Challenges and Therapeutic Prospects in Hematology Oncology

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Mechanisms of Diseases".

Deadline for manuscript submissions: 10 December 2024 | Viewed by 2701

Special Issue Editor


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Guest Editor
Department of Experimental Hematology, Medical University of Lodz, 93-510 Lodz, Poland
Interests: lymphoma; leukemia; multiple myeloma; hematological malignancies; Hodgkin’s lymphoma; hematologic diseases

Special Issue Information

Dear Colleagues, 

Hematological diseases, usually persisting in the blood, lymphoma and/or bone marrow, render surgical and local treatments for solid tumors clinically ineffective. The presence and resistance of cancer stem cells (CSC) further make them difficult to cure. The development of new personalized therapies, such as molecularly targeted drugs, monoclonal and bispecific antibodies and CART-T cells, has improved the clinical outcome of lymphoproliferative diseases.

This Special Issue, entitled "Challenges and Therapeutic Prospects in Hematology Oncology", aims to update clinical aspects of hematologic malignancies, such as lymphoma, leukemia and multiple myeloma, with research articles as well as comprehensive review papers addressing the state of the art and the future perspectives of hematologic malignancies, focusing preferentially on innovative research in diagnosis, prognosis and personalized therapy.

Dr. Magdalena Witkowska
Guest Editor

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Keywords

  • hematological malignancies
  • lymphoma
  • leukemia
  • multiple myeloma
  • immunotherapy
  • molecular mechanisms
  • cellular therapy
  • targeted therapy

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Published Papers (2 papers)

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Research

11 pages, 543 KiB  
Article
The Dilemma for Early-Stage Conjunctival Mucosa-Associated Lymphoid Tissue Lymphoma: To Treat or Not to Treat?
by Chi-Chun Yang and Chieh-Chih Tsai
J. Pers. Med. 2024, 14(9), 927; https://doi.org/10.3390/jpm14090927 - 31 Aug 2024
Viewed by 474
Abstract
Background: Primary ocular adnexal mucosa-associated lymphoid tissue lymphoma (MALToma) is typically treated with radiotherapy. Some studies suggested a “wait and watch” approach due to the adverse effects of radiotherapy. However, the benefits of observation for localized conjunctival MALToma remain unclear. Therefore, we aimed [...] Read more.
Background: Primary ocular adnexal mucosa-associated lymphoid tissue lymphoma (MALToma) is typically treated with radiotherapy. Some studies suggested a “wait and watch” approach due to the adverse effects of radiotherapy. However, the benefits of observation for localized conjunctival MALToma remain unclear. Therefore, we aimed to explore the clinical course of early-stage conjunctival MALToma, distinguish heterogeneity between T1 and T2 patients, and identify prognostic factors. Methods: This retrospective study involved patients with stage T1–T2 conjunctival MALToma and lasted >6 months. Clinical characteristics were compared between T1 and T2 subjects. Prognostic factors were examined with Cox regression. Results: The research comprised 32 subjects with early-stage conjunctival MALToma, of whom 25% underwent observation. No individuals expired regardless of choosing observation or radiotherapy. The T1 patients were younger (p = 0.002) and more inclined towards observation only (p = 0.035) than the T2 subjects. Despite more of the T1 patients undergoing watchful waiting than the T2 subjects, the T1 patients seemed to have longer systemic relapse-free survival than the T2 subjects (17 vs. 13 years, p = 0.343). CD43 may imply poor prognosis (p = 0.049). Conclusions: Careful observation may be suggested for early-stage conjunctival MALToma. While more of the T1 individuals were younger and chose observation than the T2 patients, survival seemed longer in the T1 subjects without significance. CD43 may indicate shorter survival in early-stage cases. Full article
(This article belongs to the Special Issue Challenges and Therapeutic Prospects in Hematology Oncology)
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14 pages, 2413 KiB  
Article
Cytotoxic Activity of Melatonin Alone and in Combination with Doxorubicin and/or Dexamethasone on Diffuse Large B-Cell Lymphoma Cells in In Vitro Conditions
by Sylwia Mańka, Piotr Smolewski, Barbara Cebula-Obrzut, Agata Majchrzak, Klaudia Szmejda and Magdalena Witkowska
J. Pers. Med. 2023, 13(9), 1314; https://doi.org/10.3390/jpm13091314 - 27 Aug 2023
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Abstract
Melatonin (MLT), a pineal gland hormone, not only regulates circadian and seasonal rhythms, but also plays an important role in many aspects of human physiology and pathophysiology. MLT is of great interest as a natural substance with anti-cancer activities. The aim of this [...] Read more.
Melatonin (MLT), a pineal gland hormone, not only regulates circadian and seasonal rhythms, but also plays an important role in many aspects of human physiology and pathophysiology. MLT is of great interest as a natural substance with anti-cancer activities. The aim of this study was to assess the cytotoxicity and apoptosis of MLT, used alone or in combination with one of the most active anti-cancer drugs, doxorubicin (DOX), and a well-known anti-inflammatory drug, dexamethasone (DEX), on a diffuse large B-cell lymphoma (DLBCL)-derived cell line. The cytotoxicity and cell cycle distribution were measured using propidium iodide staining, while apoptosis was assessed using the annexin-V binding method. Additionally, to elucidate the mechanisms of action, caspase-3, -8, and -9 and a decline in the mitochondrial potential were determined using flow cytometry. MLT inhibited cell viability as well as induced apoptosis and cell cycle arrest at the G0/G1 phase. The pro-apoptotic effect was exerted through both the mitochondrial and caspase-dependent pathways. Furthermore, we observed increased cytotoxic and pro-apoptotic activity as well as the modulation of the cell cycle after the combination of MLT with DOX, DEX, or a combination of DOX + DEX, compared with both drugs or MLT used alone. Our findings confirm that MLT is a promising in vitro anti-tumour agent that requires further evaluation when used with other drugs active against DLBCL. Full article
(This article belongs to the Special Issue Challenges and Therapeutic Prospects in Hematology Oncology)
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