Abstract |
Adult T-cell leukemia/lymphoma ( ATLL) is an aggressive peripheral T-cell lymphoma with a dismal prognosis. Its most effective treatment is allogeneic hematopoietic stem cell transplantation (allo-HSCT), which provides a chance of long-term remission through a graft-versus- ATLL (GvATLL) effect. However, the incidence of relapse after allo-HSCT remains high at approximately 40%, and treatment options for patients with ATLL who have relapsed disease after allo-HSCT are limited. Accumulating evidence shows that mogamulizumab or lenalidomide use for relapsed disease even after allo-HSCT might have advantages with effects similar to that of GvATLL. Recent genomic and transcriptomic studies have shown that ATLL cells evade immune surveillance. Further investigations of incorporating immune-based approaches with new molecular target drugs as therapeutic options of patients with ATLL after transplantation are warranted.
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Authors | Koji Kato |
Journal | [Rinsho ketsueki] The Japanese journal of clinical hematology
(Rinsho Ketsueki)
Vol. 62
Issue 5
Pg. 505-511
( 2021)
ISSN: 0485-1439 [Print] Japan |
PMID | 34248128
(Publication Type: Journal Article)
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Topics |
- Adult
- Graft vs Host Disease
- Hematopoietic Stem Cell Transplantation
- Humans
- Leukemia-Lymphoma, Adult T-Cell
(therapy)
- Lymphoma
- Recurrence
- Transplantation, Homologous
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