Sun Ruifang, Wang Jinfen, Young Ken H
Department of Pathology, Shanxi Cancer Hospital, Taiyuan, Shanxi, China; Tumor Biobank, Shanxi Cancer Hospital, Taiyuan, Shanxi, China.
Department of Pathology, Shanxi Cancer Hospital, Taiyuan, Shanxi, China.
Crit Rev Oncog. 2017;22(5-6):527-557. doi: 10.1615/CritRevOncog.2017020816.
Lymphoma is characterized by heterogeneous biology, pathologic features, and clinical outcome. This has been proven by accumulating pathologic and molecular evidence attributed to underlying aberrant alterations at genetic, epigenetic, transcriptional, protein, microenvironmental levels, and dysregulated oncogenic signaling pathways. In the era of precision medicine, targeting oncogenic pathways to design drugs and to optimize treatment regimens for the lymphoma patients is feasible and clinically significant. As such, further understanding of the biology and the mechanisms behind lymphoma development and identification of oncogenic pathway activation and pathway-based biomarkers to better design precise therapies are challenging but hopeful. Furthermore, pathway-based targeted therapies in combination with traditional chemotherapy, single specific targeted antibody therapy, and immunotherapy might raise the hope for the patients with lymphoma, especially for relapsed and refractory lymphoma patients.
淋巴瘤具有生物学特性、病理特征和临床结局的异质性。越来越多的病理和分子证据表明,这是由基因、表观遗传、转录、蛋白质、微环境水平的潜在异常改变以及失调的致癌信号通路所致。在精准医学时代,针对致癌通路来设计药物并为淋巴瘤患者优化治疗方案是可行的且具有临床意义。因此,进一步了解淋巴瘤发生背后的生物学特性和机制,以及识别致癌通路激活和基于通路的生物标志物以更好地设计精准疗法,虽具有挑战性但充满希望。此外,基于通路的靶向疗法与传统化疗、单一特异性靶向抗体疗法及免疫疗法联合应用,可能会给淋巴瘤患者带来希望,尤其是对复发和难治性淋巴瘤患者而言。