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Cancer is now leading cause of death among HIV-positive people, report says: ‘Of great concern’
Cancer is now the leading cause of death among those who are HIV positive.
The finding was announced in a report released last week from the American Cancer Society (ACS).
Titled “Cancer Facts & Figures 2024,” the report noted that at least 10 cancers are associated with human immunodeficiency virus (HIV) infection, including non-Hodgkin lymphoma, Kaposi sarcoma, cervical cancer, liver cancer, anal cancer, lung cancer and Hodgkin lymphoma.
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HIV-infected people are also 10 times more likely to develop infection-related cancers compared to the general population, the report stated.
Cancer is now the leading cause of death among those who are HIV positive, as noterd in a new report from the American Cancer Society. (iStock)
The HIV/cancer link
People with HIV are seeing longer life expectancy due to improved antiretroviral drugs, noted Nicole B. Saphier, M.D., a New York-based Fox News medical contributor — but this has also led to a higher risk of developing certain cancers.
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“Decades ago, patients were dying from direct complications from HIV and cancers that developed because of a severely weakened immune system, such as lymphoma and Kaposi’s Sarcoma,” Saphier, who is also director of breast imaging at Memorial Sloan Kettering in Monmouth, New Jersey, told Fox News Digital.
“Now, rates of those particular cancers have declined. However, deaths from other cancers have begun to increase, specifically cancers associated with other viruses like HPV.”
People with HIV are more vulnerable to cancer due to a compromised immune system, Saphier said.
Nicole B. Saphier, M.D., shared her input about the link between HIV and cancer mortality. (Fox News)
Azra Borogovac, M.D., a hematologist at City of Hope Orange County in Irvine, California, noted that certain viruses can increase the risk of different types of cancers.
“As a hematologist who treats patients with blood cancers, I’ve seen that HIV-infected people are at increased risk for both Hodgkin and non-Hodgkin lymphoma,” he told Fox News Digital.
“In these individuals, lymphomas are typically more aggressive and are more likely to spread beyond the lymph nodes.”
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While HIV does not directly cause cancer, it affects the immune system in such a way that the person may become more susceptible to other infections that can lead to cancer, said Borogovac.
“When a virus invades the body, it can change the DNA of the cells in ways that make them more susceptible to becoming cancerous,” he told Fox News Digital.
However, the outlook for both HIV and lymphoma have improved greatly over the years due to advances in research and treatment, the doctor pointed out.
Key to curbing cancer rates
Preventive screenings and vaccinations are key to curbing cancer rates among those with HIV, experts agree.
“The shift in mortality patterns underscores the importance of comprehensive health care strategies addressing both HIV management and cancer prevention in this population, including HPV vaccination and cancer screening,” Saphier told Fox News Digital.
Experts recommend regular testing for HIV to prevent transmission. (iStock)
Borogovac said the best way to stop cancer is to prevent it in the first place.
“That starts with taking preventative measures to protect yourself from viruses such as HIV,” he said.
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The virus spreads through bodily fluids, including blood, semen and breast milk.
To prevent transmission, it is recommended that people use contraceptives during sex, limit the number of sexual partners, get tested for HIV and avoid the use of drug needles, according to the National Institutes of Health (NIH).
“While there is currently no vaccine that can protect against HIV, there are medications that help prevent it, including PEP and PrEP,” said Borogovac.
“When a virus invades the body, it can change the DNA of the cells in ways that make them more susceptible to becoming cancerous.”
Overall, the impact of cancer on people who are HIV-positive is “of great concern,” the doctor said, noting that it reflects disparities in cancer care among at-risk groups.
“Many people with HIV face barriers to care — especially those who may not know they have HIV or do not have access to screenings and advanced treatments,” Borogovac said.
Screening is critical to reducing risk, he noted, as individuals who are infected with HIV may not show physical symptoms for many years.
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The CDC recommends that anyone between the ages of 13 and 64 should get tested for HIV at least once as part of their routine health care.
Despite the challenges that remain, Borogovac pointed out that there has been much progress in the treatment for the virus since the early days of the HIV epidemic.
“When a virus invades the body, it can change the DNA of the cells in ways that make them more susceptible to becoming cancerous,” an oncologist told Fox News Digital. (iStock)
“Today, FDA-approved antiretroviral therapy (ART) is recommended for everyone living with HIV,” he said, noting that these therapies prevent approximately two-thirds of cancer in individuals with HIV.
“These breakthrough medicines help patients keep HIV under control and prevent transmission to others,” Borogovac noted.
Fox News Digital reached out to the ACS requesting additional comment on the report’s findings.
For more Health articles, visit www.foxnews.com/health.
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Brain aging may accelerate after cancer treatment, study suggests
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Surviving cancer as a child or young adult may have a lasting impact on aging, new research suggests.
Researchers at the University of Rochester Medical Center looked at whether life-saving treatments, like chemotherapy and radiation, could speed up biological aging.
They also aimed to determine whether this age acceleration was linked to cognitive issues related to memory, focus and learning.
The team analyzed blood samples from a group of 1,400 long-term survivors treated at St. Jude Children’s Research Hospital, using epigenetic clocks — tools that estimate biological age by examining chemical tags on DNA.
Biological age is determined based on damage the cells accumulate over time, versus chronological age, which is measured by how long someone has been alive, according to scientists.
Biological age is determined based on the damage cells accumulate over time, according to scientists. (iStock)
“These well-established aging-related biomarkers have previously been associated with neurocognitive impairment and decline in older non-cancer populations, particularly in cognitive domains related to aging and dementia, such as memory, attention and executive function,” the study stated.
Most of the group consisted of acute lymphoblastic leukemia survivors, or Hodgkin lymphoma survivors. Participants were at least five years past their treatment, though some had survived for several decades.
They underwent neurocognitive testing to measure their attention span, memory and information processing speed.
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Chemotherapy was found to have the greatest impact on aging acceleration. The study suggests the treatment can alter DNA structure and cause cellular damage.
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“It’s no surprise to find out that young people with cancer who have chemo early in life are affected in terms of long-term aging,” Dr. Marc Siegel, senior medical analyst for Fox News, told Fox News Digital.
Participants underwent neurocognitive testing to measure their attention span, memory and speed of information processing. (iStock)
Researchers also found that cellular aging was closely linked to cognitive performance, as survivors of a higher biological age had more difficulty with memory and attention.
“Chemo poisons and damages cellular function — hopefully the cancer cells more than normal cells, but there is a significant impact on normal cells as well,” said Siegel, who was not involved in the study.
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“There is also something called ‘chemo brain,’ which causes at least temporary difficulty with memory, concentration, word finding and brain fog,” the doctor added.
The research team hopes to use these findings to focus on intervention efforts, specifically by determining when accelerated aging begins.
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“Young cancer survivors have many more decades of life to live,” lead study author AnnaLynn Williams, PhD, said in a press release. “If these accelerated aging changes are occurring early on and setting them on a different trajectory, the goal is to intervene to not only increase their lifespan, but improve their quality of life.”
The team hopes this research will help in the development of early intervention tools that aim to prevent cognitive decline. (iStock)
There were some limitations to the study. The researchers could not adjust for chronic health conditions or education because they are directly impacted by treatment.
Additionally, the study only looked at the survivors at a single point of time, so it could not directly prove causation.
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The study was published in the journal Nature Communications.
Fox News Digital reached out to the researchers for comment.
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