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利用基于免疫的疗法治疗弥漫性大B细胞淋巴瘤。

Leveraging immunologically based therapies to treat diffuse large B-cell lymphoma.

作者信息

Lue Jennifer K, Healton Sean E, Salles Gilles A

机构信息

Lymphoma Service, Division of Hematological Malignancies, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10021, USA; Department of Medicine, Weill Cornell, New York, NY 10065, USA.

Lymphoma Service, Division of Hematological Malignancies, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10021, USA; Department of Medicine, Weill Cornell, New York, NY 10065, USA.

出版信息

Trends Cancer. 2025 Jul 23. doi: 10.1016/j.trecan.2025.06.013.

Abstract

Diffuse large B-cell lymphoma (DLBCL) is a heterogeneous group of aggressive lymphomas driven by distinct biological pathways. Although historically divided into two major subtypes on the basis of putative cell of origin, detailed genomic analyses have revealed additional classifications with prognostic implications. Additionally, the lymphoma microenvironment adds a layer of complexity distinct from genetic subclassifications and influences disease trajectory and response to therapies. Herein, we review the emerging roles of immune-based therapies to address this complex interplay between intrinsic genetic drivers and the surrounding tumor microenvironment in DLBCL.

摘要

弥漫性大B细胞淋巴瘤(DLBCL)是一组由不同生物学途径驱动的侵袭性淋巴瘤,具有异质性。尽管历史上曾根据假定的起源细胞分为两个主要亚型,但详细的基因组分析揭示了具有预后意义的其他分类。此外,淋巴瘤微环境增加了一层与基因亚分类不同的复杂性,并影响疾病进程和对治疗的反应。在此,我们综述了基于免疫的疗法在DLBCL中应对内在基因驱动因素与周围肿瘤微环境之间这种复杂相互作用的新作用。

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