Kristinsson Sigurdur Y, Koshiol Jill, Goldin Lynn R, Björkholm Magnus, Turesson Ingemar, Gridley Gloria, McMaster Mary L, Landgren Ola
Department of Medicine, Division of Hematology, Karolinska University Hospital, Solna and Karolinska Institutet, Stockholm, Sweden.
Clin Lymphoma Myeloma. 2009 Mar;9(1):23-6. doi: 10.3816/CLM.2009.n.004.
There are emerging data to support a role for genetic and immune-related factors in the pathogenesis of lymphoplasmacytic lymphoma/Waldenström's macroglobulinemia. In this article, we review our recently published, large, population-based studies using data from Sweden and from United States veterans and propose mechanisms and pathways underlying our observations. We also discuss future directions for new studies designed to increase our current knowledge and to define underlying biologic mechanisms of our findings. Finally, based on novel insights on this topic, we discuss clinical implications and provide perspective on the relevance of these data for patient counseling and clinical follow-up.
有新出现的数据支持遗传和免疫相关因素在淋巴浆细胞淋巴瘤/华氏巨球蛋白血症发病机制中的作用。在本文中,我们回顾了我们最近发表的基于瑞典和美国退伍军人数据的大型人群研究,并提出我们观察结果背后的机制和途径。我们还讨论了旨在增加我们当前知识并确定我们研究结果潜在生物学机制的新研究的未来方向。最后,基于对该主题的新见解,我们讨论临床意义,并就这些数据对患者咨询和临床随访的相关性提供观点。