Janus激酶抑制剂在皮肤T细胞淋巴瘤中的治疗潜力与致病风险

Therapeutic Potential and Pathogenic Risks of Janus Kinase Inhibitors in Cutaneous T-cell Lymphoma

  • 摘要: 皮肤T细胞淋巴瘤(cutaneous T cell lymphoma,CTCL)是原发于皮肤的一组非霍奇金淋巴瘤,具有高度异质性,进展期治疗难度大。近年来,Janus激酶/信号转导和转录激活因子(Janus kinase/signal transducer and activator of transcription,JAK/STAT)信号通路受到广泛关注,该通路已被证实与多种炎性疾病及肿瘤的发生发展密切相关。然而,JAK/ STAT通路能否作为CTCL的治疗靶点,目前尚无明确结论。值得注意的是,临床报道提示,JAK抑制剂可能增加CTCL的发病风险。本文就JAK/ STAT通路在CTCL发生发展中的作用,以及JAK抑制剂在治疗或诱发CTCL方面的相关临床研究进展进行综述。

     

    Abstract: Cutaneous T-cell lymphoma (CTCL) represents a heterogeneous group of non-Hodgkin lymphomas that originate in the skin, and are often challenging to manage at advanced stages. In recent years, the Janus kinase/signal transducer and activator of transcription (JAK/STAT) signaling pathway has garnered significant attention due to its established roles in the pathogenesis of various inflammatory diseases and tumors. However, whether the JAK/STAT pathway can serve as a therapeutic target for CTCL remains inconclusive. Notably, some clinical reports have suggested that JAK inhibitors may potentially increase the risk of CTCL onset. This review summarizes current clinical research progress regarding the role of the JAK/STAT pathway in the development and progression of CTCL, as well as the dual potential of JAK inhibitors to either treat or trigger the disease.

     

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