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GENE:

IRF4 (Interferon regulatory factor 4)

i
Other names: IRF4, LSIRF, MUM1, Multiple Myeloma Oncogene 1, Interferon regulatory factor 4, SHEP8, NF-EM5
3d
Fluid Overload-Associated Large B-Cell Lymphoma Presenting as Isolated Pleural Effusion. (PubMed, Hematol Rep)
Ultimately, the patient was diagnosed with fluid overload-associated large B-cell lymphoma and treated with rituximab, cyclophosphamide, vincristine sulfate, and prednisone, but passed away three months after diagnosis. It may be mistaken for other conditions such as primary effusion lymphoma or other diffuse large B-cell lymphomas. The presence of a Human Herpesvirus-8-negative effusion-based lymphoma in an elderly immunocompetent patient without nodal or tissue involvement should prompt consideration of fluid overload-associated large B-cell lymphoma.
Journal • Pleural effusion
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • BCL2 (B-cell CLL/lymphoma 2) • CD20 (Membrane Spanning 4-Domains A1) • TNFRSF8 (TNF Receptor Superfamily Member 8) • BCL6 (B-cell CLL/lymphoma 6) • WT1 (WT1 Transcription Factor) • PAX5 (Paired Box 5) • PTPRC (Protein Tyrosine Phosphatase Receptor Type C) • NKX2-1 (NK2 Homeobox 1) • SDC1 (Syndecan 1) • CD68 (CD68 Molecule) • CD79A (CD79a Molecule) • IRF4 (Interferon regulatory factor 4)
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CD20 positive
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Rituxan (rituximab) • cyclophosphamide • vincristine • prednisone
7d
Diffuse Large B-Cell Lymphoma Presenting With Isolated Splenomegaly in a 42-Year-Old Female: A Rare Incidence of Primary Splenic Involvement. (PubMed, Cureus)
She received six cycles of R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone) chemotherapy, which she tolerated well. Post-treatment PET-CT revealed a complete metabolic response, and subsequent follow-up has shown no evidence of disease recurrence. This report illustrates that isolated splenomegaly can be the first and only manifestation of DLBCL and emphasizes the role of splenectomy as both a diagnostic and therapeutic option in carefully selected patients.
Journal
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BCL2 (B-cell CLL/lymphoma 2) • CD20 (Membrane Spanning 4-Domains A1) • PTPRC (Protein Tyrosine Phosphatase Receptor Type C) • IRF4 (Interferon regulatory factor 4)
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CD20 positive
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Rituxan (rituximab) • doxorubicin hydrochloride • cyclophosphamide • vincristine • prednisone
7d
Prognostic significance of Ki-67 in grade 3A follicular lymphoma and development of a novel PFS nomogram. (PubMed, Ann Hematol)
Grade 3A FL is characterized by marked clinical and biological heterogeneity. Our findings indicate that Ki-67 expression serves as a valuable prognostic marker that can inform therapeutic decision-making in patients with grade 3A FL. The proposed model integrating Ki-67 and clinical variables enhances PFS prediction and supports individualized treatment strategies for these patients.
Retrospective data • Journal
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B2M (Beta-2-microglobulin) • CD5 (CD5 Molecule) • IRF4 (Interferon regulatory factor 4) • MME (Membrane Metalloendopeptidase)
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Rituxan (rituximab)
11d
EZH2 inhibition overcomes immunomodulatory drug resistance in multiple myeloma via a cereblon-dependent pathway. (PubMed, Haematologica)
Mechanistically, Tazemetostat appears to reduce IKZF1 binding to the IRF4 promoter and super-enhancer, explaining how the combination with IMiDs/CELMoDs which also have this effect may reach the threshold required to suppress IRF4 expression and ultimately inhibit MM cell growth in resistant cell lines. Our findings highlight a potential strategy for treating MM patients with IMiD resistance.
Journal
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IKZF1 (IKAROS Family Zinc Finger 1) • CRBN (Cereblon) • IKZF3 (IKAROS Family Zinc Finger 3) • IRF4 (Interferon regulatory factor 4)
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Tazverik (tazemetostat)
12d
B-Cell Lymphoma Following an Indolent Course Over 30 Years with Immunophenotypic Changes at Each Recurrence. (PubMed, Eur J Case Rep Intern Med)
Diffuse large B-cell lymphoma (DLBCL) can undergo stepwise immunophenotypic and molecular evolution over decades, progressing from a germinal Center B-cell-like (GCB)-like phenotype to an activated B-cell -like/non-GCB pattern (MUM1+, CD30+) and ultimately to an aggressive anaplastic variant.The cell-of-origin profile and its associated molecular features are not necessarily static; thus, therapeutic strategies for relapsed DLBCL should be tailored to the current disease state rather than relying on the signature at initial diagnosis.Longitudinal re-evaluation through repeat biopsies is imperative to capture the evolving landscape of the malignancy, ensuring that treatment selection is guided by the most recent pathological and molecular findings.
Journal
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CD20 (Membrane Spanning 4-Domains A1) • TNFRSF8 (TNF Receptor Superfamily Member 8) • IRF4 (Interferon regulatory factor 4)
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CD20 positive • TNFRSF8 positive
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Rituxan (rituximab) • doxorubicin hydrochloride • cyclophosphamide • vincristine • bendamustine • Pinorubin (pirarubicin)
14d
IKZF3/Aiolos and tumors (PubMed, Zhong Nan Da Xue Xue Bao Yi Xue Ban)
This suggests that IKZF3 is a good biological indicator for tumors and may become a new therapeutic target for tumors. A systematic elaboration of the latest research progress on the IKZF3 gene structure, physiological functions, tumor regulation, and treatment resistance can provide reference and scientific basis for future tumor therapy.
Review • Journal
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IKZF1 (IKAROS Family Zinc Finger 1) • IKZF3 (IKAROS Family Zinc Finger 3) • IRF4 (Interferon regulatory factor 4)
15d
Targeting PRKCN, an Essential Driver Orchestrating mTOR-IRF4 Axis Independently of Kinase Activity, in Multiple Myeloma. (PubMed, Adv Sci (Weinh))
Finally, targeting PRKCN with an orally bioavailable inhibitor suppresses MM cell growth and overcomes drug resistance in vitro, and elicits robust efficacy in cell line-derived xenografts and a patient-derived xenograft, which is connected with the mitigated PRKCN expression and activation loop phosphorylation as well as blunted mTOR-IRF4 axis. Collectively, our study delineates PRKCN function that links aberrant NF-κB signaling and mTOR-IRF4 axis, supporting clinically targeting PRKCN in MM.
Journal
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IRF4 (Interferon regulatory factor 4)
18d
Synergistic targeting of the ARID2-MYC axis by pomalidomide and panobinostat overcomes intrinsic IMiD resistance in multiple myeloma. (PubMed, Sci Rep)
This finding highlights the functional relevance of IMiD's inherent polypharmacology in circumventing primary resistance mechanisms at the cellular level. Together, our results identify the ARID2-containing PBAF complex as a critical vulnerability in resistant myeloma cells and provide a mechanistic rationale for designing combination strategies that co-target this complex, with the potential to enhance therapeutic efficacy by overcoming drug resistance.
Journal
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IKZF1 (IKAROS Family Zinc Finger 1) • ARID2 (AT-Rich Interaction Domain 2) • IRF4 (Interferon regulatory factor 4)
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pomalidomide • Farydak (panobinostat)
19d
Pediatric Lymphomatoid Papulosis "Type E" Exclusively Involving the Oral Mucosa: Case Report and Review of the Literature. (PubMed, Am J Dermatopathol)
Treatment with topical corticosteroids has provided considerable improvements, showing resolution of lesions. To the best of our knowledge, this is the first case of LyP type E affecting a pediatric patient with lesions confined to the oral mucosa.
Journal
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CD8 (cluster of differentiation 8) • TNFRSF8 (TNF Receptor Superfamily Member 8) • CD34 (CD34 molecule) • CD5 (CD5 Molecule) • GZMB (Granzyme B) • IRF4 (Interferon regulatory factor 4) • CD7 (CD7 Molecule)
20d
Clonal Complexity Defines Distinct Tumor-Intrinsic Biology and Prognosis in Diffuse Large B-Cell Lymphoma. (PubMed, Cancer Med)
These results suggest that clonal complexity captures tumor-intrinsic features and biological diversity in DLBCL, especially in the ABC subtype, offering novel insights into the disease pathogenesis.
Journal
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IFNG (Interferon, gamma) • IL6 (Interleukin 6) • IRF4 (Interferon regulatory factor 4) • IFNA1 (Interferon Alpha 1)
24d
Histological and Immunohistochemical Characterization of a Histiocytic Sarcoma Associated With a Follicular Lymphoma in a Ring-tailed Lemur (Lemur catta). (PubMed, Vet Med Sci)
The histomorphologic and immunohistochemical features of the histiocytic sarcoma in this Lemur catta were characteristic of this condition in other species. This report documents the first case of histiocytic sarcoma in Lemur catta, providing novel histopathological and immunohistochemical insights of this condition in prosimians.
Journal
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PAX5 (Paired Box 5) • IRF4 (Interferon regulatory factor 4)
24d
Diagnostic challenges in pediatric lymphomas (PubMed, Pathologie (Heidelb))
Their diagnosis requires careful consideration to accurately distinguish rare indolent entities, recently defined large B‑cell lymphomas, and reactive mimics. Recent classifications, including the newly introduced WHO Classification of Pediatric Tumors, increasingly reflect these unique aspects.
Review • Journal
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ALK (Anaplastic lymphoma kinase) • IRF4 (Interferon regulatory factor 4)
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ALK positive