Increased risk of hematologic malignancies in primary immunodeficiency disorders: opportunities for immunotherapy

Clin Immunol. 2018 May:190:22-31. doi: 10.1016/j.clim.2018.02.007. Epub 2018 Feb 27.

Abstract

Primary immunodeficiency disorders (PIDs) convey increased susceptibility to infections and sometimes to malignancies, particularly lymphomas. Such cancer development can be contributed by immune impairments resulting in weakened immunological surveillance against (pre)malignant cells and oncogenic viruses. Molecular defects in PID-patients are therefore being clarified, identifying new targets for innovative immunotherapy. Particularly pediatric cancers are being scrutinized, where over one-third of cancer-related deaths are accounted for by leukemia and lymphomas. Here we review how immunopathogenic mechanisms of several PIDs might associate with lymphoma development. We furthermore delineate existing immunotherapy strategies in adults for potential therapeutic application in childhood leukemia and lymphomas.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult
  • Antibodies, Monoclonal / immunology
  • Antibodies, Monoclonal / therapeutic use
  • Child
  • Hematologic Neoplasms / complications
  • Hematologic Neoplasms / immunology*
  • Hematologic Neoplasms / therapy
  • Humans
  • Immunologic Deficiency Syndromes / complications
  • Immunologic Deficiency Syndromes / immunology*
  • Immunotherapy / methods
  • Leukemia / complications
  • Leukemia / immunology*
  • Leukemia / therapy
  • Lymphoma / complications
  • Lymphoma / immunology*
  • Lymphoma / therapy
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / immunology
  • T-Lymphocytes / pathology

Substances

  • Antibodies, Monoclonal