PMID- 21577328 OWN - NLM STAT- MEDLINE DCOM- 20110816 LR - 20211203 IS - 1936-2625 (Electronic) IS - 1936-2625 (Linking) VI - 4 IP - 4 DP - 2011 Apr TI - Multicentric hepatic EBV-associated smooth muscle tumors in an AIDS patient: a case report, investigation of mTOR activation and review of the literature. PG - 421-9 AB - Epstein-Barr virus (EBV) - associated smooth muscle tumors (EBV-SMT) are a rare, recently recognized distinct group of mesenchymal tumors that develop exclusively in patients with immunosuppression. It is believed that tumorigenesis is, at least in part, through the activation of the Akt/mammalian target of rapamycin (mTOR) signal pathway. We describe the clinicopathologic and immunohistochemical features of a multifocal hepatic EBV-SMT in a 34-year-old acquired immunodeficiency syndrome (AIDS) patient and investigate the activation status of the mTOR signal pathway in this tumor. In addition, we provide a review of the literature on the clinicopathologic findings of hepatic EBV-SMT in adult AIDS patients, and discuss their biologies and possible therapeutic strategies. FAU - Shen, Qi AU - Shen Q AD - Department of Pathology and Laboratory Medicine, the University of Texas Medical School at Houston, Houston TX,USA. FAU - Feng, Wei AU - Feng W FAU - Long, Michael S AU - Long MS FAU - Duan, Xiuzhen AU - Duan X FAU - Jaijakul, Siraya AU - Jaijakul S FAU - Arias, Cesar A AU - Arias CA FAU - Brown, Robert E AU - Brown RE FAU - Zhao, Bihong AU - Zhao B LA - eng PT - Case Reports PT - Journal Article PT - Review DEP - 20110423 PL - United States TA - Int J Clin Exp Pathol JT - International journal of clinical and experimental pathology JID - 101480565 RN - 0 (Antiviral Agents) RN - 0 (Epstein-Barr virus encoded RNA 1) RN - 0 (RNA, Viral) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Acquired Immunodeficiency Syndrome/*complications/drug therapy/immunology/virology MH - Adult MH - Antiretroviral Therapy, Highly Active MH - Antiviral Agents/therapeutic use MH - Biopsy MH - Epstein-Barr Virus Infections/*complications/diagnosis/immunology MH - HIV-1/genetics MH - Herpesvirus 4, Human/genetics MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization MH - Liver Neoplasms/diagnosis/immunology/metabolism/*virology MH - Male MH - RNA, Viral/analysis/blood/genetics MH - Signal Transduction MH - Smooth Muscle Tumor/diagnosis/immunology/metabolism/*virology MH - TOR Serine-Threonine Kinases/*metabolism MH - Tomography, X-Ray Computed PMC - PMC3093067 OTO - NOTNLM OT - Epstein-Barr virus OT - HIV infection OT - Smooth muscle tumor OT - acquired immunodeficiency syndrome OT - adult OT - liver EDAT- 2011/05/18 06:00 MHDA- 2011/08/17 06:00 PMCR- 2011/04/23 CRDT- 2011/05/18 06:00 PHST- 2011/04/10 00:00 [received] PHST- 2011/04/19 00:00 [accepted] PHST- 2011/05/18 06:00 [entrez] PHST- 2011/05/18 06:00 [pubmed] PHST- 2011/08/17 06:00 [medline] PHST- 2011/04/23 00:00 [pmc-release] PST - ppublish SO - Int J Clin Exp Pathol. 2011 Apr;4(4):421-9. Epub 2011 Apr 23.