Leukemia & LymphomaPub Date : 2025-03-01Epub Date: 2024-11-15DOI: 10.1080/10428194.2024.2424373
Pinki Mishra, Dinesh Bhurani, Mohd Ashif Khan, Nidhi
{"title":"Deranged cytokine levels are linked to cancer-related cognitive impairment in lymphoma patients receiving R-CHOP chemotherapy.","authors":"Pinki Mishra, Dinesh Bhurani, Mohd Ashif Khan, Nidhi","doi":"10.1080/10428194.2024.2424373","DOIUrl":"10.1080/10428194.2024.2424373","url":null,"abstract":"<p><p>Cancer-related cognitive impairment (CRCI) is a significant issue commonly observed following chemotherapy treatment. The study aimed to investigate the changes in cognitive function and their association with IL-6, IL-1β, and IL-10 levels before and after R-CHOP chemotherapy over six cycles. Seventy chemotherapy naïve, newly diagnosed lymphoma patients were enrolled. Cognitive functions and inflammatory cytokines were assessed at baseline (TP1), after 3rd cycle (TP2), and after 6th cycle (TP3). Patients, with mean age of 44.17 ± 13.67 years, showed significantly increased levels of IL-6 and IL-1β and decreased IL-10 levels over time (<i>p</i> < .001). On the Montreal Cognitive Assessment (MoCA), scores of domains such as executive functioning (<i>p</i> = .002), attention (<i>p</i> < .001), language (<i>p</i> < .001), recall (<i>p</i> = .005), and orientation (<i>p</i> < .001) significantly decreased post six cycles of R-CHOP chemotherapy. Correlation analysis at TP2 indicated a positive association between elevated IL-6 levels with a decrease in MoCA scores indicating a decline in cognitive function (<i>ρ</i> = 0.68, <i>p</i> < .001). At TP3, no association of MoCA scores with IL-6 and IL-1β was observed. Decreased IL-10 levels showed a weak association with decreased MoCA scores at TP2 and TP3 <b>(</b><i>ρ</i> = 0.2, <i>p</i> = .09; for TP3, <i>ρ</i> = 0.16, <i>p</i> = .17), but this was not significant. In summary, the findings of the present study highlight significant cognitive decline and changes in inflammatory cytokine levels following six cycles of R-CHOP. Objective cognitive assessments may be done to detect CRCI in patients treated with R-CHOP.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"516-528"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leukemia & LymphomaPub Date : 2025-03-01Epub Date: 2024-11-09DOI: 10.1080/10428194.2024.2426055
Qinlu Li, Shugang Xing, Heng Zhang, Xia Mao, Min Xiao, Ying Wang
{"title":"FISH combined with RT-PCR facilitates classification of Chinese adult patients with B-other ALL through improved identification of <i>ZNF384</i> rearrangement.","authors":"Qinlu Li, Shugang Xing, Heng Zhang, Xia Mao, Min Xiao, Ying Wang","doi":"10.1080/10428194.2024.2426055","DOIUrl":"10.1080/10428194.2024.2426055","url":null,"abstract":"<p><p>ZNF384 gene rearrangements are a distinct subtype of adult B cell acute lymphoblastic leukemia (B-ALL). We screened 46 B-other ALL patients for <i>ZNF384</i> fusions using fluorescent <i>in situ</i> hybridization (FISH) and reverse transcription-polymerase chain reaction (RT-PCR). Clinical data, treatment response, and minimal residual disease (MRD) status were analyzed. Ten (21.7%) patients were <i>ZNF384-r</i> positive (nine by FISH, nine by RT-PCR, eight by both<b>).</b> FISH showed atypical signals, including 3' signal gain and 5' signal deletion. <i>EP300</i> was the main fusion partner (<i>n</i> = 5). TAF15::ZNF384, SYNRG::ZNF384, CREBBP::ZNF384, and TCF3::ZNF384 fusions were found in one patient each; one case's partner gene is unknown. One patient was MRD-negative at the end of the first induction, lower than in patients without <i>ZNF384-</i>r. <i>ZNF384</i>-r incidence matched B-other ALL incidence in Chinese patients. Combined FISH and RT-PCR improved detection. ALL with <i>ZNF384</i>-r has unique features, and lower MRD-negative response may indicate a negative impact on traditional treatments.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"507-515"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leukemia & LymphomaPub Date : 2025-03-01Epub Date: 2024-11-14DOI: 10.1080/10428194.2024.2426061
Ana Jiménez-Sánchez, María Olivares-Guerrero, Mario Aparicio-Domínguez, Sonsoles Berenguer-Ruiz, Luis Miguel Juárez-Salcedo, Patricia Muñoz-Hernández, Fernando Gallardo, Beatriz Bellosillo, Mar Llamas-Velasco
{"title":"Sweet syndrome with multiorgan involvement exacerbated by gilteritinib.","authors":"Ana Jiménez-Sánchez, María Olivares-Guerrero, Mario Aparicio-Domínguez, Sonsoles Berenguer-Ruiz, Luis Miguel Juárez-Salcedo, Patricia Muñoz-Hernández, Fernando Gallardo, Beatriz Bellosillo, Mar Llamas-Velasco","doi":"10.1080/10428194.2024.2426061","DOIUrl":"10.1080/10428194.2024.2426061","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"541-547"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leukemia & LymphomaPub Date : 2025-03-01Epub Date: 2024-11-18DOI: 10.1080/10428194.2024.2428819
Alice J Liu, Monica A Slavin, Simon J Harrison, Benjamin W Teh
{"title":"Infections during novel myeloma therapies.","authors":"Alice J Liu, Monica A Slavin, Simon J Harrison, Benjamin W Teh","doi":"10.1080/10428194.2024.2428819","DOIUrl":"10.1080/10428194.2024.2428819","url":null,"abstract":"<p><p>New generation therapies such as bispecific antibodies (BsAb), chimeric antigen receptor T-cell therapy (CAR T) and antibody-drug conjugates (ADC) have revolutionized the treatment of relapsed/refractory multiple myeloma (RRMM). However, there is emerging evidence of increased infection risk associated with these treatments in clinical trials and observational settings. This infection risk may be mediated by on-target, off-tumor side effects such as cytokine release syndrome, hypogammaglobulinaemia and cytopenias, disease-related humoral impairment and the consequences of multiple previous lines of treatment. While bacterial and viral pathogens predominate, reactivation of latent infection and opportunistic infections also warrant attention. This review characterizes the epidemiology of infections associated with novel therapies for RRMM to guide prophylaxis and antimicrobial prescribing in this patient population and highlights future areas of focus to inform ongoing infection prevention strategies.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"420-432"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michelle Tan, Masa Lasica, Vanessa Donati, Kirsty Rady, Meena Nagarethinam, Shaun Fleming, Anthony Schwarer, Andrew Grigg, Stephen B Ting
{"title":"Avascular necrosis in older adolescents and adults with acute lymphoblastic leukemia treated with FRALLE protocols: a multicenter analysis of incidence, risk factors and morbidity.","authors":"Michelle Tan, Masa Lasica, Vanessa Donati, Kirsty Rady, Meena Nagarethinam, Shaun Fleming, Anthony Schwarer, Andrew Grigg, Stephen B Ting","doi":"10.1080/10428194.2025.2470784","DOIUrl":"https://doi.org/10.1080/10428194.2025.2470784","url":null,"abstract":"<p><p>Paediatric-inspired acute lymphoblastic leukaemia (ALL) regimens have led to improved leukaemic outcomes in adults. However, avascular necrosis (AVN) has emerged as a debilitating orthopaedic complication. AVN is likely multifactorial, with corticosteroids and asparaginase therapy playing key roles in its pathogenesis. We assessed the incidence and potential risk factors for AVN, in older adolescent and adult patients with ALL treated with the FRALLE-93 protocol across three Australian tertiary centres. AVN occurred in 24% of 59 patients, primarily affecting hip and knee joints. Diagnosis occurred at a median of 11.7 months from commencement of chemotherapy. No association was identified between AVN risk and sex, age, BMI, smoking status and vitamin D level. The majority of patients required orthopaedic intervention (64%). Approximately two thirds had chronic pain or impaired mobility. AVN risk in adult patients with ALL receiving FRALLE protocols appears at least comparable to rates reported in paediatric cohorts.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-7"},"PeriodicalIF":2.2,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashwath Gurumurthi, Lynnette Henshaw, Lorenzo Falchi, Alison Moskowitz, Ariela Noy, Susan Seo, Robert Stuver
{"title":"<i>Pneumocystis jirovecii</i> pneumonia with use of brentuximab vedotin in treatment-naïve Hodgkin lymphoma.","authors":"Ashwath Gurumurthi, Lynnette Henshaw, Lorenzo Falchi, Alison Moskowitz, Ariela Noy, Susan Seo, Robert Stuver","doi":"10.1080/10428194.2025.2470776","DOIUrl":"https://doi.org/10.1080/10428194.2025.2470776","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-4"},"PeriodicalIF":2.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chathuri Abeyakoon, Esther Ting, Sahar Khan, Manjula Maganti, Sita Bhella, Michael Crump, David Hodgson, Robert Kridel, Vishal Kukreti, John Kuruvilla, Abi Vijenthira, Chloe Yang, Danielle Rodin, Richard Tsang, Anca Prica
{"title":"Clinical characteristics and disease outcomes of primary bone lymphoma in the rituximab era: a retrospective study from the Princess Margaret Cancer Center, Toronto, Canada.","authors":"Chathuri Abeyakoon, Esther Ting, Sahar Khan, Manjula Maganti, Sita Bhella, Michael Crump, David Hodgson, Robert Kridel, Vishal Kukreti, John Kuruvilla, Abi Vijenthira, Chloe Yang, Danielle Rodin, Richard Tsang, Anca Prica","doi":"10.1080/10428194.2025.2467801","DOIUrl":"https://doi.org/10.1080/10428194.2025.2467801","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Resistance mechanisms and approach to chronic lymphocytic leukemia after BTK inhibitor therapy.","authors":"Christine Gruessner, Adrian Wiestner, Clare Sun","doi":"10.1080/10428194.2025.2466101","DOIUrl":"https://doi.org/10.1080/10428194.2025.2466101","url":null,"abstract":"<p><p>Bruton tyrosine kinase (BTK), an essential component of the B-cell receptor (BCR) signaling pathway, is a validated target in chronic lymphocytic leukemia. Ibrutinib, acalabrutinib, and zanubrutinib are covalent BTK inhibitors (cBTKi) that bind to residue C481, leading to sustained target inhibition. A significant proportion of patients develop resistance to continuous cBTKi therapy, predominantly via mutations in <i>BTK</i> and its immediate downstream effector, <i>PLCG2</i>. The noncovalent BTKi pirtobrutinib does not require binding to C481 and can restore BTK inhibition after progression on a cBTKi. However, non-C481 <i>BTK</i> mutations conferring resistance to pirtobrutinib have been identified. Furthermore, the scaffolding function of BTK, activation of bypass signaling pathways, and the tumor microenvironment may contribute to BTKi resistance. Targeting BTK for degradation is an emerging strategy that appears effective against multiple <i>BTK</i> mutations, and inhibitors of downstream BCR signaling proteins are under development. This review addresses BTKi resistance mechanisms and therapeutic approaches after cBTKi failure.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anna Shestakova, Nahideh Haghighi, Ying Zhang, Jana Tarabay, Mark G Evans, Anton Burtsev, Jefferson Y Chan, Ashley Gamayo, Xiaohui Zhao, Susan O'Brien, Fabiola Quintero-Rivera, Sherif A Rezk
{"title":"Mutational landscape of chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) involving the central nervous system.","authors":"Anna Shestakova, Nahideh Haghighi, Ying Zhang, Jana Tarabay, Mark G Evans, Anton Burtsev, Jefferson Y Chan, Ashley Gamayo, Xiaohui Zhao, Susan O'Brien, Fabiola Quintero-Rivera, Sherif A Rezk","doi":"10.1080/10428194.2025.2452341","DOIUrl":"https://doi.org/10.1080/10428194.2025.2452341","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-6"},"PeriodicalIF":2.2,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zoe Loh, Michael Ashby, Marzia Rahman, Evangeline Y Wong, Doen Ming Ong, Susan Morgan, Chong Chyn Chua
{"title":"High burden and poor outcomes of myelodysplastic neoplasms (MDS) in the real-world: a 10-year audit of three Australian hospitals.","authors":"Zoe Loh, Michael Ashby, Marzia Rahman, Evangeline Y Wong, Doen Ming Ong, Susan Morgan, Chong Chyn Chua","doi":"10.1080/10428194.2025.2467783","DOIUrl":"https://doi.org/10.1080/10428194.2025.2467783","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-4"},"PeriodicalIF":2.2,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}