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基于微环境疗法的进展:改变多发性骨髓瘤的治疗格局

Advancements in microenvironment-based therapies: transforming the landscape of multiple myeloma treatment.

作者信息

Lu Ke, Wang Wen, Liu Yuntong, Xie Chao, Liu Jiye, Xing Lijie

机构信息

Department of Lymphoma, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong, China.

Jerome Lipper Multiple Myeloma Center, LeBow Institute for Myeloma Therapeutics, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, United States.

出版信息

Front Oncol. 2024 Jul 17;14:1413494. doi: 10.3389/fonc.2024.1413494. eCollection 2024.

DOI:10.3389/fonc.2024.1413494
PMID:39087026
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11288838/
Abstract

Multiple myeloma (MM) is the most prevalent malignant monoclonal disease of plasma cells. There is mounting evidence that interactions with the bone marrow (BM) niche are essential for the differentiation, proliferation, survival, migration, and treatment resistance of myeloma cells. For this reason, gaining a deeper comprehension of how BM microenvironment compartments interact with myeloma cells may inspire new therapeutic ideas that enhance patient outcomes. This review will concentrate on the most recent findings regarding the mechanisms of interaction between microenvironment and MM and highlight research on treatment targeting the BM niche.

摘要

多发性骨髓瘤(MM)是最常见的浆细胞恶性单克隆疾病。越来越多的证据表明,与骨髓(BM)微环境的相互作用对于骨髓瘤细胞的分化、增殖、存活、迁移和治疗耐药性至关重要。因此,更深入地了解BM微环境区室如何与骨髓瘤细胞相互作用,可能会激发新的治疗思路,从而改善患者预后。本综述将集中探讨关于微环境与MM相互作用机制的最新发现,并重点介绍针对BM微环境的治疗研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5b9/11288838/4ba05c7c2665/fonc-14-1413494-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5b9/11288838/347a7ce42036/fonc-14-1413494-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5b9/11288838/4ba05c7c2665/fonc-14-1413494-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5b9/11288838/347a7ce42036/fonc-14-1413494-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5b9/11288838/4ba05c7c2665/fonc-14-1413494-g002.jpg

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An IL-1β-driven neutrophil-stromal cell axis fosters a BAFF-rich protumor microenvironment in individuals with multiple myeloma.白细胞介素-1β驱动的中性粒细胞-基质细胞轴在多发性骨髓瘤患者中促进富含B淋巴细胞刺激因子的促肿瘤微环境形成。
Nat Immunol. 2024 May;25(5):820-833. doi: 10.1038/s41590-024-01808-x. Epub 2024 Apr 10.
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Elranatamab: First Approval.依罗那他单抗:美国首次批准
Drugs. 2023 Nov;83(17):1621-1627. doi: 10.1007/s40265-023-01954-w.
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Elranatamab in relapsed or refractory multiple myeloma: phase 2 MagnetisMM-3 trial results.Elranatamab 治疗复发/难治性多发性骨髓瘤:MagnetisMM-3 期临床试验结果。
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Targeting B Cell Maturation Antigen in Patients with Multiple Myeloma: Current Perspectives.靶向多发性骨髓瘤患者中的B细胞成熟抗原:当前观点
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Immunotherapies targeting GPRC5D in relapsed or refractory multiple myeloma: latest updates from 2022 ASH Annual Meeting.针对复发或难治性多发性骨髓瘤的 GPRC5D 免疫疗法:2022 年 ASH 年会的最新进展。
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Single-cell atlas of the immune microenvironment reveals macrophage reprogramming and the potential dual macrophage-targeted strategy in multiple myeloma.单细胞免疫微环境图谱揭示了多发性骨髓瘤中巨噬细胞的重编程和潜在的双重巨噬细胞靶向策略。
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