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Cutaneous T-Cell Lymphoma (CTCL)

Understanding the complex processes involved in the development of cutaneous T-cell lymphoma (CTCL) is critical for improving treatment options. Protheragen's scientists are focused on understanding CTCL pathogenesis to identify potential therapeutic targets. We intend to lead in the creation of new therapies that will effectively treat CTCL by specifically targeting the mechanisms that drive the disease.

Introduction to Cutaneous T-Cell Lymphoma (CTCL)

A form of non-Hodgkin lymphoma is known as cutaneous T-cell lymphoma (CTCL). It is described by a malignant proliferation of T-cells with skin-homing properties and is divided into a number of subtypes. Mycosis fungoides (MF) and Sézary syndrome (SS) are the most common subtypes that have unique clinical and molecular features.

Subtypes Causes Incidence
Mycosis fungoides (MF)
  • DNMT3A, TP53, CDKN2A gene mutation
  • Chronic antigen stimulation (e.g., infections, environmental triggers)
50%-70% of CTCL cases
Sézary syndrome (SS)
  • STAT3/STAT5 constitutive activation and high genomic instability
  • TP53 mutations and loss of tumor suppressors
<5% of CTCL cases

Pathogenesis of Cutaneous T-Cell Lymphoma (CTCL)

Cutaneous T-cell lymphoma (CTCL) is the result of neoplastic change of skin-homing memory T-cells which is driven by the mutations in TP53, STAT3/STAT5, DNMT3A, epigenetic changes, and chronic antigenic stimulation. The immune evasion process within the tumor microenvironment is accomplished due to the Th2 polarization, PD-1/TOX overexpression, and regulatory T-cell infiltration.

Cytokines play a pivotal role in shaping a Th2-skewed inflammatory environment by influencing the expression of chemokines.Fig.1 Role of cytokines in the development of a Th2-biased inflammatory milieu through the modulation of chemokines. (Patil, Kalyani, et al., 2022)

Therapy Development for Cutaneous T-Cell Lymphoma (CTCL)

The market for cutaneous T-cell lymphoma (CTCL) was valued at USD 443.4 million in 2024 and is expected to grow at a CAGR of 3.68% from 2025 to 2035, reaching USD 658.8 million by 2035. The therapeutic management of CTCL is challenging due to the plethora of disease subtypes and the development of resistance pathways. This shows persistent gaps and opportunities in innovation to improve the treatment paradigm associated with CTCL.

Drug Names Mechanism of Action Targets NCT Number Research Phase
IPH4102 Induces antibody-dependent cellular cytotoxicity (ADCC) against malignant T-cells KIR3DL2 NCT02593045 Phase II
Bexarotene Modulates gene expression, induces apoptosis, and inhibits proliferation RXRs NCT05296304 Approved
E7777 Binds to IL-2R and delivers toxin to kill malignant T-cells IL2RA NCT02676778 Approved
AFM13 Engages NK cells for ADCC against CD30+ tumor cells CD16a x CD30 NCT03192202 Phase II

Disclaimer: Protheragen focuses on providing preclinical research services. This table is for information exchange purposes only. This table is not a treatment plan recommendation. For guidance on treatment options, please visit a regular hospital.

Our Services

Protheragen pledges to provide advanced diagnostic and therapeutic development service for the complex lymphoproliferative disorder, cutaneous T-cell lymphoma (CTCL). Our focus is on the development of multifaceted innovative therapies which are precisely evaluated in sophisticated disease models.

Therapeutic Development Services

Specializing in preclinical research for drug development, Protheragen offers a comprehensive solution that includes pharmacodynamics (PD), pharmacokinetic (PK) and toxicology studies to thoroughly validate and optimize therapies for cutaneous T-cell lymphoma (CTCL). If you are interested in our services, please feel free to contact us for more details and quotation information of related services.

Reference

  • Patil, Kalyani, et al. "Molecular pathogenesis of Cutaneous T cell Lymphoma: Role of chemokines, cytokines, and dysregulated signaling pathways." Seminars in Cancer Biology. Vol. 86. Academic Press, 2022.