T-Cell Traffic Jam in Hodgkin's Lymphoma: Pathogenetic and Therapeutic Implications

In hematologic malignancies, the microenvironment is often characterized by nonneoplastic cells with peculiar phenotypic and functional features. This is particularly true in Hodgkin's lymphoma (HL), in which T lymphocytes surrounding Hodgkin's Reed-Sternberg cells are essentially polarize...

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Main Authors: Claudio Fozza, Maurizio Longinotti
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Advances in Hematology
Online Access:http://dx.doi.org/10.1155/2011/501659
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author Claudio Fozza
Maurizio Longinotti
author_facet Claudio Fozza
Maurizio Longinotti
author_sort Claudio Fozza
collection DOAJ
description In hematologic malignancies, the microenvironment is often characterized by nonneoplastic cells with peculiar phenotypic and functional features. This is particularly true in Hodgkin's lymphoma (HL), in which T lymphocytes surrounding Hodgkin's Reed-Sternberg cells are essentially polarized towards a memory T-helper type 2 phenotype. In this paper we will first evaluate the main processes modulating T-cell recruitment towards the lymph node microenvironment in HL, especially focusing on the role played by cytokines. We will then consider the most relevant mechanisms of immune escape exerted by neoplastic cells in order to evade antitumor immunity. The potential pathogenetic and prognostic impact of regulatory T cells in such a context will be also described. We will finally overview some of the strategies of cellular immunotherapy applied in patients with HL.
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spelling doaj-art-0273cde4652f4b9abc2f3213edaf59452025-02-03T05:53:16ZengWileyAdvances in Hematology1687-91041687-91122011-01-01201110.1155/2011/501659501659T-Cell Traffic Jam in Hodgkin's Lymphoma: Pathogenetic and Therapeutic ImplicationsClaudio Fozza0Maurizio Longinotti1Institute of Hematology, University of Sassari, Viale San Pietro 12, 07100 Sassari, ItalyInstitute of Hematology, University of Sassari, Viale San Pietro 12, 07100 Sassari, ItalyIn hematologic malignancies, the microenvironment is often characterized by nonneoplastic cells with peculiar phenotypic and functional features. This is particularly true in Hodgkin's lymphoma (HL), in which T lymphocytes surrounding Hodgkin's Reed-Sternberg cells are essentially polarized towards a memory T-helper type 2 phenotype. In this paper we will first evaluate the main processes modulating T-cell recruitment towards the lymph node microenvironment in HL, especially focusing on the role played by cytokines. We will then consider the most relevant mechanisms of immune escape exerted by neoplastic cells in order to evade antitumor immunity. The potential pathogenetic and prognostic impact of regulatory T cells in such a context will be also described. We will finally overview some of the strategies of cellular immunotherapy applied in patients with HL.http://dx.doi.org/10.1155/2011/501659
spellingShingle Claudio Fozza
Maurizio Longinotti
T-Cell Traffic Jam in Hodgkin's Lymphoma: Pathogenetic and Therapeutic Implications
Advances in Hematology
title T-Cell Traffic Jam in Hodgkin's Lymphoma: Pathogenetic and Therapeutic Implications
title_full T-Cell Traffic Jam in Hodgkin's Lymphoma: Pathogenetic and Therapeutic Implications
title_fullStr T-Cell Traffic Jam in Hodgkin's Lymphoma: Pathogenetic and Therapeutic Implications
title_full_unstemmed T-Cell Traffic Jam in Hodgkin's Lymphoma: Pathogenetic and Therapeutic Implications
title_short T-Cell Traffic Jam in Hodgkin's Lymphoma: Pathogenetic and Therapeutic Implications
title_sort t cell traffic jam in hodgkin s lymphoma pathogenetic and therapeutic implications
url http://dx.doi.org/10.1155/2011/501659
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