Lim Julia S L, Chong Phyllis S Y, Chng Wee-Joo
Cancer Science Institute of Singapore, National University of Singapore, Singapore 117599, Singapore.
Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117599, Singapore.
Cancers (Basel). 2022 Apr 10;14(8):1905. doi: 10.3390/cancers14081905.
Multiple myeloma (MM) remains an incurable malignancy with eventual emergence of refractory disease. Metabolic shifts, which ensure the availability of sufficient energy to support hyperproliferation of malignant cells, are a hallmark of cancer. Deregulated metabolic pathways have implications for the tumor microenvironment, immune cell function, prognostic significance in MM and anti-myeloma drug resistance. Herein, we summarize recent findings on metabolic abnormalities in MM and clinical implications driven by metabolism that may consequently inspire novel therapeutic interventions. We highlight some future perspectives on metabolism in MM and propose potential targets that might revolutionize the field.
多发性骨髓瘤(MM)仍然是一种无法治愈的恶性肿瘤,最终会出现难治性疾病。代谢转变是癌症的一个标志,它确保有足够的能量来支持恶性细胞的过度增殖。代谢途径失调对肿瘤微环境、免疫细胞功能、MM的预后意义以及抗骨髓瘤耐药性都有影响。在此,我们总结了MM代谢异常的最新发现以及由代谢驱动的临床意义,这些发现可能会激发新的治疗干预措施。我们强调了MM代谢方面的一些未来观点,并提出了可能会彻底改变该领域的潜在靶点。