Large-Cell Lymphomas: Recent Advances and Updates

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".

Deadline for manuscript submissions: closed (25 July 2024) | Viewed by 4029

Special Issue Editor


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Guest Editor
Department of Pathology, Saitama Medical Center, Saitama Medical University, Saitama 350-8550, Japan
Interests: large cell lymphomas; multiple myeloma; lymphoproliferative disorders
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Special Issue Information

Dear Colleagues,

Lymphoma is one of the most common malignant tumors, with an increasing number of cases year by year. Lymphomas are classified into more than 100 subtypes in the current WHO classification. This year, the WHO established criteria for the classification of hematolymphoid tumors based on recent advances in the clinicopathological and genomic/genetic findings. At the same time, the Clinical Advisory Committee also published the International Consensus Classification (ICC). These two classifications are similar in view of the progress to date, but there are several differences in the nomenclature of the types and definitions of disease subtypes. In the future, these two classifications will be utilized in parallel, recognizing their differences and the developing hematopathology.

This Special Issue focuses on recent advances in lymphomas, particularly those composed of large cells, irrespective of lineage. We seek expert review articles as well as research articles on recent advances in large-cell lymphomas.

Prof. Dr. Shuji Momose
Guest Editor

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Keywords

  • lymphoma
  • large-cell lymphoma
  • hematolymphoid tumor
  • hematopathology
  • clinicopathological research
  • genomic/genetic research

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Published Papers (2 papers)

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Research

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14 pages, 2326 KiB  
Article
Copy Number Analysis of 9p24.1 in Classic Hodgkin Lymphoma Arising in Immune Deficiency/Dysregulation
by Kumiko Ohsawa, Shuji Momose, Asami Nishikori, Midori Filiz Nishimura, Yuka Gion, Keisuke Sawada, Morihiro Higashi, Michihide Tokuhira, Jun-ichi Tamaru and Yasuharu Sato
Cancers 2024, 16(7), 1298; https://doi.org/10.3390/cancers16071298 - 27 Mar 2024
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Abstract
A subset of patients with rheumatoid arthritis receiving methotrexate develop immune deficiencies and dysregulation-associated lymphoproliferative disorders. Patients with these disorders often exhibit spontaneous regression after MTX withdrawal; however, chemotherapeutic intervention is frequently required in patients with classic Hodgkin lymphoma arising in immune deficiency/dysregulation. [...] Read more.
A subset of patients with rheumatoid arthritis receiving methotrexate develop immune deficiencies and dysregulation-associated lymphoproliferative disorders. Patients with these disorders often exhibit spontaneous regression after MTX withdrawal; however, chemotherapeutic intervention is frequently required in patients with classic Hodgkin lymphoma arising in immune deficiency/dysregulation. In this study, we examined PD-L1 expression levels and 9p24.1 copy number alterations in 27 patients with classic Hodgkin lymphoma arising from immune deficiency/dysregulation. All patients demonstrated PD-L1 protein expression and harbored 9p24.1 copy number alterations on the tumor cells. When comparing clinicopathological data and associations with 9p24.1 copy number features, the copy gain group showed a significantly higher incidence of extranodal lesions and clinical stages than the amplification group. Notably, all cases in the amplification group had latency type II, while 6/8 (75%) in the copy gain group had latency type II, and 2/8 (25%) had latency type I. Thus, a subset of the copy-gain group demonstrated more extensive extranodal lesions and higher clinical stages. This finding speculates the presence of a genetically distinct subgroup within the group of patients who develop immune deficiencies and dysregulation-associated lymphoproliferative disorders, which may explain certain characteristic features. Full article
(This article belongs to the Special Issue Large-Cell Lymphomas: Recent Advances and Updates)
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Review

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18 pages, 1327 KiB  
Review
New Frontiers in Monoclonal Antibodies for Relapsed/Refractory Diffuse Large B-Cell Lymphoma
by Mattia Schipani, Giulia Maria Rivolta, Gloria Margiotta-Casaluci, Abdurraouf Mokhtar Mahmoud, Wael Al Essa, Gianluca Gaidano and Riccardo Bruna
Cancers 2024, 16(1), 187; https://doi.org/10.3390/cancers16010187 - 30 Dec 2023
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Abstract
Diffuse large B-cell lymphoma (DLBCL) is the most common aggressive lymphoma. Approximately 60% of patients are cured with R-CHOP as a frontline treatment, while the remaining patients experience primary refractory or relapsed disease (R/R). The prognosis for R/R DLBCL patients who are neither [...] Read more.
Diffuse large B-cell lymphoma (DLBCL) is the most common aggressive lymphoma. Approximately 60% of patients are cured with R-CHOP as a frontline treatment, while the remaining patients experience primary refractory or relapsed disease (R/R). The prognosis for R/R DLBCL patients who are neither eligible for autologous stem-cell transplantations nor CAR-T-cell treatment is poor, representing an important unmet need. Monoclonal antibodies (mAbs) have dramatically improved therapeutic options in anti-cancer strategies, offering new opportunities to overcome chemo-refractoriness in this challenging disease, even in cases of primary non-responder DLBCL. Several novel mAbs, characterized by different mechanisms of action and targets, are now available for R/R DLBCL. Unbound mAbs induce an immune response against cancer cells, triggering different mechanisms, including antibody-dependent cellular cytotoxicity (ADCC), activation of antibody-dependent cell-mediated phagocytosis (ADCP) and complement-dependent cytotoxicity (CDC). Antibody–drug conjugates (ADCs) and radioimmunotherapy (RIT), respectively, deliver a cytotoxic payload or a beta-emitter radionuclide to the targeted cells and nearby bystanders. Bispecific T-cell engagers (BiTes) and immune checkpoint inhibitors (ICIs) redirect and enhance the immune response against tumor cells. Here, we review therapeutic strategies based on monoclonal antibodies for R/R DLBCL. Full article
(This article belongs to the Special Issue Large-Cell Lymphomas: Recent Advances and Updates)
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