文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

靶向 Ikaros 和 Aiolos:综述新型蛋白降解剂治疗多发性骨髓瘤的研究进展,重点关注伊沙佐米和米哚妥林。

Targeting Ikaros and Aiolos: reviewing novel protein degraders for the treatment of multiple myeloma, with a focus on iberdomide and mezigdomide.

机构信息

Department of Medical Oncology, Dana-Farber Cancer Institute, Jerome Lipper Center for Multiple Myeloma Research, Harvard Medical School, Boston, MA, USA.

Division of Hematology, Brigham and Women's Hospital, Boston, MA, USA.

出版信息

Expert Rev Hematol. 2024 Aug;17(8):445-465. doi: 10.1080/17474086.2024.2382897. Epub 2024 Jul 27.


DOI:10.1080/17474086.2024.2382897
PMID:39054911
Abstract

INTRODUCTION: The treatment of multiple myeloma (MM) is evolving rapidly. Quadruplet regimens incorporating proteasome inhibitors, immunomodulatory drugs (IMiDs), and CD38 monoclonal antibodies have emerged as standard-of-care options for newly diagnosed MM, and numerous novel therapies have been approved for relapsed/refractory MM. However, there remains a need for novel options in multiple settings, including refractoriness to frontline standards of care. AREAS COVERED: Targeting degradation of IKZF1 and IKZF3 - Ikaros and Aiolos - through modulation of cereblon, an E3 ligase substrate recruiter/receptor, is a key mechanism of action of the IMiDs and the CELMoD agents. Two CELMoD agents, iberdomide and mezigdomide, have demonstrated substantial preclinical and clinical activity in MM and have entered phase 3 investigation. Using a literature search methodology comprising searches of PubMed (unlimited time-frame) and international hematology/oncology conference abstracts (2019-2023), this paper reviews the importance of Ikaros and Aiolos in MM, the mechanism of action of the IMiDs and CELMoD agents and their relative potency for targeting Ikaros and Aiolos, and preclinical and clinical data on iberdomide and mezigdomide. EXPERT OPINION: Emerging data suggest that iberdomide and mezigdomide have promising activity, including in IMiD-resistant settings and, pending phase 3 findings, may provide additional treatment options for patients with MM.

摘要

简介:多发性骨髓瘤(MM)的治疗正在迅速发展。包含蛋白酶体抑制剂、免疫调节药物(IMiDs)和 CD38 单克隆抗体的四联方案已成为新诊断 MM 的标准治疗选择,并且许多新疗法已被批准用于复发性/难治性 MM。然而,在多种情况下仍需要新的选择,包括对一线标准治疗的耐药性。

涵盖领域:通过调节 E3 连接酶底物招募/受体 cereblon,靶向降解 IKZF1 和 IKZF3(Ikaros 和 Aiolos)是 IMiDs 和 CELMoD 药物的关键作用机制。两种 CELMoD 药物,iberdomide 和 mezigdomide,在 MM 中表现出显著的临床前和临床活性,并已进入 3 期研究。本文使用包括在 PubMed(无时间限制)和国际血液学/肿瘤学会议摘要(2019-2023 年)中进行的文献搜索方法,综述了 Ikaros 和 Aiolos 在 MM 中的重要性、IMiDs 和 CELMoD 药物的作用机制及其针对 Ikaros 和 Aiolos 的相对效力,以及 iberdomide 和 mezigdomide 的临床前和临床数据。

专家意见:新出现的数据表明,iberdomide 和 mezigdomide 具有有前途的活性,包括在 IMiD 耐药环境中,并且在 3 期研究结果公布之前,可能为 MM 患者提供额外的治疗选择。

相似文献

[1]
Targeting Ikaros and Aiolos: reviewing novel protein degraders for the treatment of multiple myeloma, with a focus on iberdomide and mezigdomide.

Expert Rev Hematol. 2024-8

[2]
Cereblon modulator iberdomide induces degradation of the transcription factors Ikaros and Aiolos: immunomodulation in healthy volunteers and relevance to systemic lupus erythematosus.

Ann Rheum Dis. 2018-6-26

[3]
Mezigdomide-A Novel Cereblon E3 Ligase Modulator under Investigation in Relapsed/Refractory Multiple Myeloma.

Cancers (Basel). 2024-3-15

[4]
Immunomodulatory agents lenalidomide and pomalidomide co-stimulate T cells by inducing degradation of T cell repressors Ikaros and Aiolos via modulation of the E3 ubiquitin ligase complex CRL4(CRBN.).

Br J Haematol. 2013-12-13

[5]
The role of E3 ubiquitin ligase in multiple myeloma: potential for cereblon E3 ligase modulators in the treatment of relapsed/refractory disease.

Expert Rev Proteomics. 2022

[6]
Generation of a lenalidomide-sensitive syngeneic murine in vivo multiple myeloma model by expression of Crbn.

Exp Hematol. 2021-1

[7]
Mezigdomide is effective alone and in combination with menin inhibition in preclinical models of KMT2A-r and NPM1c AML.

Blood. 2024-4-11

[8]
A Cereblon Modulator (CC-220) with Improved Degradation of Ikaros and Aiolos.

J Med Chem. 2017-4-20

[9]
A review on the treatment of multiple myeloma with small molecular agents in the past five years.

Eur J Med Chem. 2022-2-5

[10]
Cereblon-Targeting Ligase Degraders in Myeloma: Mechanisms of Action and Resistance.

Hematol Oncol Clin North Am. 2024-4

引用本文的文献

[1]
Targeting degradation of IKZF1 and IKZF3 through modulation of the E3 ligase substrates in the context of cellular therapies for multiple myeloma.

Biomark Res. 2025-8-15

[2]
3-Monothiopomalidomide, a new immunomodulatory imide drug (IMiD), blunts inflammation and mitigates ischemic stroke in the rat.

Geroscience. 2025-3-17

[3]
Strengths and Weaknesses of Different Therapeutic Strategies for the Treatment of Patients with Multiple Myeloma Who Progress After the Frontline Use of Lenalidomide: A Narrative Review.

J Clin Med. 2024-10-19

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索