Abstract
Gene expression profile (GEP) studies have provided important insights into the histogenesis and molecular pathogenesis of aggressive T-cell lymphomas. Angioimmunoblastic T-cell lymphoma (AITL) corresponds to T-follicular helper (TFH) lymphocytes and presents consistent deregulation of genes involved in angiogenesis. PTCLs/NOS include at least three different subset characterized by specific cellular derivation (T-central memory, T-cytotoxic and TFH), and possibly different outcome. Besides that, notably, all PTCLs/NOS present with constant deregulation of certain molecules, including the PDGFRA, which represents a suitable therapeutic target in this setting. Finally, both ALK+ and ALK− ALCLs have been shown to be distinct from the other PTCLs, possibly constituting separate entities. As far as prognostication of PTCLs is concerned, the IPI (based on age, performance status, LDH, stage, and extranodal involvement) appears to be efficient as prognostic factor in PTCLs, at least in part and especially for certain PTCL subtypes. However, it is not definitely satisfactory for the two commonest PTCLs, the not otherwise specified (NOS) and the angioimmunoblastic types (AITL). Thus, novel scores, possibly based on the biological features of the tumors have been explored. More recently, GEP has been used for the identification of novel molecular prognostic factors. In particular, inactivation of the NFκB pathway, high expression of proliferation-associated genes, and cytotoxic molecular phenotype seemed to be associated to a worse outcome.
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Piccaluga, P.P., Pileri, S.A. (2013). Molecular Profiling and Prognosis in T-Cell Lymphomas. In: Foss, F. (eds) T-Cell Lymphomas. Contemporary Hematology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-170-7_3
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