Management options, survivorship, and emerging treatment strategies for follicular and Hodgkin lymphomas

Our understanding of the biology underlying lymphoma is continually increasing and leading to improved treatment strategies for affected patients. However, clinical approaches differ between disease subtypes based on the likelihood of achieving durable remissions. For example, follicular lymphoma (FL) is a common and indolent form of non-Hodgkin lymphoma, in which most patients relapse after treatment and periods of remission become progressively shorter after each course of treatment. Thus, the main focus of research efforts in FL is to develop improved treatment strategies that provide prolonged periods of disease remission. In contrast, Hodgkin lymphoma (HL), although rare, is considered to be highly curable with current treatments and the clinical need is for effective-management strategies, potentially avoiding chemotherapy, that reduce long-term toxicity and improve quality of life for patients. This report summarizes the latest advances in our understanding of FL and HL, and demonstrates the different approaches required when developing novel treatment strategies for the two diseases.

[1]  R. Arceci,et al.  Long-term outcome of EBV-specific T-cell infusions to prevent or treat EBV-related lymphoproliferative disease in transplant recipients. , 2010, Blood.

[2]  C. Flowers,et al.  Racial Disparities in Disease Presentation, Treatment, and Response Rates of Follicular Lymphoma (FL) in the United States (US): Report From the National LymphoCare Study (NLCS). , 2009 .

[3]  H. Heslop,et al.  T lymphocytes coexpressing CCR4 and a chimeric antigen receptor targeting CD30 have improved homing and antitumor activity in a Hodgkin tumor model. , 2009, Blood.

[4]  E. Riedel,et al.  Late mortality and morbidity of patients with Hodgkin lymphoma treated in adulthood. , 2009, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[5]  J. Cerhan,et al.  Follicular lymphoma in the United States: first report of the national LymphoCare study. , 2009, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[6]  Daphne de Jong,et al.  Impact of the tumor microenvironment on prognosis in follicular lymphoma is dependent on specific treatment protocols , 2009, Haematologica.

[7]  Hao Liu,et al.  Virus-specific T cells engineered to coexpress tumor-specific receptors: persistence and antitumor activity in individuals with neuroblastoma , 2008, Nature Medicine.

[8]  J. Friedberg,et al.  Treatment of follicular non-Hodgkin's lymphoma: the old and the new. , 2008, Seminars in hematology.

[9]  H. Heslop,et al.  Antitumor Activity of EBV-specific T Lymphocytes Transduced With a Dominant Negative TGF-β Receptor , 2008, Journal of immunotherapy.

[10]  E. Riedel,et al.  Psychosocial functioning in survivors of Hodgkin lymphoma (HL) treated during adulthood , 2008 .

[11]  Yu-Hong Chen,et al.  Modified Donor Lymphocyte Infusion (DLI) for the Prophylaxis of Leukemia Relapse after Hematopoietic Stem Cell Transplantation in Patients with Advanced Leukemia—Feasibility and Safety Study , 2008, Journal of Clinical Immunology.

[12]  A. Zelenetz,et al.  Overview of lymphoma diagnosis and management. , 2008, Radiologic clinics of North America.

[13]  V. Diehl,et al.  Fertility in male patients with advanced Hodgkin lymphoma treated with BEACOPP: a report of the German Hodgkin Study Group (GHSG). , 2008, Blood.

[14]  A. Zelenetz,et al.  Practice Patterns in the Diagnosis of Follicular Lymphoma (FL): Report from the National Lymphocare Study (NLCS). , 2007 .

[15]  Chung-Che Chang,et al.  Complete responses of relapsed lymphoma following genetic modification of tumor-antigen presenting cells and T-lymphocyte transfer. , 2007, Blood.

[16]  M. Calaminici,et al.  Risk and clinical implications of transformation of follicular lymphoma to diffuse large B-cell lymphoma. , 2007, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[17]  G. Schwarzer,et al.  Immunochemotherapy with rituximab and overall survival in patients with indolent or mantle cell lymphoma: a systematic review and meta-analysis. , 2007, Journal of the National Cancer Institute.

[18]  A. Hart,et al.  Late cardiotoxicity after treatment for Hodgkin lymphoma. , 2007, Blood.

[19]  Philip M Kluin,et al.  Gene-expression and immunohistochemical study of specific T-cell subsets and accessory cell types in the transformation and prognosis of follicular lymphoma. , 2007, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[20]  G. Salles Clinical features, prognosis and treatment of follicular lymphoma. , 2007, Hematology. American Society of Hematology. Education Program.

[21]  Marylène Lejeune,et al.  Immunohistochemical patterns of reactive microenvironment are associated with clinicobiologic behavior in follicular lymphoma patients. , 2006, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[22]  H. Heslop,et al.  T lymphocytes redirected against the kappa light chain of human immunoglobulin efficiently kill mature B lymphocyte-derived malignant cells. , 2006, Blood.

[23]  Max Wolf,et al.  Rituximab maintenance improves clinical outcome of relapsed/resistant follicular non-Hodgkin lymphoma in patients both with and without rituximab during induction: results of a prospective randomized phase 3 intergroup trial. , 2006, Blood.

[24]  M. Calaminici,et al.  Number of CD4+ cells and location of forkhead box protein P3-positive cells in diagnostic follicular lymphoma tissue microarrays correlates with outcome. , 2006, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[25]  Emili Montserrat,et al.  High numbers of tumor-infiltrating FOXP3-positive regulatory T cells are associated with improved overall survival in follicular lymphoma. , 2006, Blood.

[26]  R. Gascoyne,et al.  The impact of initial treatment of advanced stage indolent lymphoma on the risk of transformation. , 2006, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[27]  S. Fosså,et al.  Quality of life in long-term Hodgkin's disease survivors with chronic fatigue. , 2006, European journal of cancer.

[28]  R. Fisher,et al.  New treatment options have changed the survival of patients with follicular lymphoma. , 2005, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[29]  R. Marcus,et al.  Mabthera (Rituximab) plus CVP chemotherapy for first-line treatment of stage III/IV follicular non-Hodgkin's lymphoma (NHL): Confirmed efficacy with longer follow-up. , 2005 .

[30]  Karey Shumansky,et al.  Analysis of multiple biomarkers shows that lymphoma-associated macrophage (LAM) content is an independent predictor of survival in follicular lymphoma (FL). , 2005, Blood.

[31]  L. Wildt,et al.  Female fertility after cytotoxic therapy – protection of ovarian function during chemotherapy of malignant and non‐malignant diseases , 2005, European journal of haematology. Supplementum.

[32]  R. Marcus,et al.  CVP chemotherapy plus rituximab compared with CVP as first-line treatment for advanced follicular lymphoma. , 2005, Blood.

[33]  V. Diehl,et al.  Current treatment and immunotherapy of Hodgkin's lymphoma. , 2005, Haematologica.

[34]  P. Solal-Céligny,et al.  Follicular lymphoma international prognostic index , 2006, Blood.

[35]  A. Zelenetz,et al.  Results of a prospective randomized clinical trial of doxorubicin, bleomycin, vinblastine, and dacarbazine (ABVD) followed by radiation therapy (RT) versus ABVD alone for stages I, II, and IIIA nonbulky Hodgkin disease. , 2004, Blood.

[36]  E. Alba,et al.  Treatment of stage I and II Hodgkin's lymphoma with ABVD chemotherapy: results after 7 years of a prospective study. , 2004, Annals of oncology : official journal of the European Society for Medical Oncology.

[37]  L. Staudt,et al.  Prediction of survival in follicular lymphoma based on molecular features of tumor-infiltrating immune cells. , 2004, The New England journal of medicine.

[38]  R. Gascoyne,et al.  Long‐term disease‐free survival of patients with advanced follicular lymphoma after allogeneic bone marrow transplantation , 2004, British journal of haematology.

[39]  Ruta Bajorunaite,et al.  Comparison of autologous and allogeneic hematopoietic stem cell transplantation for follicular lymphoma. , 2003, Blood.

[40]  H. Bartelink,et al.  Long-term cause-specific mortality of patients treated for Hodgkin's disease. , 2003, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[41]  K. Maclennan,et al.  Long-term effect of a watch and wait policy versus immediate systemic treatment for asymptomatic advanced-stage non-Hodgkin lymphoma: a randomised controlled trial , 2003, The Lancet.

[42]  J. Massagué,et al.  Adapting a transforming growth factor beta-related tumor protection strategy to enhance antitumor immunity. , 2002, Blood.

[43]  V. Diehl,et al.  Male gonadal dysfunction in patients with Hodgkin's disease prior to treatment. , 2001, Annals of oncology : official journal of the European Society for Medical Oncology.

[44]  J. Lou The Stedman's Concise Medical Dictionary , 2000 .

[45]  G. Denardo,et al.  A new era for radiolabeled antibodies in cancer? , 1999, Current opinion in immunology.

[46]  A. Lennard,et al.  Management of non-Hodgkin's lymphomas , 1999, Postgraduate medical journal.

[47]  R. Levy,et al.  Rituximab chimeric anti-CD20 monoclonal antibody therapy for relapsed indolent lymphoma: half of patients respond to a four-dose treatment program. , 1998, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[48]  H. Tilly,et al.  Phase II trial of fludarabine monophosphate as first-line treatment in patients with advanced follicular lymphoma: a multicenter study by the Groupe d'Etude des Lymphomes de l'Adulte. , 1996, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[49]  J. Koziol,et al.  2-Chlorodeoxyadenosine activity in patients with untreated, indolent non-Hodgkin's lymphoma. , 1995, Blood.

[50]  S. Horning Natural history of and therapy for the indolent non-Hodgkin's lymphomas. , 1993, Seminars in oncology.

[51]  T. Kuzel,et al.  Radioimmunotherapy of lymphoma. , 1993, Cancer treatment and research.

[52]  A. Saven,et al.  2-Chlorodeoxyadenosine treatment of low-grade lymphomas. , 1992, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[53]  S. Horning,et al.  The natural history of initially untreated low-grade non-Hodgkin's lymphomas. , 1984, The New England journal of medicine.