New insights in lymphangioleiomyomatosis and pulmonary Langerhans cell histiocytosis

Eur Respir Rev. 2017 Sep 27;26(145):170042. doi: 10.1183/16000617.0042-2017. Print 2017 Sep 30.

Abstract

Lymphangioleiomyomatosis (LAM) and pulmonary Langerhans cell histiocytosis (PLCH) are rare diseases that lead to progressive cystic destruction of the lungs. Despite their distinctive characteristics, these diseases share several features. Patients affected by LAM or PLCH have similar radiological cystic patterns, a similar age of onset, and the possibility of extrapulmonary involvement. In this review, the recent advances in the understanding of the molecular pathogenesis, as well as the current and most promising biomarkers and therapeutic approaches, are described.

Publication types

  • Review

MeSH terms

  • Animals
  • Diagnosis, Differential
  • Genetic Markers
  • Genetic Predisposition to Disease
  • Histiocytosis, Langerhans-Cell* / diagnostic imaging
  • Histiocytosis, Langerhans-Cell* / drug therapy
  • Histiocytosis, Langerhans-Cell* / genetics
  • Histiocytosis, Langerhans-Cell* / pathology
  • Humans
  • Lung* / diagnostic imaging
  • Lung* / drug effects
  • Lung* / metabolism
  • Lung* / pathology
  • Lymphangioleiomyomatosis* / diagnostic imaging
  • Lymphangioleiomyomatosis* / drug therapy
  • Lymphangioleiomyomatosis* / genetics
  • Lymphangioleiomyomatosis* / pathology
  • Molecular Targeted Therapy
  • Phenotype
  • Predictive Value of Tests
  • Protein Kinase Inhibitors / therapeutic use
  • Proto-Oncogene Proteins B-raf / antagonists & inhibitors
  • Proto-Oncogene Proteins B-raf / metabolism
  • Respiratory Function Tests
  • Risk Factors
  • Signal Transduction / drug effects
  • TOR Serine-Threonine Kinases / antagonists & inhibitors
  • TOR Serine-Threonine Kinases / metabolism
  • Tomography, X-Ray Computed

Substances

  • Genetic Markers
  • Protein Kinase Inhibitors
  • MTOR protein, human
  • BRAF protein, human
  • Proto-Oncogene Proteins B-raf
  • TOR Serine-Threonine Kinases