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浆母细胞淋巴瘤:从遗传学到治疗

Plasmablastic lymphoma: from genetics to treatment.

作者信息

Frontzek Fabian, Hailfinger Stephan, Lenz Georg

机构信息

Department of Medicine A, Hematology, Oncology, and Pneumology, University Hospital Münster, Münster, Germany.

出版信息

Leuk Lymphoma. 2023 Apr;64(4):799-807. doi: 10.1080/10428194.2022.2162341. Epub 2022 Dec 28.

Abstract

Plasmablastic lymphoma (PBL) represents a rare distinct lymphoma entity with plasmablastic morphology and plasmacytic immunophenotype that is characterized by an aggressive clinical course. Standard chemotherapeutic regimens often remain insufficient to cure affected patients. Recently, comprehensive molecular analyses of large cohorts of primary PBL samples have revealed the mutational landscape as well as the pattern of copy number alterations of this rare lymphoma subtype. Identification of recurrent aberrations affecting the JAK-STAT, RAS-RAF, NOTCH, IRF4, and MYC signaling pathways drive the molecular pathogenesis of PBL and hold great potential for novel targeted therapeutic approaches.

摘要

浆母细胞淋巴瘤(PBL)是一种罕见的独特淋巴瘤实体,具有浆母细胞形态和浆细胞免疫表型,其临床病程具有侵袭性。标准化疗方案往往不足以治愈受影响的患者。最近,对大量原发性PBL样本队列的综合分子分析揭示了这种罕见淋巴瘤亚型的突变图谱以及拷贝数改变模式。对影响JAK-STAT、RAS-RAF、NOTCH、IRF4和MYC信号通路的复发性畸变的鉴定推动了PBL的分子发病机制,并为新型靶向治疗方法带来了巨大潜力。

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