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Follicular lymphoma:the diminishing role of chemotherapy

Journal of Cancer Metastasis and Treatment 2022年第1期8卷 393-411页

作者： Beatrice Casadei laura nanni Ginevra Lolli Pier Luigi Zinzani IRCCS Azienda Ospedaliero-Universitaria di Bologna Istituto di Ematologia“Seràgnoli”Bologna 40138Italy Dipartimento di Medicina Specialistica Diagnostica e SperimentaleUniversitàdi BolognaBologna 40138Italy

Follicular lymphoma(FL)is the most common indolent non-Hodgkin lymphoma,accounting for 70%of cases in Western countries.Despite this unique name,FL is an extremely heterogeneous disease,both clinically and biologically.The basis of FL heterogeneity lies in the different biological pathways which can be activated,because of the variety of gene mutations that can occur.Today,there is a growing interest in the knowledge of these activated pathways,which is also testified by the presence of a new model that incorporates FL mutations to define patient’s prognosis(m7-FLIPI).These evaluations are also appealing because of the recent possibility of using“targeted therapies”.Targeted therapies are new tools,currently applicable in the setting of relapse/refractory(R/R)disease,where we can find a great variety of“chemo-free”combinations.As in other hematologic malignancies,“cellular therapy”enriches FL drug scenario,including T-cell dependent bispecific antibodies and chimeric antigen receptor(CAR)T-cell.Since FL heterogeneity is the basis of the difference in therapeutic efficacy and disease course among patients,the hope for the future is to understand FL biology more deeply,to better comprehend how to obtain more representative samples and pre-treatment prognostic information in order to individualize the treatment strategy as early as frontline therapy.

关键词： Follicular lymphoma POD24 target therapies chemo-immunotherapy biological heterogeneity

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Renal function and physical fitness after 12-mo supervised training in kidney transplant recipients

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World Journal of Transplantation 2018年第1期8卷 13-22页

作者： Giulio Sergio Roi Giovanni Mosconi Valentina Totti Maria laura Angelini Erica Brugin Patrizio Sarto laura Merlo Sergio Sgarzi Michele Stancari Paola Todeschini Gaetano La Manna Andrea Ermolao Ferdinando Tripi Lucia Andreoli Gianluigi Sella Alberto Anedda laura Stefani Giorgio Galanti Rocco Di Michele Franco Merni Manuela Trerotola Daniela Storani Alessandro nanni Costa Department of Education and Research Isokinetic Medical Group Department of Nephrology and Dialysis Morgagni-Pierantoni Hospital Department of Biomedical & Neuromotor Sciences University of Bologna Associazione Nazionale Emodializzati Dialisi e Trapianto Department of Cardiovascular Sports Medicine Sports Medicine ULSS Company 9 Sports Medicine Regional Hospital of Bologna Department of Nephrology and Dialysis S. Orsola Hospital Sports Medicine Unit DIMED Department of Medicine University of Padua Sports Medicine Regional Hospital of Modena Sports Medicine Regional Hospital of Ravenna Sports Medicine Regional Hospital of Parma Department of Experimental and Clinical Medicine School of Sports Medicine University of Florence Sports Medicine Centre Italian National Transplant Centre

AIM To evaluate the effect of a 12-mo supervised aerobic and resistance training, on renal function and exercise capacity compared to usual care recommendations.METHODS Ninety-nine kidney transplant recipients(KTRs) were assigned to interventional exercise(Group A; n = 52) and a usual care cohort(Group B; n = 47). Blood and urine chemistry, exercise capacity, muscular strength, anthropometric measures and health-related quality of life(HRQo L) were assessed at baseline, and after 6 and 12 mo. Group A underwent a supervised training three times per week for 12 mo. Group B received only general recommendations about home-based physical activities.RESULTS Eighty-five KTRs completed the study(Group A, n = 44; Group B, n = 41). After 12 mo, renal function remained stable in both groups. Group A significantly increased maximum workload(+13 W, P = 0.0003), V'O2 peak(+3.1 mL/kg per minute, P = 0.0099), muscular strength in plantar flexor(+12 kg, P = 0.0368), height in the countermovement jump(+1.9 cm, P = 0.0293) and decreased in Body Mass Index(-0.5 kg/m^2, P = 0.0013). HRQo L significantly improved in physical function(P = 0.0019), physical-role limitations(P = 0.0321) and social functioning scales(P = 0.0346). Noimprovements were found in Group B.CONCLUSION Twelve-month of supervised aerobic and resistance training improves the physiological variables related to physical fitness and cardiovascular risks without consequences on renal function. Recommendations alone are not sufficient to induce changes in exercise capacity of KTRs. Our study is an example of collaborative working between transplant centres, sports medicine and exercise facilities.

关键词： Kidney transplant recipients Renal function Supervised exercise Aerobic exercise Muscle strength

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