Expert insights on Hodgkin’s lymphoma development in an activated PI3K delta syndrome patient undergoing leniolisib treatment

Activated PI3K delta syndrome (APDS) is a primary immunodeficiency that is caused by mutations in the PI3K signalling pathway resulting in either gain-of-function or loss-of-function phenotypes of APDS 1 and 2. Malignancy is one of the most serious complications associated with APDS patients, with t...

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Main Authors: Francesca Conti, Mattia Moratti, Elena Sabattini, Pier Luigi Zinzani
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1517543/full
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author Francesca Conti
Francesca Conti
Mattia Moratti
Mattia Moratti
Elena Sabattini
Pier Luigi Zinzani
Pier Luigi Zinzani
author_facet Francesca Conti
Francesca Conti
Mattia Moratti
Mattia Moratti
Elena Sabattini
Pier Luigi Zinzani
Pier Luigi Zinzani
author_sort Francesca Conti
collection DOAJ
description Activated PI3K delta syndrome (APDS) is a primary immunodeficiency that is caused by mutations in the PI3K signalling pathway resulting in either gain-of-function or loss-of-function phenotypes of APDS 1 and 2. Malignancy is one of the most serious complications associated with APDS patients, with the most commonly occurring of these being lymphoma, and is the most common cause of death in APDS patients. Management of APDS is complex and variable due to the heterogeneous nature of the disease and ranges from antimicrobial and immunosuppressant agents to haematopoetic stem cell transplantation. More recently, an increasing level of interest has been shown in the use of more targeted agents such as PI3Kδ-specific inhibitors. Here, we provide expert perspective on the suspected causality of a case of lymphoma observed in a 20-year-old female patient who was included in a clinical trial of leniolisib, a PI3K inhibitor.
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institution Kabale University
issn 1664-3224
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publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-c85f5f5c4bbe4740a4e4c34c9ca894062025-01-13T06:11:06ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011510.3389/fimmu.2024.15175431517543Expert insights on Hodgkin’s lymphoma development in an activated PI3K delta syndrome patient undergoing leniolisib treatmentFrancesca Conti0Francesca Conti1Mattia Moratti2Mattia Moratti3Elena Sabattini4Pier Luigi Zinzani5Pier Luigi Zinzani6Pediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, ItalyDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, ItalySpecialty School of Paediatrics-Alma Mater Studiorum, University of Bologna, Bologna, ItalyDepartment of Systems Medicine, University of Tor Vergata, Rome, ItalyHaematopathology Unit, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, ItalyDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, ItalyIRCCS Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia “Seràgnoli”, Bologna, ItalyActivated PI3K delta syndrome (APDS) is a primary immunodeficiency that is caused by mutations in the PI3K signalling pathway resulting in either gain-of-function or loss-of-function phenotypes of APDS 1 and 2. Malignancy is one of the most serious complications associated with APDS patients, with the most commonly occurring of these being lymphoma, and is the most common cause of death in APDS patients. Management of APDS is complex and variable due to the heterogeneous nature of the disease and ranges from antimicrobial and immunosuppressant agents to haematopoetic stem cell transplantation. More recently, an increasing level of interest has been shown in the use of more targeted agents such as PI3Kδ-specific inhibitors. Here, we provide expert perspective on the suspected causality of a case of lymphoma observed in a 20-year-old female patient who was included in a clinical trial of leniolisib, a PI3K inhibitor.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1517543/fullactivated PI3K delta syndrome (APDS)leniolisibHodgkin (cHL)PI3K inhibitorHodgkin lymphoma (HL)
spellingShingle Francesca Conti
Francesca Conti
Mattia Moratti
Mattia Moratti
Elena Sabattini
Pier Luigi Zinzani
Pier Luigi Zinzani
Expert insights on Hodgkin’s lymphoma development in an activated PI3K delta syndrome patient undergoing leniolisib treatment
Frontiers in Immunology
activated PI3K delta syndrome (APDS)
leniolisib
Hodgkin (cHL)
PI3K inhibitor
Hodgkin lymphoma (HL)
title Expert insights on Hodgkin’s lymphoma development in an activated PI3K delta syndrome patient undergoing leniolisib treatment
title_full Expert insights on Hodgkin’s lymphoma development in an activated PI3K delta syndrome patient undergoing leniolisib treatment
title_fullStr Expert insights on Hodgkin’s lymphoma development in an activated PI3K delta syndrome patient undergoing leniolisib treatment
title_full_unstemmed Expert insights on Hodgkin’s lymphoma development in an activated PI3K delta syndrome patient undergoing leniolisib treatment
title_short Expert insights on Hodgkin’s lymphoma development in an activated PI3K delta syndrome patient undergoing leniolisib treatment
title_sort expert insights on hodgkin s lymphoma development in an activated pi3k delta syndrome patient undergoing leniolisib treatment
topic activated PI3K delta syndrome (APDS)
leniolisib
Hodgkin (cHL)
PI3K inhibitor
Hodgkin lymphoma (HL)
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1517543/full
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