Clinical impact of molecular features in diffuse large B-cell lymphoma and follicular lymphoma

JR Pon, MA Marra - Blood, The Journal of the American Society …, 2016 - ashpublications.org
JR Pon, MA Marra
Blood, The Journal of the American Society of Hematology, 2016ashpublications.org
Our understanding of the pathogenesis and heterogeneity of diffuse large B-cell lymphoma
(DLBCL) and follicular lymphoma (FL) has been dramatically enhanced by recent attempts
to profile molecular features of these lymphomas. In this article, we discuss ways in which
testing for molecular features may impact DLBCL and FL management if clinical trials are
designed to incorporate such tests. Specifically, we discuss how distinguishing lymphomas
on the basis of cell-of-origin subtypes or the presence of other molecular features is …
Abstract
Our understanding of the pathogenesis and heterogeneity of diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma (FL) has been dramatically enhanced by recent attempts to profile molecular features of these lymphomas. In this article, we discuss ways in which testing for molecular features may impact DLBCL and FL management if clinical trials are designed to incorporate such tests. Specifically, we discuss how distinguishing lymphomas on the basis of cell-of-origin subtypes or the presence of other molecular features is prognostically and therapeutically significant. Conversely, we discuss how the molecular similarities of DLBCL and FL have provided insight into the potential of both DLBCL and FL cases to respond to agents targeting alterations they have in common. Through these examples, we demonstrate how the translation of our understanding of cancer biology into improvements in patient outcomes depends on analyzing the molecular correlates of treatment outcomes in clinical trials and in routinely treated patients.
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