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Epigenetic targeting in lymphoma
Stephen Booth1, Graham Collins2
1Early Phase Clinical Trials Unit, Department of Oncology, University of Oxford, Oxford, UK.
Abstract:
Despite considerable progress in the treatment of patients with lymphoid malignancies in recent decades, the prognosis of patients with relapsed or refractory lymphomas often remains disappointing. Increasing evidence has established the relevance of epigenetic alterations in the pathogenesis of lymphoid malignancies, and a succession of agents has been evaluated in clinical studies with varying efficacy. In the present review, we outline the importance of epigenetic modifications in lymphoma biology and discuss the published experience with epigenetic modifying agents by lymphoma subtype before considering ongoing clinical studies in this area.
Insights
Epigenetic alterations are crucial in lymphoma development. This review covers epigenetic modifying agents for lymphoma, examining their efficacy and ongoing clinical trials for relapsed or refractory cases.
Area of Science:
- Hematology
- Oncology
- Epigenetics
Background:
- Lymphoid malignancies, including lymphomas, present a significant clinical challenge, particularly in relapsed or refractory settings.
- Despite treatment advances, patient prognosis in these advanced stages often remains poor.
- Epigenetic alterations are increasingly recognized as key drivers in the pathogenesis of lymphoid cancers.
Purpose of the Study:
- To review the critical role of epigenetic modifications in lymphoma biology.
- To summarize the clinical experience with epigenetic modifying agents across different lymphoma subtypes.
- To discuss current and future clinical studies involving these agents for lymphoma treatment.
Main Methods:
- Literature review of published studies on epigenetic alterations in lymphoma.
- Analysis of clinical trial data for epigenetic modifying agents in various lymphoma subtypes.
- Synthesis of information on ongoing clinical investigations.
Main Results:
- Epigenetic modifications are integral to the development and progression of lymphomas.
- Epigenetic modifying agents have shown variable efficacy in clinical studies, dependent on lymphoma subtype.
- Several ongoing clinical trials are evaluating novel epigenetic therapies for lymphoma.
Conclusions:
- Epigenetic modifications represent a promising therapeutic target in lymphoid malignancies.
- Further research and clinical trials are essential to optimize the use of epigenetic agents in lymphoma treatment.
- Targeting epigenetic alterations offers potential for improved outcomes in relapsed or refractory lymphoma patients.
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