He Ni-Han, Zhou Wen
Cancer Research Institute, School of Basic Medical Sciences, Central South University, Changsha 412000, China.
Sichuan Da Xue Xue Bao Yi Xue Ban. 2023 May;54(3):475-481. doi: 10.12182/20230560207.
Multiple myeloma (MM) is a hematologic malignancy of terminally differentiated plasma cells. The mechanisms of the pathogenesis and progression of MM include genetic abnormalities of the MM cells and the interaction between MM cells and bone marrow microenvironment (BMME). MM cells start malignant proliferation in BMME and contribute to the pathogenesis and progression of MM through direct or indirect interactions between cells and the extracellular matrix. Exploring the mechanism of interaction between MM cells and the microenvironment is crucial to improving our understanding of the pathogenesis and progression of MM and early diagnosis and treatment. In addition, the metabolic reprogramming of tumors is one of the key issues of oncology research. Herein, we summarized published findings on the the altered metabolic reprogramming of MM and the characteristics of MM metabolic-microbial interactions in order to gain an in-depth understanding of MM pathogenesis and progression and drug resistance mechanisms, and ultimately to explore for new strategies for MM treatment.
多发性骨髓瘤(MM)是终末分化浆细胞的血液系统恶性肿瘤。MM发病机制及进展的机制包括MM细胞的基因异常以及MM细胞与骨髓微环境(BMME)之间的相互作用。MM细胞在BMME中开始恶性增殖,并通过细胞与细胞外基质之间的直接或间接相互作用促进MM的发病机制及进展。探索MM细胞与微环境之间的相互作用机制对于增进我们对MM发病机制及进展以及早期诊断和治疗的理解至关重要。此外,肿瘤的代谢重编程是肿瘤学研究的关键问题之一。在此,我们总结了已发表的关于MM代谢重编程改变以及MM代谢-微生物相互作用特征的研究结果,以便深入了解MM发病机制及进展和耐药机制,并最终探索MM治疗的新策略。