Department of Hematology, Rigshospitalet, Denmark.
Leuk Lymphoma. 2013 Sep;54(9):1867-75. doi: 10.3109/10428194.2013.766731. Epub 2013 Feb 19.
Mantle cell lymphoma (MCL) is a rare and aggressive subtype of non-Hodgkin lymphoma. New treatment modalities, including intensive induction regimens with immunochemotherapy and autologous stem cell transplant, have improved survival. However, many patients still relapse, and there is a need for novel therapeutic strategies. Recent progress has been made in the understanding of the role of microRNAs (miRNAs) in MCL. Comparisons of tumor samples from patients with MCL with their normal counterparts (naive B-cells) have identified differentially expressed miRNAs with roles in cellular growth and survival pathways, as demonstrated in various biological model systems. In addition, MCL clinico-pathological and prognostic subtypes can be identified using individual miRNAs or miRNA classifiers. miRNA based therapies have now shown efficacy in animal models, and many efforts are currently being made to further develop these drugs for use in patients. Thus, there is hope that specific targeting of pathogenic miRNAs may be used in cases of MCL when conventional therapies fail. Here, we review the current knowledge about the role of miRNAs in MCL, and highlight the perspectives for clinical use.
套细胞淋巴瘤(MCL)是一种罕见且侵袭性很强的非霍奇金淋巴瘤亚型。新的治疗方式,包括免疫化学疗法和自体干细胞移植的强化诱导方案,已经改善了患者的生存率。然而,许多患者仍会复发,因此需要新的治疗策略。目前,人们对 microRNAs(miRNAs)在 MCL 中的作用有了更多的了解。将 MCL 患者的肿瘤样本与正常样本(幼稚 B 细胞)进行比较,在各种生物模型系统中发现了在细胞生长和存活途径中发挥作用的差异表达 miRNA。此外,还可以使用单个 miRNA 或 miRNA 分类器来识别 MCL 的临床病理和预后亚型。miRNA 为基础的治疗方法在动物模型中已经显示出疗效,目前正在进行许多努力来进一步开发这些药物用于患者。因此,当常规治疗失败时,针对致病性 miRNA 的特异性靶向治疗可能会用于 MCL 病例。在这里,我们综述了目前关于 miRNAs 在 MCL 中的作用的知识,并强调了其在临床应用中的前景。