Hideshima Teru, Anderson Kenneth C
Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, 44 Binney Street, Boston, MA 02115, USA.
Hematol Oncol Clin North Am. 2007 Dec;21(6):1071-91, viii-ix. doi: 10.1016/j.hoc.2007.08.013.
The bone marrow (BM) milieu confers drug resistance in multiple myeloma (MM) cells to conventional therapies. Novel biologically based therapies are therefore needed. Preclinical studies have identified and validated molecular targeted therapeutics in MM. In particular, recognition of the biologic significance of the BM microenvironment in MM pathogenesis and as a potential target for novel therapeutics has already derived several promising approaches. Thalidomide, lenalidomide (Revlimid), and bortezomib (Velcade) are directed not only at MM cells but also at the BM milieu and have moved rapidly from the bench to the bedside and United States Food and Drug Administration approval to treat MM.
骨髓(BM)微环境赋予多发性骨髓瘤(MM)细胞对传统疗法的耐药性。因此,需要新型的基于生物学的疗法。临床前研究已经在MM中鉴定并验证了分子靶向疗法。特别是,认识到BM微环境在MM发病机制中的生物学意义以及作为新型疗法的潜在靶点,已经衍生出了几种有前景的方法。沙利度胺、来那度胺(瑞复美)和硼替佐米(万珂)不仅作用于MM细胞,还作用于BM微环境,并且已经迅速从实验室走向临床,并获得了美国食品药品监督管理局的批准用于治疗MM。