Biology and treatment of Burkitt's lymphoma

被引:60
|
作者
Yustein, Jason T.
Dang, Chi V.
机构
[1] Johns Hopkins Univ, Dept Pediat Hematol Oncol, Div Pediat Hematol Oncol, Baltimore, MD 21205 USA
[2] Johns Hopkins Univ, Dept Med, Baltimore, MD USA
关键词
Burkitt's lymphoma; molecular biology of disease; MYC; treatment; ACTIVE ANTIRETROVIRAL THERAPY; EPSTEIN-BARR-VIRUS; STEM-CELL TRANSPLANTATION; NON-HODGKINS-LYMPHOMA; ACUTE LYMPHOBLASTIC-LEUKEMIA; BONE-MARROW-TRANSPLANTATION; C-MYC; ADULT BURKITT; CONSOLIDATION THERAPY; REGULATORY SEQUENCE;
D O I
10.1097/MOH.0b013e3281bccdee
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of review Burkitt's lymphoma is a unique hematological malignancy remarkable for its biological characteristics, including aberrant expression of the MYC oncogene, and its requirement for intensive treatment regimens. This review will focus on those features, and discuss recent advances in the molecular biology and advancing treatment options for the disease. Recent findings Advances in molecular biology have provided many new insights into the biology and treatment options for Burkitt's lymphoma. Microarray technology has recently been used to define a molecular gene expression signature for Burkitt's lymphoma, This signature allows for the differentiation of lymphoma from other forms of non-Hodgkin's lymphoma such as diffuse large B-cell lymphoma. Recent advances in the use of biological agents, such as rituximab, have also allowed for a reduction in treatment toxicities while still offering comparable survival outcomes for patients. Summary Burkitt's lymphoma is an interesting mature B-cell non-Hodgkin's lymphoma that has numerous distinct features and clinical variants depending on factors such as geographical location, immunological status and patient's age. Although the role of the MYC oncogene has been well studied, we are only now appreciating the defining molecular characteristics of this disease, and using these advances to improve treatment options for patients.
引用
收藏
页码:375 / 381
页数:7
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