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Advances in the Management of Aggressive Lymphomas

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Hematology".

Deadline for manuscript submissions: closed (15 January 2022) | Viewed by 15054

Special Issue Editors


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Guest Editor
The Ohio State University James Comprehensive Cancer Center, Columbus, OH, USA
Interests: aggressive lymphoma; mantle cell lymphoma; diffuse large B-cell lymphoma; high grade B-cell lymphoma; targeted therapies; immunotherapy; gene-modified T cells; HIV-associated lymphoma

E-Mail Website
Guest Editor
The Ohio State University James Comprehensive Cancer Center, Columbus, OH, USA
Interests: aggressive lymphoma; mantle cell lymphoma; diffuse large B-cell lymphoma; high grade B-cell lymphoma; targeted therapies; immunotherapy; gene-modified T cells; HIV-associated lymphoma

Special Issue Information

Dear Colleagues, 

The lymphomas are a heterogeneous group of hematologic malignancies affecting patients of all age groups and constituting approximately 4.8% of the new cancer cases in the United States. The majority of the lymphomas are considered to be clinically aggressive. While treatment for an aggressive lymphoma traditionally included upfront combination chemotherapy regimens, novel therapies are increasingly being incorporated into the treatment paradigm. Over the past two decades, the rate of death for the two most common types of aggressive lymphoma, diffuse large B-cell lymphoma and classical Hodgkin lymphoma, have declined. Rapid advances in our understanding of disease biology have resulted in the development of targeted treatments, which are largely responsible for the improvement in patient outcomes. This Special Issue will highlight treatment advances in specific aggressive lymphomas with a focus on novel therapeutics including targeted treatments, immunotherapy, and genetically modified T-cell-based therapies.

Prof. Robert A Baiocchi
Dr. Beth Christian
Guest Editors

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Keywords

  • aggressive lymphoma
  • mantle cell lymphoma
  • diffuse large B-cell lymphoma
  • high grade B-cell lymphoma
  • targeted therapies
  • immunotherapy
  • gene-modified T cells
  • HIV-associated lymphoma

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Published Papers (3 papers)

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Review

16 pages, 334 KiB  
Review
Extranodal Natural Killer/T-Cell Lymphomas: Current Approaches and Future Directions
by John C. Reneau, Polina Shindiapina, Zachary Braunstein, Youssef Youssef, Miguel Ruiz, Saira Farid, Walter Hanel and Jonathan E. Brammer
J. Clin. Med. 2022, 11(10), 2699; https://doi.org/10.3390/jcm11102699 - 10 May 2022
Cited by 9 | Viewed by 3066
Abstract
Extranodal natural killer/T(NK/T)-cell lymphoma (ENKTL) is a rare subtype of non-Hodgkin lymphoma that typically presents with an isolated nasal mass, but a sizeable minority present with advanced stage disease and have a significantly poorer prognosis. Those with limited disease are standardly treated with [...] Read more.
Extranodal natural killer/T(NK/T)-cell lymphoma (ENKTL) is a rare subtype of non-Hodgkin lymphoma that typically presents with an isolated nasal mass, but a sizeable minority present with advanced stage disease and have a significantly poorer prognosis. Those with limited disease are standardly treated with chemotherapy and radiation while those with advanced stage disease are treated with L-asparaginase containing chemotherapy regimens. The addition of modern radiation therapy techniques and the incorporation of L-asparaginase into chemotherapy regimens have significantly improved outcomes in this disease, but relapses and death from relapsed disease remain frequent. Given the high rate of relapse, several novel therapies have been evaluated for the treatment of this disease. In this review, we explore the current standard of care for ENKTL as well as novel therapies that have been evaluated for its treatment and the biologic understanding behind these therapies. Full article
(This article belongs to the Special Issue Advances in the Management of Aggressive Lymphomas)
10 pages, 239 KiB  
Review
HIV-Associated Lymphomas: Progress and New Challenges
by Georgios N. Pongas and Juan C. Ramos
J. Clin. Med. 2022, 11(5), 1447; https://doi.org/10.3390/jcm11051447 - 7 Mar 2022
Cited by 9 | Viewed by 3534
Abstract
The association of human immunodeficiency virus (HIV) and aggressive lymphomas was first reported in 1982. Before the development of effective HIV antiviral therapy, the incidence and the mortality of these lymphomas was high, with patients frequently succumbing to the disease. More lately, the [...] Read more.
The association of human immunodeficiency virus (HIV) and aggressive lymphomas was first reported in 1982. Before the development of effective HIV antiviral therapy, the incidence and the mortality of these lymphomas was high, with patients frequently succumbing to the disease. More lately, the combination of cART with chemoimmunotherapy significantly improved the survival outcome of the HIV-lymphomas. In this review, we discuss on describing the incidence of HIV-associated lymphomas, their clinical features, and the latest advances in the management of the various lymphoma subtypes. Full article
(This article belongs to the Special Issue Advances in the Management of Aggressive Lymphomas)
14 pages, 895 KiB  
Review
Relapsed Mantle Cell Lymphoma: Current Management, Recent Progress, and Future Directions
by David A Bond, Peter Martin and Kami J Maddocks
J. Clin. Med. 2021, 10(6), 1207; https://doi.org/10.3390/jcm10061207 - 14 Mar 2021
Cited by 14 | Viewed by 7611
Abstract
The increasing number of approved therapies for relapsed mantle cell lymphoma (MCL) provides patients effective treatment options, with increasing complexity in prioritization and sequencing of these therapies. Chemo-immunotherapy remains widely used as frontline MCL treatment with multiple targeted therapies available for relapsed disease. [...] Read more.
The increasing number of approved therapies for relapsed mantle cell lymphoma (MCL) provides patients effective treatment options, with increasing complexity in prioritization and sequencing of these therapies. Chemo-immunotherapy remains widely used as frontline MCL treatment with multiple targeted therapies available for relapsed disease. The Bruton’s tyrosine kinase inhibitors (BTKi) ibrutinib, acalabrutinib, and zanubrutinib achieve objective responses in the majority of patients as single agent therapy for relapsed MCL, but differ with regard to toxicity profile and dosing schedule. Lenalidomide and bortezomib are likewise approved for relapsed MCL and are active as monotherapy or in combination with other agents. Venetoclax has been used off-label for the treatment of relapsed and refractory MCL, however data are lacking regarding the efficacy of this approach particularly following BTKi treatment. Anti-CD19 chimeric antigen receptor T-cell (CAR-T) therapies have emerged as highly effective therapy for relapsed MCL, with the CAR-T treatment brexucabtagene autoleucel now approved for relapsed MCL. In this review the authors summarize evidence to date for currently approved MCL treatments for relapsed disease including sequencing of therapies, and discuss future directions including combination treatment strategies and new therapies under investigation. Full article
(This article belongs to the Special Issue Advances in the Management of Aggressive Lymphomas)
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