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Peripheral T cell lymphomas: from the bench to the clinic
Danilo Fiore1, Luca Vincenzo Cappelli1,2, Alessandro Broccoli3
1Department of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY, USA.
Nature Reviews. Cancer
|April 7, 2020
Summary
Advances in understanding genomic defects in Peripheral T cell lymphomas (PTCLs) are paving the way for targeted therapies. Combining novel agents with immunotherapy shows promise for improving patient survival in these rare cancers.
Area of Science:
- Oncology
- Hematology
- Genomics
Background:
- Peripheral T cell lymphomas (PTCLs) are rare and aggressive cancers with limited treatment options.
- Current therapies, including chemotherapy and transplantation, offer insufficient progression-free survival for many patients.
- Understanding the underlying genetic drivers of PTCLs has been historically challenging due to their rarity and complexity.
Purpose of the Study:
- To highlight recent advances in understanding the genomic landscape of PTCLs.
- To discuss the implications of these discoveries for diagnosis, risk stratification, and treatment.
- To explore novel therapeutic strategies, including targeted agents and immunotherapy, for PTCLs.
Main Methods:
- Review of recent genomic studies identifying key signaling pathway defects in T cell transformation.
- Integration of genomic data with functional studies to identify tumor vulnerabilities.
- Preclinical testing of novel therapeutic agents and immunotherapies.
Main Results:
- Discovery of a spectrum of genomic defects driving PTCL development.
- Development of new genomic-based classifications for PTCLs.
- Identification of potential therapeutic targets and personalized treatment approaches.
Conclusions:
- Genomic insights are revolutionizing the understanding and treatment of PTCLs.
- Targeted therapies and immunotherapy hold significant promise for improving patient outcomes.
- Future research should focus on integrating novel agents with immune-based strategies in well-designed clinical trials.

