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The use of hematopoietic hormones in HIV infection and AIDS-related malignancies.




 

Hematol Oncol Clin North Am. 1991 Apr;5(2):267-80. Unique Identifier :

Three hematopoietic stimulants have been used in patients with HIV infection and a variety of AIDS-related complications. Both G-CSF and GM-CSF have demonstrated the ability to correct leukopenia related to HIV infection and ameliorate the drug-related myelosuppressive effects of zidovudine, trimethoprim/sulfamethoxazole, ganciclovir, and, in the case of GM-CSF, alpha-interferon, and cancer chemotherapies. Erythropoietin has been successfully used to ameliorate the anemia associated with HIV infection and zidovudine therapy. Treatment with these hematopoietic stimulants is very well tolerated with minimal toxicity. Of the granulocyte stimulants, G-CSF appears to induce fewer side effects than GM-CSF in trials conducted to date. Future trials demonstrating that the amelioration of hematopoietic suppression by the colony-stimulating factors results in increased clinical response rates and improved survival are necessary to fully assess the value of this approach in the care of HIV-infected patients.

Acquired Immunodeficiency Syndrome/*COMPLICATIONS/DRUG THERAPY Drug Therapy, Combination Erythropoietin/THERAPEUTIC USE Granulocyte-Macrophage Colony-Stimulating Factor/THERAPEUTIC USE Hematopoietic Cell Growth Factors/*THERAPEUTIC USE Human HIV Infections/*COMPLICATIONS/DRUG THERAPY Lymphoma, Non-Hodgkin's/ETIOLOGY Sarcoma, Kaposi's/ETIOLOGY Support, Non-U.S. Gov't Support, U.S. Gov't, P.H.S. Zidovudine/ADVERSE EFFECTS JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL



 




Information in this article was accurate in August 30, 1991. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.