In the era of targeted therapy and immunotherapy: advances in the treatment of large B-cell lymphoma of immune-privileged sites

Primary large B-cell lymphomas of immune-privileged sites (IP-LBCLs) include primary central nervous system large B-cell lymphoma (PCNSL), primary vitreoretinal large B-cell lymphoma (PVRL), and primary testicular large B-cell lymphoma (PTL). These tumors not only have a unique anatomical distributi...

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Main Authors: Haotian Wang, Ying Zhang, Xin Wan, Zhaoxia Li, Ou Bai
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1547377/full
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author Haotian Wang
Ying Zhang
Xin Wan
Zhaoxia Li
Ou Bai
author_facet Haotian Wang
Ying Zhang
Xin Wan
Zhaoxia Li
Ou Bai
author_sort Haotian Wang
collection DOAJ
description Primary large B-cell lymphomas of immune-privileged sites (IP-LBCLs) include primary central nervous system large B-cell lymphoma (PCNSL), primary vitreoretinal large B-cell lymphoma (PVRL), and primary testicular large B-cell lymphoma (PTL). These tumors not only have a unique anatomical distribution but also exhibit specific biological and clinical characteristics. Given the high biological overlap between intravascular large B-cell lymphoma (IVLBCL) and IP-LBCLs, and the fact that IVLBCL is confined to the intravascular microenvironment, IVLBCL is currently included in the category of IP-LBCLs. IP-LBCLs are associated with suboptimal prognosis. However, advancements in biomarker detection technologies have facilitated novel therapeutic approaches for this disease entity. This review aims to summarize and analyze the latest research progress in IP-LBCLs, with a focus on new treatment strategies in the era of targeted therapy and immunotherapy. It is intended to further understand the biological characteristics, treatment, and latest advancements of this disease.
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publisher Frontiers Media S.A.
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series Frontiers in Immunology
spelling doaj-art-81634dacdfdc45c4b6375832fd1a828b2025-08-20T02:09:10ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-04-011610.3389/fimmu.2025.15473771547377In the era of targeted therapy and immunotherapy: advances in the treatment of large B-cell lymphoma of immune-privileged sitesHaotian WangYing ZhangXin WanZhaoxia LiOu BaiPrimary large B-cell lymphomas of immune-privileged sites (IP-LBCLs) include primary central nervous system large B-cell lymphoma (PCNSL), primary vitreoretinal large B-cell lymphoma (PVRL), and primary testicular large B-cell lymphoma (PTL). These tumors not only have a unique anatomical distribution but also exhibit specific biological and clinical characteristics. Given the high biological overlap between intravascular large B-cell lymphoma (IVLBCL) and IP-LBCLs, and the fact that IVLBCL is confined to the intravascular microenvironment, IVLBCL is currently included in the category of IP-LBCLs. IP-LBCLs are associated with suboptimal prognosis. However, advancements in biomarker detection technologies have facilitated novel therapeutic approaches for this disease entity. This review aims to summarize and analyze the latest research progress in IP-LBCLs, with a focus on new treatment strategies in the era of targeted therapy and immunotherapy. It is intended to further understand the biological characteristics, treatment, and latest advancements of this disease.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1547377/fullprimary large B-cell lymphomas of immune-privileged sitestargeted therapyimmunotherapyefficacysafety
spellingShingle Haotian Wang
Ying Zhang
Xin Wan
Zhaoxia Li
Ou Bai
In the era of targeted therapy and immunotherapy: advances in the treatment of large B-cell lymphoma of immune-privileged sites
Frontiers in Immunology
primary large B-cell lymphomas of immune-privileged sites
targeted therapy
immunotherapy
efficacy
safety
title In the era of targeted therapy and immunotherapy: advances in the treatment of large B-cell lymphoma of immune-privileged sites
title_full In the era of targeted therapy and immunotherapy: advances in the treatment of large B-cell lymphoma of immune-privileged sites
title_fullStr In the era of targeted therapy and immunotherapy: advances in the treatment of large B-cell lymphoma of immune-privileged sites
title_full_unstemmed In the era of targeted therapy and immunotherapy: advances in the treatment of large B-cell lymphoma of immune-privileged sites
title_short In the era of targeted therapy and immunotherapy: advances in the treatment of large B-cell lymphoma of immune-privileged sites
title_sort in the era of targeted therapy and immunotherapy advances in the treatment of large b cell lymphoma of immune privileged sites
topic primary large B-cell lymphomas of immune-privileged sites
targeted therapy
immunotherapy
efficacy
safety
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1547377/full
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