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Mechanisms and interventions in relapsed/refractory extranodal natural killer/T-cell lymphoma.

Drug discovery today 2025 Vol.30(12) p. 104549

Lu Q, You T, Cheng Q, Chen ZS, Huang H

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Extranodal natural killer/T-cell lymphoma (ENKTL) is an aggressive non-Hodgkin's lymphoma associated with Epstein-Barr virus and typically involves extranodal sites.

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APA Lu Q, You T, et al. (2025). Mechanisms and interventions in relapsed/refractory extranodal natural killer/T-cell lymphoma.. Drug discovery today, 30(12), 104549. https://doi.org/10.1016/j.drudis.2025.104549
MLA Lu Q, et al.. "Mechanisms and interventions in relapsed/refractory extranodal natural killer/T-cell lymphoma.." Drug discovery today, vol. 30, no. 12, 2025, pp. 104549.
PMID 41265515

Abstract

Extranodal natural killer/T-cell lymphoma (ENKTL) is an aggressive non-Hodgkin's lymphoma associated with Epstein-Barr virus and typically involves extranodal sites. The traditional CHOP regimen is no longer standard owing to drug resistance, whereas asparaginase-based therapies have become the mainstay of treatment. However, resistance and tumor invasion lead to relapses in 40-50% of patients, with 20% progressing to relapsed/refractory ENKTL, resulting in a median survival of <12 months. Management of ENKTL remains challenging, with an unmet clinical need. However, although the prognosis for relapsed/refractory ENKTL is poor, the development of new treatment strategies is progressing with a better understanding of the disease. This review examines factors contributing to treatment resistance, underlying resistance mechanisms and potential strategies to overcome ENKTL resistance.

MeSH Terms

Humans; Lymphoma, Extranodal NK-T-Cell; Drug Resistance, Neoplasm; Antineoplastic Combined Chemotherapy Protocols; Neoplasm Recurrence, Local; Animals

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