Panaampon Jutatip, Okada Seiji
Division of Hematologic Neoplasia, Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
Department of Medicine, Harvard Medical School, Boston, MA 02215, USA.
Explor Target Antitumor Ther. 2024;5(3):699-713. doi: 10.37349/etat.2024.00242. Epub 2024 Jun 26.
Primary effusion lymphoma (PEL) is a large B-cell neoplasm usually presenting as a serious effusion in body cavities without detectable tumor masses. It is an AIDS-related non-Hodgkin's lymphoma (HL) with human herpes virus 8 (HHV8)/Kaposi sarcoma-associated herpes virus (KSHV) infection. A combination antiretroviral therapy (cART) prolongs the lifespan of AIDS and AIDS-related malignant lymphoma patients, but PEL continues to have a dismal prognosis. PEL showed disappointing outcomes with standard chemotherapy such as CHOP or CHOP-like regimens. A PEL status highlights the urgent need for new therapeutic approaches and treatment strategies and improve clinical outcomes. This review discusses the current knowledge and some recent clinical trials for PEL in the platform of immunotherapy as well as promising future immunotherapeutic approaches for PEL.
原发性渗出性淋巴瘤(PEL)是一种大B细胞肿瘤,通常表现为体腔严重渗出,而无可检测到的肿瘤肿块。它是一种与艾滋病相关的非霍奇金淋巴瘤(HL),由人类疱疹病毒8型(HHV8)/卡波西肉瘤相关疱疹病毒(KSHV)感染引起。联合抗逆转录病毒疗法(cART)可延长艾滋病及艾滋病相关恶性淋巴瘤患者的寿命,但PEL的预后仍然不佳。PEL在CHOP或类似CHOP方案等标准化疗中疗效令人失望。PEL的现状凸显了对新治疗方法和治疗策略的迫切需求,以及改善临床结果的需求。本综述讨论了免疫治疗平台中关于PEL的当前知识和一些近期临床试验,以及PEL未来有前景的免疫治疗方法。