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December 8, 2025BloodOpen Access

Concurrent TP53 loss-of-function and epigenetic modifier mutations as a potential predictor of chemoimmunotherapy failure in DLBCL & hgbl

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Authors

ARArjun RavishankarIIIris IsufiSHScott Huntington

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Overview

Pilot analysis reveals TP53 mutations and genomic alterations predict treatment resistance in DLBCL and HGBL, suggesting early CAR-T therapy may be necessary.

Key Points

  • Failure of chemoimmunotherapy strongly associated with concurrent loss-of-function TP53 mutations and genomic alterations, highlighting a critical risk factor.
  • Patients with DLBCL and HGBL exhibiting these mutations may require alternative therapies like CAR T-cell therapy for better outcomes.
  • Retrospective pilot analysis involved genomic profiling of patients treated with first-line chemoimmunotherapy, comparing relapsed and complete response groups.
  • Identification of dual molecular signatures at diagnosis is crucial for directing innovative treatment strategies and improving patient outcomes.

Cite This Study

Ravishankar et al. (2025) studied this question.

synapsesocial.com/papers/69362f444fa91c937236d579https://doi.org/10.1182/blood-2025-7071
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