弥漫性大B细胞淋巴瘤基因分型研究进展

Research progress on genotyping of diffuse large B-cell lymphoma

  • 摘要: 弥漫性大B细胞淋巴瘤(diffuse large B-cell lymphoma,DLBCL)在临床特征、基因表达和治疗反应及预后方面均表现出明显异质性。目前,R-CHOP(利妥昔单抗、环磷酰胺、阿霉素、长春新碱、强的松)作为标准治疗方案已不能满足临床需要,而近年的几项基于细胞起源分型进行的R-CHOP+X临床试验均未得到预期效果。因此,亟需对DLBCL的分子遗传学异常进行更为深入的研究,以探讨基于基因异常改变的基因亚型分型,从而为新的治疗方法及靶向药物的研发和选择应用提供更多的参考依据。基因检测技术在肿瘤分子病理诊断上越来越广泛的应用也为DLBCL基因分型的深入研究提供了良好的技术支持。本文就最新的DLBCL基因分子分型进展进行综述。

     

    Abstract: Diffuse large B- cell lymphoma(DLBCL)shows obvious heterogeneity in clinical features, gene expression, treatment response, and disease prognosis.R- CHOP(rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone)is a standard treatment regimen for DLBCL that no longer meets clinical needs; indeed, several recent successive clinical trials failed to demonstrate the efficacy of cell-of-origin-based R-CHOP+X therapy.Therefore, in-depth studies on molecular genetic abnormalities associated with DLBCL are urgently needed to develop gene mutation-based classification systems that could serve as a basis for monitoring disease progression and developing therapeutic methods and targeted drugs for this condition.The increasing use of gene detection technology for the molecular-pathological diagnosis of tumors also strongly supports the need for in-depth studies on DLBCL genotyping.Therefore, herein, we review the latest published reports on DLBCL genotype classification systems.

     

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