弥漫性大B细胞淋巴瘤中的表观遗传交响曲:调控肿瘤微环境

Epigenetic Symphony in Diffuse Large B-Cell Lymphoma: Orchestrating the Tumor Microenvironment.

作者信息

Caloian Andreea-Daniela, Cristian Miruna, Calin Elena, Pricop Andreea-Raluca, Mociu Stelian-Ilie, Seicaru Liliana, Deacu Sorin, Ciufu Nicolae, Suceveanu Andra-Iulia, Suceveanu Adrian-Paul, Mazilu Laura

机构信息

Faculty of Medicine, "Ovidius" University of Constanta, 900470 Constanta, Romania.

Department of Hemato-Oncology, "Ovidius" Clinical Hospital, 900470 Constanta, Romania.

出版信息

Biomedicines. 2025 Apr 2;13(4):853. doi: 10.3390/biomedicines13040853.

Abstract

DLBCL is a testament to the complexity of nature. It is characterized by remarkable diversity in its molecular and pathological subtypes and clinical manifestations. Despite the strides made in DLBCL treatment and the introduction of innovative drugs, around one-third of patients face a relapse or develop refractory disease. Recent findings over the past ten years have highlighted the critical interplay between the evolution of DLBCL and various epigenetic mechanisms, including chromatin remodeling, DNA methylation, histone modifications, and the regulatory roles of non-coding RNAs. These epigenetic alterations are integral to the pathways of oncogenesis, tumor progression, and the development of therapeutic resistance. In the past decade, the identification of dysregulated epigenetic mechanisms in lymphomas has paved the way for an exciting field of epigenetic therapies. Crucially, these epigenetic transformations span beyond tumor cells to include the sophisticated network within the tumor microenvironment (TME). While the exploration of epigenetic dysregulation in lymphoma cells is thriving, the mechanisms affecting the functions of immune cells in the TME invite further investigation. This review is dedicated to weaving together the narrative of epigenetic alterations impacting both lymphoma cells with a focus on their infiltrating immune companions.

摘要

弥漫性大B细胞淋巴瘤(DLBCL)证明了自然界的复杂性。其特点是在分子和病理亚型以及临床表现方面具有显著的多样性。尽管在DLBCL治疗方面取得了进展并引入了创新药物,但仍有大约三分之一的患者面临复发或发展为难治性疾病。过去十年的最新研究结果突出了DLBCL演变与各种表观遗传机制之间的关键相互作用,包括染色质重塑、DNA甲基化、组蛋白修饰以及非编码RNA的调控作用。这些表观遗传改变是肿瘤发生、肿瘤进展和治疗耐药性发展途径的组成部分。在过去十年中,淋巴瘤中失调的表观遗传机制的发现为一个令人兴奋的表观遗传治疗领域铺平了道路。至关重要的是,这些表观遗传转变不仅涉及肿瘤细胞,还包括肿瘤微环境(TME)内的复杂网络。虽然对淋巴瘤细胞表观遗传失调的探索蓬勃发展,但影响TME中免疫细胞功能的机制仍有待进一步研究。这篇综述致力于将影响淋巴瘤细胞的表观遗传改变的叙述与对其浸润免疫伙伴的关注结合起来。

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