Department of Hematology, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Cancer Med. 2023 May;12(10):11746-11759. doi: 10.1002/cam4.5797. Epub 2023 May 10.
Multiple myeloma (MM) is the second common hematologic malignancy manifesting as a clonal proliferation of plasma cells in the bone marrow. In recent years, high expression and activity of pim kinase have been found to be associated with both the progression and prognosis of a significant proportion of malignant diseases. Therefore, pim kinase has become a potential therapeutic target in the treatment of MM and some pim kinase inhibitors have demonstrated good efficacy in clinical trials. Based on nearly the entire literature searched from PubMed in the field of pim kinase in MM, the paper concluded how pim kinase got involved in the proliferation of myeloma cells, the progression of bone disease infiltration, and even in the regulation of the immune microenvironment. Next as a very promising drug, the effectiveness of pim kinase inhibitors as single agents or in combination with other drugs in the treatment of MM was also summarized. Our analysis will guide the clinical use of pim kinase inhibitors for managing tumor load and bone disease in MM patients.
多发性骨髓瘤(MM)是第二常见的血液系统恶性肿瘤,表现为骨髓中浆细胞的克隆性增殖。近年来,发现 pim 激酶的高表达和高活性与相当一部分恶性疾病的进展和预后有关。因此,pim 激酶已成为 MM 治疗的潜在治疗靶点,一些 pim 激酶抑制剂在临床试验中显示出良好的疗效。基于从 PubMed 搜索到的与 MM 中的 pim 激酶相关的几乎所有文献,本文总结了 pim 激酶如何参与骨髓瘤细胞的增殖、骨病浸润的进展,甚至免疫微环境的调节。作为一种很有前途的药物,pim 激酶抑制剂作为单一药物或与其他药物联合治疗 MM 的疗效也得到了总结。我们的分析将指导 pim 激酶抑制剂在 MM 患者中用于控制肿瘤负荷和骨病的临床应用。