New Insights into Diffuse Large B-Cell Lymphoma Pathobiology

Diffuse large B-cell lymphoma (DLBCL) is the most common non-Hodgkin lymphoma (NHL), accounting for about 40% of all cases of NHL. Analysis of the tumor microenvironment is an important aspect of the assessment of the progression of DLBCL. In this review article, we analyzed the role of different ce...

Full description

Bibliographic Details
Main Authors: Antonio Giovanni Solimando, Tiziana Annese, Roberto Tamma, Giuseppe Ingravallo, Eugenio Maiorano, Angelo Vacca, Giorgina Specchia, Domenico Ribatti
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/7/1869
_version_ 1797562681065996288
author Antonio Giovanni Solimando
Tiziana Annese
Roberto Tamma
Giuseppe Ingravallo
Eugenio Maiorano
Angelo Vacca
Giorgina Specchia
Domenico Ribatti
author_facet Antonio Giovanni Solimando
Tiziana Annese
Roberto Tamma
Giuseppe Ingravallo
Eugenio Maiorano
Angelo Vacca
Giorgina Specchia
Domenico Ribatti
author_sort Antonio Giovanni Solimando
collection DOAJ
description Diffuse large B-cell lymphoma (DLBCL) is the most common non-Hodgkin lymphoma (NHL), accounting for about 40% of all cases of NHL. Analysis of the tumor microenvironment is an important aspect of the assessment of the progression of DLBCL. In this review article, we analyzed the role of different cellular components of the tumor microenvironment, including mast cells, macrophages, and lymphocytes, in the tumor progression of DLBCL. We examined several approaches to confront the available pieces of evidence, whereby three key points emerged. DLBCL is a disease of malignant B cells spreading and accumulating both at nodal and at extranodal sites. In patients with both nodal and extranodal lesions, the subsequent induction of a cancer-friendly environment appears pivotal. The DLBCL cell interaction with mature stromal cells and vessels confers tumor protection and inhibition of immune response while delivering nutrients and oxygen supply. Single cells may also reside and survive in protected niches in the nodal and extranodal sites as a source for residual disease and relapse. This review aims to molecularly and functionally recapitulate the DLBCL–milieu crosstalk, to relate niche and pathological angiogenic constitution and interaction factors to DLBCL progression.
first_indexed 2024-03-10T18:32:25Z
format Article
id doaj.art-3895832f9c4d4d73b6a8140165bfbba7
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-10T18:32:25Z
publishDate 2020-07-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-3895832f9c4d4d73b6a8140165bfbba72023-11-20T06:30:22ZengMDPI AGCancers2072-66942020-07-01127186910.3390/cancers12071869New Insights into Diffuse Large B-Cell Lymphoma PathobiologyAntonio Giovanni Solimando0Tiziana Annese1Roberto Tamma2Giuseppe Ingravallo3Eugenio Maiorano4Angelo Vacca5Giorgina Specchia6Domenico Ribatti7Department of Biomedical Sciences and Human Oncology, Section of Internal Medicine ‘G. Baccelli’, University of Bari Medical School, 70124 Bari, ItalyDepartment of Basic Medical Sciences, Neurosciences, and Sensory Organs, University of Bari Medical School, 70124 Bari, ItalyDepartment of Basic Medical Sciences, Neurosciences, and Sensory Organs, University of Bari Medical School, 70124 Bari, ItalyDepartment of Emergency and Transplantation, Pathology Section, University of Bari Medical School, 70100 Bari, ItalyDepartment of Emergency and Transplantation, Pathology Section, University of Bari Medical School, 70100 Bari, ItalyDepartment of Biomedical Sciences and Human Oncology, Section of Internal Medicine ‘G. Baccelli’, University of Bari Medical School, 70124 Bari, ItalyDepartment of Emergency and Transplantation, Hematology Section, University of Bari Medical School, 70100 Bari, ItalyDepartment of Basic Medical Sciences, Neurosciences, and Sensory Organs, University of Bari Medical School, 70124 Bari, ItalyDiffuse large B-cell lymphoma (DLBCL) is the most common non-Hodgkin lymphoma (NHL), accounting for about 40% of all cases of NHL. Analysis of the tumor microenvironment is an important aspect of the assessment of the progression of DLBCL. In this review article, we analyzed the role of different cellular components of the tumor microenvironment, including mast cells, macrophages, and lymphocytes, in the tumor progression of DLBCL. We examined several approaches to confront the available pieces of evidence, whereby three key points emerged. DLBCL is a disease of malignant B cells spreading and accumulating both at nodal and at extranodal sites. In patients with both nodal and extranodal lesions, the subsequent induction of a cancer-friendly environment appears pivotal. The DLBCL cell interaction with mature stromal cells and vessels confers tumor protection and inhibition of immune response while delivering nutrients and oxygen supply. Single cells may also reside and survive in protected niches in the nodal and extranodal sites as a source for residual disease and relapse. This review aims to molecularly and functionally recapitulate the DLBCL–milieu crosstalk, to relate niche and pathological angiogenic constitution and interaction factors to DLBCL progression.https://www.mdpi.com/2072-6694/12/7/1869DLBCLtumor microenvironmentangiogenesiscell adhesion mediated drug resistancetumor progression
spellingShingle Antonio Giovanni Solimando
Tiziana Annese
Roberto Tamma
Giuseppe Ingravallo
Eugenio Maiorano
Angelo Vacca
Giorgina Specchia
Domenico Ribatti
New Insights into Diffuse Large B-Cell Lymphoma Pathobiology
Cancers
DLBCL
tumor microenvironment
angiogenesis
cell adhesion mediated drug resistance
tumor progression
title New Insights into Diffuse Large B-Cell Lymphoma Pathobiology
title_full New Insights into Diffuse Large B-Cell Lymphoma Pathobiology
title_fullStr New Insights into Diffuse Large B-Cell Lymphoma Pathobiology
title_full_unstemmed New Insights into Diffuse Large B-Cell Lymphoma Pathobiology
title_short New Insights into Diffuse Large B-Cell Lymphoma Pathobiology
title_sort new insights into diffuse large b cell lymphoma pathobiology
topic DLBCL
tumor microenvironment
angiogenesis
cell adhesion mediated drug resistance
tumor progression
url https://www.mdpi.com/2072-6694/12/7/1869
work_keys_str_mv AT antoniogiovannisolimando newinsightsintodiffuselargebcelllymphomapathobiology
AT tizianaannese newinsightsintodiffuselargebcelllymphomapathobiology
AT robertotamma newinsightsintodiffuselargebcelllymphomapathobiology
AT giuseppeingravallo newinsightsintodiffuselargebcelllymphomapathobiology
AT eugeniomaiorano newinsightsintodiffuselargebcelllymphomapathobiology
AT angelovacca newinsightsintodiffuselargebcelllymphomapathobiology
AT giorginaspecchia newinsightsintodiffuselargebcelllymphomapathobiology
AT domenicoribatti newinsightsintodiffuselargebcelllymphomapathobiology