Predictive and Prognostic Molecular Factors in Diffuse Large B-Cell Lymphomas

被引:16
作者
Pileri, Stefano A. [1 ]
Tripodo, Claudio [2 ,3 ]
Melle, Federica [1 ]
Motta, Giovanna [1 ]
Tabanelli, Valentina [1 ]
Fiori, Stefano [1 ]
Vegliante, Maria Carmela [4 ]
Mazzara, Saveria [1 ]
Ciavarella, Sabino [4 ]
Derenzini, Enrico [5 ,6 ]
机构
[1] IEO IRCCS, European Inst Oncol, Div Haematopathol, Via Ripamonti 435, I-20141 Milan, Italy
[2] Univ Palermo, Tumor Immunol Unit, I-90133 Palermo, Italy
[3] FIRC Inst Mol Oncol, Tumor & Microenvironm Histopathol Unit, IFOM, I-20139 Milan, Italy
[4] IRCCS, Hematol & Cell Therapy Unit, Ist Tumori Giovanni Paolo II, Viale Flacco 65, I-70124 Bari, Italy
[5] IEO IRCCS, European Inst Oncol, Div Haematooncol, Via Ripamonti 435, I-20141 Milan, Italy
[6] Univ Milan, Dept Hlth Sci, Via Rudini 8, I-20146 Milan, Italy
关键词
diffuse large B-cell lymphoma; gene expression profiling; next-generation sequencing; classification; diagnosis; prognosis; therapy; GENE-EXPRESSION; CLINICAL IMPACT; CLASSIFICATION; ORIGIN; SURVIVAL; CHOP; SIGNATURES; CHEMOTHERAPY; SUBTYPES; PROFILE;
D O I
10.3390/cells10030675
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Diffuse large B-cell lymphoma (DLBCL) is the commonest form of lymphoid malignancy, with a prevalence of about 40% worldwide. Its classification encompasses a common form, also termed as "not otherwise specified" (NOS), and a series of variants, which are rare and at least in part related to viral agents. Over the last two decades, DLBCL-NOS, which accounts for more than 80% of the neoplasms included in the DLBCL chapter, has been the object of an increasing number of molecular studies which have led to the identification of prognostic/predictive factors that are increasingly entering daily practice. In this review, the main achievements obtained by gene expression profiling (with respect to both neoplastic cells and the microenvironment) and next-generation sequencing will be discussed and compared. Only the amalgamation of molecular attributes will lead to the achievement of the long-term goal of using tailored therapies and possibly chemotherapy-free protocols capable of curing most (if not all) patients with minimal or no toxic effects.
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页码:1 / 15
页数:15
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