Chihara Dai, Nastoupil Loretta J, Williams Jessica N, Lee Paul, Koff Jean L, Flowers Christopher R
Department of Lymphoma/Myeloma, MD Anderson Cancer Center, University of Texas, Houston, TX, USA.
Expert Rev Anticancer Ther. 2015 May;15(5):531-44. doi: 10.1586/14737140.2015.1023712. Epub 2015 Apr 11.
Non-Hodgkin lymphoma (NHL) comprises numerous biologically and clinically heterogeneous subtypes, with limited data examining the risk factors for these distinct disease entities. Many limitations exist when studying lymphoma epidemiology; therefore, until recently, little was known regarding the etiology of NHL subtypes. This review highlights the results of recent pooled analyses examining the risk factors for NHL subtypes. We outline the heterogeneity and commonality among the risk factors for NHL subtypes, with proposed subtype-specific as well as shared etiologic mechanisms. In addition, we describe how the study of lymphoma epidemiology may translate into prevention or therapeutic targeting as we continue to explore the complexities of lifestyle and genetic factors that impact lymphomagenesis.
非霍奇金淋巴瘤(NHL)由众多生物学和临床特征各异的亚型组成,针对这些不同疾病实体的危险因素进行研究的数据有限。在研究淋巴瘤流行病学方面存在诸多限制;因此,直到最近,人们对NHL亚型的病因仍知之甚少。本综述重点介绍了近期关于NHL亚型危险因素的汇总分析结果。我们概述了NHL亚型危险因素之间的异质性和共性,并提出了亚型特异性以及共同的病因机制。此外,我们还描述了在继续探索影响淋巴瘤发生的生活方式和遗传因素的复杂性时,淋巴瘤流行病学研究如何转化为预防或治疗靶点。