State of the science and future directions for research on HIV and cancer: Summary of a joint workshop sponsored by IARC and NCI

Eric A. Engels, Meredith S. Shiels, Ruanne V. Barnabas, Julia Bohlius, Paul Brennan, Jessica Castilho, Stephen J. Chanock, Megan A. Clarke, Anna E. Coghill, Jean Damien Combes, Scott Dryden-Peterson, Gypsyamber D'Souza, Satish Gopal, Antoine Jaquet, Kathryn Lurain, Alain Makinson, Jeffrey Martin, Mazvita Muchengeti, Robert Newton, Fred OkukuJackson Orem, Joel M. Palefsky, Ramya Ramaswami, Hilary A. Robbins, Keith Sigel, Sylvia Silver, Gita Suneja, Robert Yarchoan, Gary M. Clifford

Research output: Contribution to journalReview articlepeer-review

Abstract

An estimated 38 million people live with human immunodeficiency virus (HIV) worldwide and are at excess risk for multiple cancer types. Elevated cancer risks in people living with HIV (PLWH) are driven primarily by increased exposure to carcinogens, most notably oncogenic viruses acquired through shared transmission routes, plus acceleration of viral carcinogenesis by HIV-related immunosuppression. In the era of widespread antiretroviral therapy (ART), life expectancy of PLWH has increased, with cancer now a leading cause of co-morbidity and death. Furthermore, the types of cancers occurring among PLWH are shifting over time and vary in their relative burden in different parts of the world. In this context, the International Agency for Research on Cancer (IARC) and the US National Cancer Institute (NCI) convened a meeting in September 2022 of multinational and multidisciplinary experts to focus on cancer in PLWH. This report summarizes the proceedings, including a review of the state of the science of cancer descriptive epidemiology, etiology, molecular tumor characterization, primary and secondary prevention, treatment disparities and survival in PLWH around the world. A consensus of key research priorities and recommendations in these domains is also presented.

Original languageEnglish
Pages (from-to)596-606
Number of pages11
JournalInternational Journal of Cancer
Volume154
Issue number4
DOIs
StateAccepted/In press - 2023

Keywords

  • cancer
  • epidemiology
  • human immunodeficiency virus
  • people living with HIV
  • prevention

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