PMID- 26886710 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20181113 IS - 1432-1289 (Electronic) IS - 0020-9554 (Linking) VI - 57 IP - 3 DP - 2016 Mar TI - [Current therapeutic strategies for mantle cell lymphoma]. PG - 230-7 LID - 10.1007/s00108-016-0017-y [doi] AB - Mantle cell lymphoma is a subtype of B‑cell lymphoma with a mostly aggressive behavior and poor long-term prognosis. The choice of therapy depends on the age, performance status and risk profile of the patient. Randomized trials have confirmed the superiority of a dose-intensified induction therapy containing cytarabine followed by autologous stem cell transplantation in the first-line treatment of younger patients with a good general condition. Elderly patients benefit from a rituximab maintenance therapy after immunochemotherapy. Novel targeted therapies of the B‑cell receptor pathway with the Bruton's tyrosine kinase inhibitor ibrutinib and the mechanistic target of rapamycin (mTOR) antagonist temsirolimus as well as immunomodulatory drugs (lenalidomide) have shown promising results in relapsed disease. The proteasome inhibitor bortezomib has been approved for first-line treatment in combination with conventional chemotherapy. FAU - Dreyling, M AU - Dreyling M AD - Medizinische Klinik und Poliklinik III, Klinikum der Universitat Munchen, Marchioninistr. 15, 81337, Munchen, Deutschland. martin.dreyling@med.uni-muenchen.de. FAU - Schnaiter, A AU - Schnaiter A AD - Medizinische Klinik und Poliklinik III, Klinikum der Universitat Munchen, Marchioninistr. 15, 81337, Munchen, Deutschland. FAU - Schmidt, C AU - Schmidt C AD - Medizinische Klinik und Poliklinik III, Klinikum der Universitat Munchen, Marchioninistr. 15, 81337, Munchen, Deutschland. FAU - Hoster, E AU - Hoster E AD - Medizinische Klinik und Poliklinik III, Klinikum der Universitat Munchen, Marchioninistr. 15, 81337, Munchen, Deutschland. LA - ger PT - Journal Article PT - Review TT - Aktuelle Therapiestrategien beim Mantelzelllymphom. PL - Germany TA - Internist (Berl) JT - Der Internist JID - 0264620 RN - 0 (Antineoplastic Agents) RN - 4F4X42SYQ6 (Rituximab) SB - IM MH - Antineoplastic Agents/administration & dosage MH - Chemoradiotherapy/*methods MH - Combined Modality Therapy/methods MH - Evidence-Based Medicine MH - Humans MH - Immunotherapy/*methods MH - Lymphoma, Mantle-Cell/*pathology/*therapy MH - Molecular Targeted Therapy/*methods MH - Radiotherapy/methods MH - Rituximab/*therapeutic use MH - Treatment Outcome OTO - NOTNLM OT - Autologous transplantation OT - B-cell lymphoma OT - Immunochemotherapy OT - Receptor pathways OT - Targeted therapy EDAT- 2016/02/18 06:00 MHDA- 2016/12/15 06:00 CRDT- 2016/02/18 06:00 PHST- 2016/02/18 06:00 [entrez] PHST- 2016/02/18 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - 10.1007/s00108-016-0017-y [pii] AID - 10.1007/s00108-016-0017-y [doi] PST - ppublish SO - Internist (Berl). 2016 Mar;57(3):230-7. doi: 10.1007/s00108-016-0017-y.