Division of Hematology, Department of Medicine, Jewish General Hospital, McGill University, Montreal, QC H3T 1E2, Canada.
Department of Medicine, McGill University, Montreal, QC H3T 1E2, Canada.
Int J Mol Sci. 2020 Sep 10;21(18):6623. doi: 10.3390/ijms21186623.
Our understanding of the tumorigenesis of classical Hodgkin lymphoma (cHL) and the formation of Reed-Sternberg cells (RS-cells) has evolved drastically in the last decades. More recently, a better characterization of the signaling pathways and the cellular interactions at play have paved the way for new targeted therapy in the hopes of improving outcomes. However, important gaps in knowledge remain that may hold the key for significant changes of paradigm in this lymphoma. Here, we discuss the past, present, and future of cHL, and review in detail the more recent discoveries pertaining to genetic instability, anti-apoptotic signaling pathways, the tumoral microenvironment, and host-immune system evasion in cHL.
在过去几十年中,我们对经典霍奇金淋巴瘤(cHL)的肿瘤发生和 Reed-Sternberg 细胞(RS 细胞)形成的理解发生了巨大的变化。最近,对信号通路和细胞相互作用的更好描述为新的靶向治疗铺平了道路,以期改善治疗效果。然而,仍存在重要的知识空白,这可能是该淋巴瘤范式发生重大变化的关键。在这里,我们讨论 cHL 的过去、现在和未来,并详细回顾与遗传不稳定性、抗凋亡信号通路、肿瘤微环境和 cHL 中宿主免疫系统逃避相关的最新发现。