We propose a prospective study of homosexual male patients with epidemic Kaposi's Sarcoma (KS), opportunistic infections (OI) and generalized persistent lymphadenopathy (LA) and four groups of unaffected control individuals. The different study groups will be investigated for risk factors with regard to lifestyle. The emphasis of the investigation concerns the identification of the nature of the acquired immunodeficiency syndrome """"""""AIDS"""""""", and the relationship between immunogenetic host factors (i.e. HLA-DR5 and Gm-allotypes) and susceptibility to disease development. The studies will focus on the identification of particular immunological parameters or combinations of these which may have predictive value with regards to the development and progression of the different disease entities. Investigations of manipulation of immunological responses in vitro with Interferon and Interleukin-2 will be performed and followed by therapeutic trials with in vivo therapy with Interferon and Interleukin-2. Lymphocyte replacement by allogeneic lymphocyte infusion of HLA identicial and HLA incompatible normal lymphocytes will also be investigated. In addition, we will investigate cell lines of lymphoid and non-lymphoid origin from selected patients for unique particles (e.g. virus) by transmission electron microscopy. A special study aimed at cultivation of pneumocystis carinii is also planned.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project--Cooperative Agreements (U01)
Project #
5U01CA034995-03
Application #
3548355
Study Section
(SSS)
Project Start
1983-06-01
Project End
1986-05-31
Budget Start
1985-06-01
Budget End
1986-05-31
Support Year
3
Fiscal Year
1985
Total Cost
Indirect Cost
Name
Memorial Hospital for Cancer & Allied Di
Department
Type
DUNS #
City
New York
State
NY
Country
United States
Zip Code
10021
Safai, B; Diaz, B; Schwartz, J (1992) Malignant neoplasms associated with human immunodeficiency virus infection. CA Cancer J Clin 42:74-95
Safai, B; Dias, B M; Schwartz, J J et al. (1991) HIV-associated malignancies. Antibiot Chemother 43:69-95
Schwartz, J J; Dias, B M; Safai, B (1991) HIV-related malignancies. Dermatol Clin 9:503-15
Safai, B; Bason, M; Friedman-Birnbaum, R et al. (1990) Interferon in the treatment of AIDS-associated Kaposi's sarcoma: the American experience. J Invest Dermatol 95:166S-169S
Safai, B; Lynfield, R; Lowenthal, D A et al. (1987) Cancers-associated with HIV infection. Anticancer Res 7:1055-67
Krown, S E (1987) Neoplasia in AIDS. Bull N Y Acad Med 63:679-91
Safai, B; Lowenthal, D A; Koziner, B (1987) Malignant neoplasms associated with the HTLV-III/LAV infection. Antibiot Chemother 38:80-98
Krown, S E; Real, F X; Vadhan-Raj, S et al. (1987) Interferon in AIDS. J Exp Pathol 3:681-91
Krown, S E (1987) The role of interferon in the therapy of epidemic Kaposi's sarcoma. Semin Oncol 14:27-33
Safai, B (1987) Pathophysiology and epidemiology of epidemic Kaposi's sarcoma. Semin Oncol 14:7-12

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