Genetic lesions in diffuse large B-cell lymphomas

Ann Oncol. 2015 Jun;26(6):1069-1080. doi: 10.1093/annonc/mdv019. Epub 2015 Jan 20.

Abstract

Diffuse large B-cell lymphoma (DLBCL) is the most common lymphoma in adults, accounting for 35%-40% of all cases. The combination of the anti-CD20 monoclonal antibody rituximab with anthracycline-based combination chemotherapy (R-CHOP, rituximab with cyclophosphamide, doxorubicin, vincristine and prednisone) lead to complete remission in most and can cure more than half of patients with DLBCL. The diversity in clinical presentation, as well as the pathologic and biologic heterogeneity, suggests that DLBCL comprises several disease entities that might ultimately benefit from different therapeutic approaches. In this review, we summarize the current literature focusing on the genetic lesions identified in DLBCL.

Keywords: BCL2; BCl6; MYC; MYD88; NF-κB.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Biomarkers, Tumor / genetics*
  • Genetic Predisposition to Disease
  • Genetic Testing
  • Humans
  • Lymphoma, Large B-Cell, Diffuse / drug therapy
  • Lymphoma, Large B-Cell, Diffuse / genetics*
  • Lymphoma, Large B-Cell, Diffuse / metabolism
  • Lymphoma, Large B-Cell, Diffuse / pathology
  • Molecular Targeted Therapy
  • Pharmacogenetics
  • Phenotype
  • Precision Medicine
  • Predictive Value of Tests
  • Remission Induction
  • Risk Factors
  • Treatment Outcome

Substances

  • Biomarkers, Tumor