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10.1126/scitranslmed.aaa5079

http://scihub22266oqcxt.onion/10.1126/scitranslmed.aaa5079
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C4807901!4807901!26109102
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suck abstract from ncbi


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pmid26109102      Sci+Transl+Med 2015 ; 7 (293): 293ra102
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  • Epigenetic therapy overcomes treatment resistance in T-cell prolymphocytic leukemia #MMPMID26109102
  • Hasanali ZS; Saroya BS; Stuart A; Shimko S; Evans J; Shah MV; Sharma K; Leshchenko VV; Parekh S; Loughran T; Epner E
  • Sci Transl Med 2015[Jun]; 7 (293): 293ra102 PMID26109102show ga
  • T-cell prolymphocytic leukemia (T-PLL) is a rare, mature T-cell neoplasm with distinct features and an aggressive clinical course. Early relapse and short overall survival are commonplace. Use of the monoclonal anti-CD52 antibody alemtuzumab has improved the rate of complete remission and duration of response to over 50% and between 6?12 months, respectively. Despite this advance, without an allogeneic transplant, resistant relapse is inevitable. We report complete (7) and partial (1) remissions in eight patients receiving alemtuzumab and cladribine with or without an HDAC inhibitor. These data show that administration of epigenetic agents overcomes alemtuzumab resistance. We report epigenetically induced expression of the surface receptor protein CD30 in T-PLL. Subsequent treatment with the anti-CD30 antibody drug conjugate brentuximab vedotin overcame organ specific (skin) resistance to alemtuzumab. Our findings demonstrate activity of combination epigenetic and immunotherapy in the incurable illness T-PLL, particularly in the setting of prior alemtuzumab therapy.
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