Prognostic and therapeutic value of somatic mutations in diffuse large B-cell lymphoma: A systematic review

被引:10
作者
Lopez-Santillan, Maria [1 ,2 ]
Lopez-Lopez, Elixabet [1 ,3 ]
Alvarez-Gonzalez, Paula [1 ]
Martinez, Garazi [1 ]
Arzuaga-Mendez, Javier [1 ,4 ]
Ruiz-Diaz, Irune [5 ]
Guerra-Merino, Isabel [6 ]
Gutierrez-Camino, Angela [1 ,3 ,7 ]
Martin-Guerrero, Idoia [3 ,8 ]
机构
[1] Univ Basque Country, Fac Med & Nursing, Dept Genet Phys Anthropol & Anim Physiol, UPV EHU, Barrio Sarriena S N, Leioa 48940, Spain
[2] Basurto Univ Hosp, Med Oncol Serv, Ave Montevideo 18, Bilbao 48013, Spain
[3] Biocruces Bizkaia Hlth Res Inst, Pediat Oncol Grp, Plaza Cruces S N, Baracaldo 48903, Spain
[4] Biocruces Bizkaia Hlth Res Inst, Hematol Neoplasm Grp, Plaza Cruces S-N, Baracaldo, Spain
[5] Donostia Univ Hosp, Pathol Dept, Paseo Doctor Begiristain 109, San Sebastian 20014, Spain
[6] Araba Univ Hosp, Pathol Dept, Calle Jose Atxotegi S-N, Vitoria 01009, Spain
[7] CHU Sainte Justine Res Ctr, Div Hematol Oncol, 3175 Chemin Cote Sainte Catherine, Montreal, PQ H3T 1C5, Canada
[8] Univ Basque Country, Fac Sci & Technol, Dept Genet Phys Anthropol & Anim Physiol, UPV EHU, Barrio Sarriena S-N, Leioa 48940, Spain
关键词
Diffuse large B-cell lymphoma; Somatic mutation; Outcome; Therapeutic target; P53; GENE-MUTATIONS; POOR SURVIVAL; TUMOR-SUPPRESSOR; RITUXIMAB-CHOP; TP53; PREDICT; EZH2; CLASSIFICATION; METHYLATION; DISRUPTION;
D O I
10.1016/j.critrevonc.2021.103430
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Diffuse large B-cell lymphoma (DLBCL), the most common type of Non-Hodgkin lymphoma (NHL), is a highly heterogeneous and aggressive disease. Regardless of this heterogeneity, all patients receive the same first-line therapy, which fails in 30-40 % of patients, who are either refractory or relapse after remission. With the aim of stratifying patients to improve treatment outcome, different clinical and genetic biomarkers have been studied. The present systematic review aimed to identify somatic mutations that could serve as prognosis biomarkers or as therapeutic target mutations in DLBCL. Regarding their role as prognostic markers, mutations in CD58 and TP53 seem the most promising predictors of poor outcome although the combination of different alterations and other prognostic factors could be a more powerful strategy. On the other hand, different approaches regarding targeted therapy have been proposed. Therefore, mutational analysis could help guide treatment choice in DLBCL yet further studies and clinical trials are needed.
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页数:11
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