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Flow Cytometry-based Assay for the Monitoring of NK Cell Functions
Published on: October 30, 2016
Rational Targets of Therapy in Extranodal NK/T-Cell Lymphoma
Ajay Major1, Pierluigi Porcu2, Bradley M Haverkos1
1Division of Hematology, University of Colorado School of Medicine, Aurora, CO 80045, USA.
Abstract:
Extranodal NK/T-cell lymphoma (ENKTL) is an aggressive extranodal non-Hodgkin lymphoma (NHL) with poor outcomes, particularly in advanced-stage and relapsed/refractory disease. Emerging research on molecular drivers of ENKTL lymphomagenesis by next-generation and whole genome sequencing has revealed diverse genomic mutations in multiple signaling pathways, with the identification of multiple putative targets for novel therapeutic agents. In this review, we summarize the biological underpinnings of newly-understood therapeutic targets in ENKTL with a focus on translational implications, including epigenetic and histone regulatory aberrations, activation of cell proliferation signaling pathways, suppression of apoptosis and tumor suppressor genes, changes in the tumor microenvironment, and EBV-mediated oncogenesis. In addition, we highlight prognostic and predictive biomarkers which may enable a personalized medicine approach toward ENKTL therapy.
Insights
Extranodal NK/T-cell lymphoma (ENKTL) is an aggressive cancer with poor outcomes. This review highlights new therapeutic targets and biomarkers for personalized medicine approaches to treat ENKTL.
Area of Science:
- Oncology
- Genomics
- Immunology
Background:
- Extranodal NK/T-cell lymphoma (ENKTL) is an aggressive non-Hodgkin lymphoma (NHL) with poor prognosis, especially in advanced or refractory stages.
- Genomic studies reveal diverse mutations in ENKTL, identifying potential targets for new therapies.
Purpose of the Study:
- To review the biological basis of novel therapeutic targets in ENKTL.
- To discuss the translational implications of these targets for patient treatment.
- To highlight prognostic and predictive biomarkers for personalized ENKTL therapy.
Main Methods:
- Review of emerging research on molecular drivers of ENKTL.
- Analysis of next-generation and whole genome sequencing data.
- Summary of findings on epigenetic aberrations, signaling pathways, apoptosis, tumor microenvironment, and EBV-mediated oncogenesis.
Main Results:
- Identification of diverse genomic mutations in multiple signaling pathways in ENKTL.
- Understanding of epigenetic and histone regulatory aberrations.
- Insights into cell proliferation, apoptosis suppression, tumor microenvironment changes, and EBV's role.
Conclusions:
- Novel therapeutic targets in ENKTL are emerging from genomic research.
- Translational implications include targeting epigenetic regulation, signaling pathways, and the tumor microenvironment.
- Biomarkers can facilitate a personalized medicine approach for ENKTL treatment.
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