Stem Cell Transplant May Be Viable Treatment for Patients With HIV, Leukemia, Says Dr Jana Dickter

Jan 9, 2023

By Hayden E. Klein and Skylar Jeremias – AJMC

Jana K. Dickter, MD, associate clinical professor, Division of Infectious Diseases, City of Hope, discusses a patient’s experience being the oldest person to successfully undergo a stem cell transplant while living with HIV and leukemia.

Depending on finding the right donor, stem cell transplantation may be a viable treatment option for people living with both HIV and leukemia, said Jana K. Dickter, MD, associate clinical professor, Division of Infectious Diseases, City of Hope.

Transcript

How are stem cell transplants being used to treat patients with HIV and transform the health care landscape?

Stem cell transplantation is a complex procedure with significant side effects, so it isn’t a suitable treatment option for the majority of people living with HIV. However, as people living with HIV age, some of them may eventually develop a blood cancer.

The City of Hope patient who had been living with HIV for many years developed leukemia, and we treated him with a particular type of stem cell transplant, and were able to get him into remission from both his leukemia and his HIV. And it’s interesting how this was possible: The donor for the transplant for this patient carried a rare genetic mutation that makes people resistant to becoming infected with most strains of HIV. And this patient’s experience is unique from the previous patients who were treated with stem cell transplantation for their respective blood cancers and then achieved remission from HIV.

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