Large Granular Lymphocytic Leukemia: Clinical Features, Molecular Pathogenesis, Diagnosis and Treatment

Fauzia Ullah1, Mariam Markouli2, Mark Orland1

  • 1Department of Translational Hematology and Oncology Research, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44915, USA.

Cancers
|April 13, 2024
PubMed

Insights

Large granular lymphocytic (LGL) leukemia involves T-cell expansion and JAK-STAT pathway activation. New targeted therapies are needed due to current treatments

Area of Science:

  • Hematology
  • Immunology
  • Oncology

Background:

  • Large granular lymphocytic (LGL) leukemia is a chronic lymphoproliferative disorder.
  • It is characterized by clonal expansion of T or natural killer cells.
  • Associated with STAT3/STAT5 mutations and JAK-STAT, Fas/Fas-L, NF-κB pathway activation.

Purpose of the Study:

  • To review the molecular pathogenesis of LGL leukemia.
  • To discuss clinical presentation and associated autoimmune disorders.
  • To explore current and emerging therapeutic strategies.

Main Methods:

  • Review of scientific literature on LGL leukemia.
  • Analysis of molecular pathways involved in LGL leukemia pathogenesis.
  • Evaluation of treatment outcomes and emerging therapies.

Main Results:

  • LGL leukemia pathogenesis involves specific molecular mutations and signaling pathway activation.
  • Recurrent infections due to neutropenia are a major cause of mortality.
  • Current immunosuppressive therapies offer limited long-term efficacy.

Conclusions:

  • Personalized and targeted therapies are crucial for effective LGL leukemia management.
  • Further research into novel therapeutic targets is warranted.
  • Improved treatment strategies are needed to enhance patient outcomes.