with sustained virologic HCV response showed similar incidence rate of lymphomas than that of those without anti-HCV response. In conclusion, anti-HCV therapy does not modify the incidence rate of lymphomas in HIV-HCV coinfected patients.
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Study conception and design: Gutiérrez-Saborido D, Girón-González JA.
Acquisition of data: Daniel Gutiérrez-Saborido, Alicia Gutiérrez-Valencia, Carmen María González Domenech, Miguel Angel López Ruz, Miguel Raffo Marquez, Mohamed Omar, José Antonio Girón-González.
Drafting of manuscript: Gutiérrez-Saborido D, Girón-González JA.
Critical revision: Daniel Gutiérrez-Saborido, Alicia Gutiérrez-Valencia, Carmen María González Domenech, Miguel Angel López Ruz, Miguel Raffo Marquez, Mohamed Omar, José Antonio Girón-González.
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Gutiérrez-Saborido, D., Gutiérrez-Valencia, A., González Domenech, C.M. et al. Incidence of lymphoma in HIV-HCV-infected patients. Modifications in function of the anti-hepatitis C virus therapy. Ann Hematol 98, 1953–1959 (2019). https://doi.org/10.1007/s00277-019-03700-3
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DOI: https://doi.org/10.1007/s00277-019-03700-3