{"title":"Donor <i>IL-10</i> and <i>FOXP3</i> single-nucleotide polymorphisms associated with post-transplantation outcomes.","authors":"Hirotaro Sakaki, Misuzu Sato, Mami Umemoto, Ayano Shirai, Kazuki Nagao, Hidenori Hayashi, Natsuki Kawamata, Kai Kuroiwa, Hinako Narita, Reiko Okamura, Shotaro Shimada, Megumi Watanuki, Nana Arai, Kouji Yanagisawa, Keiichi Iezumi, Norimichi Hattori","doi":"10.1080/10428194.2025.2550576","DOIUrl":"https://doi.org/10.1080/10428194.2025.2550576","url":null,"abstract":"<p><p>Allogeneic hematopoietic stem cell transplantation (allo-HSCT) offers a potential cure for hematologic malignancies, but post-transplant complications, particularly graft-<i>versus</i>-host disease (GVHD), remain major challenges. Regulatory T cells and interleukin-10 (<i>IL-10</i>) play key roles in immune regulation. This retrospective study investigated the impact of donor <i>FOXP3</i>-3279 (rs3761548) and <i>IL-10</i>-819 (rs1800871) single-nucleotide polymorphisms (SNPs) on clinical outcomes in 92 allo-HSCT recipients, with emphasis on umbilical cord blood transplantation (UCBT). Among UCBT recipients, non-C/C <i>FOXP3</i> and non-T/T <i>IL-10</i> donor genotypes were associated with significantly worse progression-free and overall survival, as well as a higher incidence of chronic GVHD. Multivariable analyses confirmed the prognostic impact of these SNPs. These findings suggest that donor-derived SNPs in key immune regulatory genes may influence post-transplant immune reconstitution. <i>FOXP3</i> and <i>IL-10</i> genotyping could serve as useful biomarkers to guide donor selection and risk stratification in UCBT settings, potentially improving transplantation outcomes.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959470","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":"Graft-versus-tumor effect in autologous setting: fact or fallacy?","authors":"Anu Partanen, Tuure Kinnunen, Esa Jantunen","doi":"10.1080/10428194.2025.2547986","DOIUrl":"https://doi.org/10.1080/10428194.2025.2547986","url":null,"abstract":"<p><p>Autologous hematopoietic cell transplantation (AHCT) is usually considered a single high-dose therapy intending to eradicate existing malignant cells from the patient and enabling both hematologic and immune recovery after the graft infusion. In addition to tumor biology and disease status, also the immunologic status of the patient and several factors affecting graft cellular content are crucial for posttransplant outcomes. There is evidence for an immunotherapeutic role of immune effector cells within infused grafts and of importance of immune recovery post-transplant. Here we present the pros and cons of this autograft-versus-tumor effect in myeloma and non-Hodgkin lymphoma, the two most common current indications for AHCT. In addition, we discuss ways to potentially improve current treatment results by enhancing the immunotherapeutic effect of AHCT.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959392","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}
Piyatida Chumnumsiriwath, Pongthep Vittayawacharin, Lauren Pinter-Brown, Elizabeth A Brem, Shawn P Griffin, Piyanuch Kongtim, Stefan O Ciurea
{"title":"Lite-BEAM expands autologous stem cell transplantation access for older or unfit patients with lymphoma.","authors":"Piyatida Chumnumsiriwath, Pongthep Vittayawacharin, Lauren Pinter-Brown, Elizabeth A Brem, Shawn P Griffin, Piyanuch Kongtim, Stefan O Ciurea","doi":"10.1080/10428194.2025.2547985","DOIUrl":"https://doi.org/10.1080/10428194.2025.2547985","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959453","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}
Lukas H Haaksma, Jacqueline Cloos, David C de Leeuw
{"title":"Flow cytometric and molecular MRD in AML: current methods, clinical applications and challenges.","authors":"Lukas H Haaksma, Jacqueline Cloos, David C de Leeuw","doi":"10.1080/10428194.2025.2547993","DOIUrl":"10.1080/10428194.2025.2547993","url":null,"abstract":"<p><p>Measurable residual disease (MRD) in acute myeloid leukemia (AML) provides prognostic information beyond molecular risk classification at diagnosis, facilitating personalized treatment strategies and improved patient outcomes. This review focuses on the clinical implementation of MRD in patients in remission after induction therapy. We discuss the three primary methods for MRD detection, including multiparameter flow cytometry (MFC), polymerase chain reaction (PCR), and next-generation sequencing (NGS), highlighting their respective prognostic value, strengths, and limitations. We review the clinical application of MRD in guiding consolidation treatment, particularly regarding (de)-intensification of allogeneic stem cell transplantation. Additionally, we address evidence on the utility of MRD in selecting conditioning intensity, stem cell source, and additional pre-consolidation treatment. Currently, the main challenge of MRD is methodological standardization and harmonization across laboratories, which is being addressed by several international working parties. In this context, the value of combining MRD methods and leveraging their respective strengths should be further evaluated.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-12"},"PeriodicalIF":2.2,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959460","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}
Elżbieta Iskierka-Jażdżewska, Won Seog Kim, Seok-Goo Cho, Tae Min Kim, Isidro Jarque, Tadeusz Robak, Michelle Poon, H Miles Prince, Sung Yong Oh, Francesca Lim, Cecilia Carpio, Tran-Der Tan, Sabarish Ayyappan, Antonio Gutierrez, Huilai Zhang, Junning Cao, Benoit Tessoulin, Jingjin Li, Cristina Ivanescu, Matthew Reaney, Aafia Chaudhry, Hesham Mohamed, Srikanth Ambati, James Harnett, Lei Chi, Siddhesh Kamat, Jan Walewski
{"title":"Patient-reported outcomes in relapsed/refractory diffuse large B-cell lymphoma with odronextamab monotherapy.","authors":"Elżbieta Iskierka-Jażdżewska, Won Seog Kim, Seok-Goo Cho, Tae Min Kim, Isidro Jarque, Tadeusz Robak, Michelle Poon, H Miles Prince, Sung Yong Oh, Francesca Lim, Cecilia Carpio, Tran-Der Tan, Sabarish Ayyappan, Antonio Gutierrez, Huilai Zhang, Junning Cao, Benoit Tessoulin, Jingjin Li, Cristina Ivanescu, Matthew Reaney, Aafia Chaudhry, Hesham Mohamed, Srikanth Ambati, James Harnett, Lei Chi, Siddhesh Kamat, Jan Walewski","doi":"10.1080/10428194.2025.2535694","DOIUrl":"10.1080/10428194.2025.2535694","url":null,"abstract":"<p><p>In the ELM-2 study (NCT03888105) of patients with relapsed/refractory diffuse large B-cell lymphoma (r/r DLBCL) (<i>n</i> = 141), odronextamab 160 mg weekly (after step-up dosing) significantly improved Functional Assessment of Cancer Therapy-Lymphoma (FACT-Lym) Lymphoma Subscale (LymS, least squares mean [95% confidence interval], 3.02 [1.76, 4.27]), FACT-General (FACT-G, 2.85 [0.81, 4.90]), Trial Outcome Index (TOI, 4.56 [2.18, 6.94]), and Total Score (5.64 [2.64, 8.64]); as well as European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) global health status/quality of life scale (GHS/QoL, 4.04 [1.23, 6.84]) and EQ-5D-3L visual analog scale (VAS, 3.59 [0.79, 6.39]) for overall health status. The least squares mean improvement in FACT LymS was clinically meaningful and patients were more likely to report clinically meaningful improvement or maintenance than clinically meaningful worsening overall for every scale. These improvements in patient-reported outcomes support the feasibility of odronextamab monotherapy regimen as a potential treatment option in r/r DLBCL.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-12"},"PeriodicalIF":2.2,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959456","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":"Outcome of allogeneic hematopoietic cell transplantation in adult acute lymphoblastic leukemia patients who underwent myeloablative TBI-free conditioning regimen.","authors":"Delaram Amiri, Mandana Mirzaei, Tanaz Bahri, Maryam Barkhordar, Negar Nejati, Davood Babakhani, Mohammad Biglari, Marjan Yaghmaie, Soroush Rad, Mohammad Vaezi, Kamran Alimoghadam, Ghasem Janbabai, Seied Asadollah Mousavi, Hossein Kamranzadeh Fumani, Sahar Tavakoli Shirjani, Ardeshir Ghavamzadeh","doi":"10.1080/10428194.2025.2548968","DOIUrl":"https://doi.org/10.1080/10428194.2025.2548968","url":null,"abstract":"<p><p>Acute lymphoblastic leukemia (ALL) predominantly affects children but has poorer outcomes in adults. Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is a key consolidation therapy for high-risk patients, but the more commonly employed total body irradiation (TBI) regimen may be inaccessible in resource-limited settings, requiring alternative regimens. This retrospective study evaluated outcomes of 829 adult ALL patients who underwent HLA-matched allo-HSCT with a myeloablative, TBI-free regimen over two decades. The study compared overall survival (OS), disease-free survival (DFS), relapse incidence (RI), and non-relapse mortality (NRM) between pre- and post-2010 periods. Post-2010, 5-year OS improved from 38.3% to 48.1% (<i>p</i> = 0.0037), DFS from 36.6% to 42.0% (<i>p</i> = 0.027), and RI decreased from 47.5% to 40.8% (<i>p</i> = 0.012), with more notable improvements in patients ≥25 years. NRM remained stable (28.5% vs. 24.9%, <i>p</i> = 0.599). These findings suggest that a Busulfan-based, TBI-free regimen is a viable alternative, but further efforts are needed to reduce NRM and improve survival.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959383","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}
Samuel Urrutia, Wei-Ying Jen, Koji Sasaki, Peter H Wiernik, Tapan Kadia, Naval Daver, Courtney D DiNardo, Guillermo Garcia-Manero, Elias Jabbour, Nicholas J Short, Ghayas Issa, Farhad Ravandi, Musa Yilmaz
{"title":"Mortality and relapse dynamics in AML after three years of complete remission.","authors":"Samuel Urrutia, Wei-Ying Jen, Koji Sasaki, Peter H Wiernik, Tapan Kadia, Naval Daver, Courtney D DiNardo, Guillermo Garcia-Manero, Elias Jabbour, Nicholas J Short, Ghayas Issa, Farhad Ravandi, Musa Yilmaz","doi":"10.1080/10428194.2025.2547984","DOIUrl":"10.1080/10428194.2025.2547984","url":null,"abstract":"<p><p>Patients with AML remain at risk of death after therapy. Our objective was to characterize patients with AML after three years in remission. 453 patients were documented to be alive and in remission 3 years after diagnosis, median follow-up was 7.2 years in this subgroup. 363 (80%) patients were alive at last follow-up, fifty-two (11%) relapsed, 40 died from relapse. Forty-seven (9%) died in remission. Among remission deaths, mutations in FLT3 (64% v 5%) and NPM1 (45% vs 20%) were common (<i>p</i> < 0.01); causes of death included: other cancers (26%), cardiovascular disease (6%), and graft-versus-host disease (6%). After 3 years in remission, the cumulative incidence of relapse was 8% (95%CI 5-11) and death was 11% (95%CI 8-14). Survival after 3 years in remission was similar to a matched general population cohort (<i>p</i> = 0.7). After 3 years in remission, most common causes of death were relapse, other cancer, or cardiovascular disease.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-6"},"PeriodicalIF":2.2,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873823","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}
Luyang Zhang, Meihui Yi, Xiaoli Chen, Ye Guo, Xiaojuan Chen, Yumei Chen, Yao Zou, Li Zhang, Xiaofan Zhu, Wenyu Yang, Min Ruan
{"title":"Measurable residual disease dynamics holding prognostic significance in pediatric patients with <i>RUNX1::RUNX1T1</i>-positive AML: results from AML-CAMS serial trials.","authors":"Luyang Zhang, Meihui Yi, Xiaoli Chen, Ye Guo, Xiaojuan Chen, Yumei Chen, Yao Zou, Li Zhang, Xiaofan Zhu, Wenyu Yang, Min Ruan","doi":"10.1080/10428194.2025.2548966","DOIUrl":"10.1080/10428194.2025.2548966","url":null,"abstract":"<p><p>Quantitative real-time PCR (qRT-PCR) enables measurable residual disease (MRD) monitoring in <i>RUNX1::RUNX1T1</i>-positive acute myeloid leukemia (AML), guiding treatment in patients with morphological remission. However, the optimal thresholds and timing for MRD assessment remain undefined, particularly in pediatric cases due to the rarity. Our analysis of 136 pediatric patients with <i>RUNX1::RUNX1T1</i>-positive AML revealed that less than a 3-log reduction after induction chemotherapy predicted an inferior prognosis (<i>p</i> < 0.05). However, patients with < 3-log reduction but MRD < 0.01% after two consolidations had outcomes comparable to those with ≥ 3-log reduction. Reduction < 3-log after induction chemotherapy plus MRD ≥ 0.01% after two consolidations was an independent adverse factor for both relapse-free (HR = 4.230, <i>p</i> = 0.016) and overall survival (HR = 5.128, <i>p</i> = 0.045). These findings highlight the prognostic value of early MRD dynamics and support MRD-guided risk stratification in pediatric AML.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144883127","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}
Sarah Matarasso Greenfeld, Svetlana Dmitrienko, Ian Shrier, Jean Luc Deschenes, Sarit Assouline
{"title":"Understanding the clinical approach to \"pathologically ambiguous follicular lymphoma\" through a Real-World cohort.","authors":"Sarah Matarasso Greenfeld, Svetlana Dmitrienko, Ian Shrier, Jean Luc Deschenes, Sarit Assouline","doi":"10.1080/10428194.2025.2542943","DOIUrl":"10.1080/10428194.2025.2542943","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-4"},"PeriodicalIF":2.2,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873824","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}