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Molecular techniques drive cutting edge advancements in management of cutaneous T cell lymphoma
Journal article   Open access   Peer reviewed

Molecular techniques drive cutting edge advancements in management of cutaneous T cell lymphoma

Mitchell N. Lefebvre, Nicholas Borcherding, Ryan J. Reis, Eric Mou, Vincent Liu and Ali Jabbari
Frontiers in immunology, Vol.14, 1228563
08/01/2023
DOI: 10.3389/fimmu.2023.1228563
PMCID: PMC10465366
PMID: 37654486
url
https://doi.org/10.3389/fimmu.2023.1228563View
Published (Version of record) Open Access

Abstract

Cutaneous 5T cell lymphoma (CTCL), characterized by malignant T cells infiltrating the skin with potential for dissemination, remains a challenging disease to diagnose and treat due to disease heterogeneity, treatment resistance, and lack of effective and standardized diagnostic and prognostic clinical tools. Currently, diagnosis of CTCL practically relies on clinical presentation, histopathology, and immunohistochemistry. These methods are collectively fraught with limitations in sensitivity and specificity. Fortunately, recent advances in flow cytometry, polymerase chain reaction, high throughput sequencing, and other molecular techniques have shown promise in improving diagnosis and treatment of CTCL. Examples of these advances include T cell receptor clonotyping via sequencing to detect CTCL earlier in the disease course and single-cell RNA sequencing to identify gene expression patterns that commonly drive CTCL pathogenesis. Experience with these techniques has afforded novel insights which may translate into enhanced diagnostic and therapeutic approaches for CTCL.
Flow Cytometry cutaneous T cell lymphoma high throughput sequencing RNA sequencing TCR - T cell receptor

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