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淋巴结 T 滤泡辅助细胞淋巴瘤(T-FHCL)的精准诊断与靶向治疗

英文原题:Precise diagnosis and targeted therapy of nodal T-follicular helper cell lymphoma (T-FHCL).

查看英文原题

Precise diagnosis and targeted therapy of nodal T-follicular helper cell lymphoma (T-FHCL).

PubMed 2023/04/28(内容时间) Front Oncol Q2 · IF 3.4(JCR 2025)

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中文摘要

淋巴结型T滤泡辅助细胞淋巴瘤(T-FHCL)来源于T滤泡辅助(Tfh)细胞,属于异质性外周T细胞淋巴瘤(PTCL)。由于治疗方案有限且一线疗效不佳,T-FHCL预后较差,亟需有效的靶向治疗。随着测序技术进步,尤其是单细胞测序和新一代测序的发展,可发现更具特异性的T-FHCL遗传变异,从而实现精准分子诊断,并支持对新药开展特异性研究。多种靶向生物标志物的药物已作为单药或联合治疗进行测试,整体上改善了T-FHCL治疗结局。组蛋白去乙酰化酶抑制剂治疗T-FHCL可带来显著临床获益,尤其是联合治疗时。CAR-T 细胞免疫疗法、造血干细胞移植及其他潜在药物仍值得进一步研究。

展开英文摘要原文

Nodal T-follicular helper cell lymphoma (T-FHCL) derived from T-follicular helper (Tfh) cell falls into a heterogeneous category of peripheral T-cell lymphoma (PTCL). Due to the limited number of therapeutic regimens and limited first-line efficacy, T-FHCL has a poor prognosis, and there is an urgent need for effective targeted therapies. With advancements in sequencing technologies, especially single-cell sequencing and next-generation sequencing, more specific genetic aberrations characteristic of T-FHCL can be discovered, allowing for precise molecular diagnosis and specific research on novel agents.

Many biomarker-targeting agents, used either alone or in combination, have been tested, and they have generally enhanced the therapeutic outcomes of T-FHCL. Histone deacetylase inhibitors achieve significant clinical benefits in the treatment of T-FHCL, especially in combination therapy. Chimeric antigen receptor T-cell (CAR-T-cell) immunotherapies, hematopoietic stem cell transplantation, and other potential agents merit further study.

论文信息

作者
Du J、Jin S、Zhang M、Fu X、Yang J、Zhang L、Chen Z、Huang Z
单位
Department of Hematology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.China
文献类型
综述
期刊
Frontiers in oncology2023
原文标识
PubMed 37188182 · DOI 10.3389/fonc.2023.1163190