THodgkin’s and non-Hodgkin’s lymphomas are malignancies of mature B and T cells, and include a heterogeneous group of diseases affecting over 75,000 individuals in the USA and 113,000 individuals in Europe annually [101,102]. The variability in clinical course ranges from indolent but incurable disease stretching over decades, to rapidly proliferating lymphomas with high lethality in untreated patients but with substantial curative potential with the prompt institution of therapy. Despite major gains in initial treatment options, lymphomas remain among the top ten causes of cancer mortality, and new agents continue to be needed. A major challenge to the development of new treatments is the high clinicopathologic variability of lymphomas, as reflected by the inclusion of several dozen unique subtypes in the most recent iteration of the WHO classification [1]. However, the recent observation that abnormalities of the PI3K/Akt/mTOR pathway is shared among several lymphomas is striking. This may suggest that PI3K/Akt/mTOR pathway is a recurrent pathogenetic lesion in lymphomas, and there is now both preclinical and clinical evidence that inhibition of the mTOR kinase is a valid target across numerous lymphoma subtypes.
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