Zhou Shan, Wang Renxi
Beijing Institute of Brain Disorders, Laboratory of Brain Disorders, Ministry of Science and Technology, Collaborative Innovation Center for Brain Disorders, Capital Medical University, Beijing 100069, China.
Explor Target Antitumor Ther. 2021;2(5):465-480. doi: 10.37349/etat.2021.00057. Epub 2021 Oct 31.
Multiple myeloma (MM) is a malignant proliferative disease of monoclonal plasma cells (PCs) and is characterized by uncontrolled proliferation of PCs and excessive production of specific types of immunoglobulins. Since PCs are terminally differentiated B cells, the World Health Organization (WHO) classifies MM as lymphoproliferative B-cell disease. The incidence of MM is 6-7 cases per 100,000 people in the world every year and the second most common cancer in the blood system. Due to the effects of drug resistance and malignant regeneration of MM cells in the microenvironment, all current treatment methods can prolong both overall and symptom-free survival rates of patients with MM but cannot cure MM. Both basic and clinical studies have proven that targeted therapy leads to a clear and significant prolongation of the survival of patients with MM, but when the disease recurs again, resistance to the previous treatment will occur. Therefore, the discovery of new targets and treatment methods plays a vital role in the treatment of MM. This article introduces and summarizes targeted MM therapy, potential new targets, and future precision medicine in MM.
多发性骨髓瘤(MM)是一种单克隆浆细胞(PC)的恶性增殖性疾病,其特征是PC不受控制地增殖以及特定类型免疫球蛋白的过度产生。由于PC是终末分化的B细胞,世界卫生组织(WHO)将MM归类为淋巴细胞增殖性B细胞疾病。MM的发病率为每年世界上每10万人中有6 - 7例,是血液系统中第二常见的癌症。由于MM细胞在微环境中的耐药性和恶性再生的影响,目前所有的治疗方法都可以延长MM患者的总生存率和无病生存率,但无法治愈MM。基础研究和临床研究均已证明,靶向治疗可显著延长MM患者的生存期,但当疾病再次复发时,会出现对先前治疗的耐药性。因此,发现新的靶点和治疗方法对MM的治疗至关重要。本文介绍并总结了MM的靶向治疗、潜在的新靶点以及MM未来的精准医学。