Are EBV-related and EBV-unrelated Hodgkin lymphomas different with regard to susceptibility to checkpoint blockade?

被引:42
作者
Carbone, Antonino [1 ]
Gloghini, Annunziata [2 ]
Carlo-Stella, Carmelo [3 ,4 ]
机构
[1] IRCCS, Ist Nazl Tumori, Ctr Riferimento Oncol Aviano, Dept Pathol, Aviano, Italy
[2] Fdn IRCCS, Ist Nazl Tumori, Dept Diagnost Pathol & Lab Med, Milan, Italy
[3] Humanitas Univ, Dept Biomed Sci, Milan, Italy
[4] Humanitas Res Hosp, Humanitas Canc Ctr, Dept Oncol & Hematol, Milan, Italy
关键词
EPSTEIN-BARR-VIRUS; GENOME-WIDE ASSOCIATION; REED-STERNBERG CELLS; MICROENVIRONMENTAL NICHE; BRENTUXIMAB VEDOTIN; ANALYSIS REVEALS; PD-1; BLOCKADE; DISEASE; INFECTION; PEMBROLIZUMAB;
D O I
10.1182/blood-2018-02-833806
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Epstein-Barr virus (EBV)-related and EBV-unrelated classical Hodgkin lymphomas (cHLs) are morphologically and phenotypically indistinguishable. However, the tumor microenvironment of EBV-related cHLs contains higher numbers of macrophages and higher expression levels of PD-L1 than that of EBV-unrelated cHLs. Moreover, viral oncoprotein LMP1 may sustain an immunosuppressive microenvironment by inducing/enhancing production of immunosuppressive cytokines and the expression of PD-1. The presence of enhanced immunosuppressive features in EBV-related cHL should make EBV-related cHL patients more susceptible to checkpoint blockade.
引用
收藏
页码:17 / 22
页数:6
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