TABLE 1.
HIV | MDS | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Case | Age/Sex | Time from HIV (years) | ART | CD4+ count (cells/mm3) | Viral load | MDS Subtypes | IPSS | Karyotype | Gene mutations | Progression to AML | MDS treatment | Reference a |
1 | 63/ M | 13 | DDC, AZT, 3TC, ABC, EFV, TDF, TFC | 296 | < 40 | RAEB2/AML | >Int 2 | Complex with monosomy 7 | NA | Yes | Palliative | Rieg et al., 2009 [3] |
2 | 56/F | NA | ABC, 3TC, EFV | 206 | ND | RAEB | ≥Int 2 | Complex with del(5q) and monosomy 7 | NA | Yes | NA | Takahashi et al., 2012 [4] |
3 | 60/M | NA | ABC, 3TC, LPV | 500 | NA | RAEB (t‐MDS) | ≥Int 2 | Complex with del(5q) and monosomy 7 | NA | Yes | NA | Takahashi et al., 2012 [4] |
4 | 43/M | NA | NA | 223 | ND | RAEB | Int‐1 | 46,XY | NA | No | NA | Takahashi et al., 2012 [4] |
5 | 55/M | 23 | RTV, DRV, TFC, TDF | 500 | ND | RA | Int‐2 | Complex with monosomy 7 | NA | Yes | NA | Takahashi et al., 2012 [4] |
6 | 65/M | 26 | EFV, TFC, TDF | 300 | ND | RA | Int‐2 | Complex with monosomy 5 and 7 | NA | No | NA | Takahashi et al., 2012 [4] |
7 | 50/M | NA | ABC, 3TC, TFC, TDF, LPV | 231 | NA | RA | Int‐2 | 46,XY,del (20)(q11) | NA | No | NA | Takahashi et al., 2012 [4] |
8 | 51/M | NA | T20, FTC, TDF, RTV, CRV | 254 | >75,000 | RAEB | Int‐2 | 47,XY,+ 21 | NA | Yes | NA | Takahashi et al., 2012 [4] |
9 | 56/F | NA | ATV, TFC, TDF | 1,310 | <40 | RCMD | Int‐2 | del(5q), del(7q), dic(9;12) | NA | Yes | Aza | Williamson et al., 2016 [5] |
10 | 66/F | 28 | NA | 573 | 52 | MDS | Int‐1 | 46,XX | ASXL1, DNMT3A | No | Len, Elt | Kaner et al., 2019 [6] |
11 | 45/M | 4 | NA | 840 | ND | t‐ MDS | Int‐2 | NA | NA | Yes | Aza | Kaner et al., 2019 [6] |
12 | 66/M | 13 | NA | 383 | 73 | MDS | Int‐2 | del(7q) | ASXL1 | No | Aza | Kaner et al., 2019 [6] |
13 | 70/M | 20 | NA | 76 | 247 | t‐ MDS/ AML | Int‐2 | −5, del(7q),−2 | TP53 | Yes | Aza | Kaner et al., 2019 [6] |
14 | 49/M | 11 | NA | 40 | ND | MDS/ AML | Int‐2 | NA | NA | Yes | Aza | Kaner et al., 2019 [6] |
15 | 54/M | NA | NA | NA | NA | MDS | Int‐2 | del(7q) | NA | Yes | Aza, Dec | Kaner et al., 2019 [6] |
16 | 58/F | 18 | NA | 484 | ND | MDS | >Int 2 | −7 | NA | Yes | 7+3/ HiDAC | Kaner et al., 2019 [6] |
17 | 66/M | NA | NA | 304 | ND | t‐ MDS/ AML | Int‐2 | del(20q) | ASXL1 | No | Aza | Kaner et al., 2019 [6] |
18 | 66/F | 17 | NA | 781 | ND | MDS | >Int 2 | −7, −5, +8, +9 | ASXL1, DNMT3A, | Yes | Aza | Kaner et al., 2019 [6] |
19 | 52/F | 12 | NA | 140 | NA | t‐ MDS/ AML | Int‐2 | NA | TP53 | Yes | Aza | Kaner et al., 2019 [6] |
20 | 56/M | NA | NA | 390 | ND | MDS | Int‐1 | Normal | NA | No | Len, Elt | Kaner et al., 2019 [6] |
21 | 64/F | 15 | NA | 931 | <40 | MDS/ AML | Int‐2 | del(7q) | ASXL1, TET2, DNMT3A, U2AF1 | Yes | 7+3 | Kaner et al., 2019 [6] |
22 | 55/M | 24 | NA | 275 | <40 | t‐ MDS/ AML | >Int 2 | Complex with ‐7 | ASXL1, TP53, ETV6 | Yes | 7+3/ HiDAC, Dec | Kaner et al., 2019 [6] |
23 | 65/F | 2 | NA | 148 | 5,599 | MDS | Int‐1 | del(13q) | ND | No | Palliative | Kaner et al., 2019 [6] |
24 | 61/F | 16 | AZT, 3TC, EFV | 929 | ND | MDS‐EB‐1 | Int‐2 | +8 with clonal karyotypic evolution hyperdiploidy with +8,+10,+21 | ASXL1 | No | Aza | This report |
Abbreviations: 3TC, Lamivudine; ABC, Abacavir; AML, Acute myeloid leukemia; ART, Antiretroviral treatment; Aza, Azacitidine; AZT, Zidovudine; Dec, Decitabine, del, deletion; EFV, Efavirenz; Elt, Eltrombopag; F, Female; FTC, Emtricitabine; Int, Intermediate; IPSS, International Prognostic Scoring System; Len, Lenalidomide; LVR, Lopinavir; M, Male; MDS‐EB‐1, myelodysplastic syndrome with excess of blasts 1; NA, Not available; ND, Not detected; RA, Refractory anemia; RAEB, Refractory anemia with excess of blasts; RCMD, Refractory cytopenia with multilineage dysplasia; RTV, Ritonavir; T20, Enfuvirtide; t‐MDS, Therapy‐related myelodysplastic syndrome.
In this table, the patient collection included 2 case reports and 2 case series, beyond our case.