Mechanisms of kinase inhibitor resistance in subtypes of cutaneous T-cell lymphomas - Takeaways - MDSpire

Mechanisms of kinase inhibitor resistance in subtypes of cutaneous T-cell lymphomas

  • By

  • Julia A. Yescas

  • Christopher G. Bunick

  • Ayman Grada

  • Joan Guitart

  • Carlos A. Torres-Cabala

  • I. Caroline Le Poole

  • Xiaolong A. Zhou

  • May 13, 2026

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  • 1

    Cutaneous T-cell lymphomas (CTCLs) are aggressive skin-homing T-cell malignancies with limited curative treatment options.

  • 2

    Genomic studies reveal recurrent alterations in tyrosine kinase pathways in aggressive CTCL subtypes, particularly PCAETL and PCGDTL.

  • 3

    Tyrosine kinase inhibitors (TKIs) like ruxolitinib and pemigatinib show potential but often lead to transient responses and acquired resistance.

  • 4

    Resistance mechanisms include secondary kinase domain mutations and adverse events that hinder ongoing treatment efficacy.

  • 5

    Durable responses in CTCL may require molecular stratification, genomic monitoring, and combination therapy strategies.

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