• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
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
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
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 @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

多发性骨髓瘤的治疗进展

Advancements in the Treatment of Multiple Myeloma.

作者信息

Zavaleta-Monestel Esteban, Quesada-Villaseñor Ricardo, Barrantes-López Monserrat, Arguedas-Chacón Sebastián, Campos-Hernández Jeimy, Rojas-Chinchilla Carolina, García-Montero Jonathan, Castro-Ulloa Josué, Anchía-Alfaro Adriana, Montenegro-Chaves José Ricardo

机构信息

Pharmacy, Hospital Clinica Biblica, San Jose, CRI.

General Medicine, Hospital Clinica Biblica, San José, CRI.

出版信息

Cureus. 2024 Dec 2;16(12):e74970. doi: 10.7759/cureus.74970. eCollection 2024 Dec.

DOI:10.7759/cureus.74970
PMID:39744254
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11691229/
Abstract

Multiple myeloma (MM) is the second most common hematological malignancy globally. Despite its reputation as an aggressive and fatal disease, recent advancements in treatment have significantly improved patient outcomes. Over the past decade, innovative therapies with fewer side effects have emerged, including proteasome inhibitors (e.g., bortezomib, carfilzomib, ixazomib), monoclonal antibodies (e.g., daratumumab, isatuximab, elotuzumab), immunomodulators (e.g., thalidomide, lenalidomide, pomalidomide), and corticosteroids (e.g., dexamethasone). Additionally, combination regimens utilizing these agents have demonstrated improved efficacy by targeting multiple pathways simultaneously. These therapies are more precise in their ability to attack myeloma cells, leading to enhanced patient quality of life, prolonged remission, and delayed disease progression. This article explores the evolution of MM therapies, highlighting the potential for a cure through ongoing breakthroughs in drug development and combination treatments. The analysis underscores the optimism surrounding the future of MM treatment and the need for continued research to make MM a manageable and potentially curable disease.

摘要

多发性骨髓瘤(MM)是全球第二常见的血液系统恶性肿瘤。尽管它素有侵袭性致命疾病之称,但近年来治疗方面的进展显著改善了患者的预后。在过去十年中,出现了副作用较少的创新疗法,包括蛋白酶体抑制剂(如硼替佐米、卡非佐米、伊沙佐米)、单克隆抗体(如达雷妥尤单抗、isatuximab、elotuzumab)、免疫调节剂(如沙利度胺、来那度胺、泊马度胺)以及皮质类固醇(如地塞米松)。此外,使用这些药物的联合方案通过同时针对多种途径已显示出更高的疗效。这些疗法在攻击骨髓瘤细胞方面更具精准性,从而提高了患者的生活质量,延长了缓解期,并延缓了疾病进展。本文探讨了MM治疗方法的演变,强调了通过药物研发和联合治疗方面不断取得的突破实现治愈的可能性。该分析强调了围绕MM治疗未来的乐观态度以及持续开展研究以使MM成为可控制且有可能治愈的疾病的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d56e/11691229/e17c39597342/cureus-0016-00000074970-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d56e/11691229/59ade9e96737/cureus-0016-00000074970-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d56e/11691229/8408f63719ed/cureus-0016-00000074970-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d56e/11691229/a00de63dcb2d/cureus-0016-00000074970-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d56e/11691229/e17c39597342/cureus-0016-00000074970-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d56e/11691229/59ade9e96737/cureus-0016-00000074970-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d56e/11691229/8408f63719ed/cureus-0016-00000074970-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d56e/11691229/a00de63dcb2d/cureus-0016-00000074970-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d56e/11691229/e17c39597342/cureus-0016-00000074970-i04.jpg

相似文献

1
Advancements in the Treatment of Multiple Myeloma.多发性骨髓瘤的治疗进展
Cureus. 2024 Dec 2;16(12):e74970. doi: 10.7759/cureus.74970. eCollection 2024 Dec.
2
Isatuximab: A Review of Its Use in Multiple Myeloma.依沙妥昔单抗:在多发性骨髓瘤中的应用评价。
Target Oncol. 2021 Sep;16(5):675-686. doi: 10.1007/s11523-021-00827-0. Epub 2021 Aug 5.
3
Elotuzumab in combination with pomalidomide, bortezomib, and dexamethasone in relapsed and refractory multiple myeloma.埃罗妥珠单抗联合泊马度胺、硼替佐米和地塞米松治疗复发难治性多发性骨髓瘤。
Blood Adv. 2025 Mar 11;9(5):1163-1170. doi: 10.1182/bloodadvances.2024014717.
4
Breaking through Multiple Myeloma: A Paradigm for a Comprehensive Tumor Ecosystem Targeting.突破多发性骨髓瘤:一种全面靶向肿瘤生态系统的范例
Biomedicines. 2023 Jul 24;11(7):2087. doi: 10.3390/biomedicines11072087.
5
New Agents in Multiple Myeloma: An Examination of Safety Profiles.多发性骨髓瘤的新型药物:安全性概况研究
Clin Lymphoma Myeloma Leuk. 2017 Jul;17(7):391-407.e5. doi: 10.1016/j.clml.2017.05.003. Epub 2017 May 10.
6
Health-related quality of life in patients with triple-class exposed relapsed and refractory multiple myeloma treated with idecabtagene vicleucel or standard regimens: patient-reported outcomes from the phase 3, randomised, open-label KarMMa-3 clinical trial.接受idecabtagene vicleucel或标准方案治疗的三重暴露复发难治性多发性骨髓瘤患者的健康相关生活质量:3期随机开放标签KarMMa-3临床试验的患者报告结局
Lancet Haematol. 2024 Mar;11(3):e216-e227. doi: 10.1016/S2352-3026(24)00005-X.
7
Monoclonal Antibody Therapies in Multiple Myeloma: A Challenge to Develop Novel Targets.多发性骨髓瘤中的单克隆抗体疗法:开发新靶点面临的挑战
J Oncol. 2019 Nov 3;2019:6084012. doi: 10.1155/2019/6084012. eCollection 2019.
8
Treatment Options for Patients With Heavily Pretreated Relapsed and Refractory Multiple Myeloma.多次接受治疗的复发难治性多发性骨髓瘤患者的治疗选择
Clin Lymphoma Myeloma Leuk. 2022 Jul;22(7):460-473. doi: 10.1016/j.clml.2022.01.011. Epub 2022 Jan 19.
9
Monoclonal Antibodies: Leading Actors in the Relapsed/Refractory Multiple Myeloma Treatment.单克隆抗体:复发/难治性多发性骨髓瘤治疗中的主角
Pharmaceuticals (Basel). 2020 Nov 27;13(12):426. doi: 10.3390/ph13120426.
10
Isatuximab plus pomalidomide and low-dose dexamethasone versus pomalidomide and low-dose dexamethasone in patients with relapsed and refractory multiple myeloma (ICARIA-MM): a randomised, multicentre, open-label, phase 3 study.依沙佐米联合泊马度胺和低剂量地塞米松与泊马度胺和低剂量地塞米松治疗复发/难治性多发性骨髓瘤患者(ICARIA-MM):一项随机、多中心、开放性、3 期研究。
Lancet. 2019 Dec 7;394(10214):2096-2107. doi: 10.1016/S0140-6736(19)32556-5. Epub 2019 Nov 14.

引用本文的文献

1
An Anti-BCMA Affibody Affinity Protein for Therapeutic and Diagnostic Use in Multiple Myeloma.一种用于多发性骨髓瘤治疗和诊断的抗BCMA亲合体亲和蛋白。
Int J Mol Sci. 2025 May 28;26(11):5186. doi: 10.3390/ijms26115186.
2
Analysis of Ubiquitin-Conjugating Enzyme E2T (UBE2T) Protein Levels in the Bone Marrow Biopsy Specimens of Patients With Multiple Myeloma.多发性骨髓瘤患者骨髓活检标本中泛素结合酶E2T(UBE2T)蛋白水平的分析
Cureus. 2025 Apr 19;17(4):e82571. doi: 10.7759/cureus.82571. eCollection 2025 Apr.

本文引用的文献

1
Multiple myeloma: 2024 update on diagnosis, risk-stratification, and management.多发性骨髓瘤:2024 年关于诊断、风险分层和治疗的更新。
Am J Hematol. 2024 Sep;99(9):1802-1824. doi: 10.1002/ajh.27422. Epub 2024 Jun 28.
2
Belantamab Mafodotin, Bortezomib, and Dexamethasone for Multiple Myeloma.贝兰他单抗马妥昔单抗、硼替佐米和地塞米松治疗多发性骨髓瘤。
N Engl J Med. 2024 Aug 1;391(5):393-407. doi: 10.1056/NEJMoa2405090. Epub 2024 Jun 1.
3
Breaking through Multiple Myeloma: A Paradigm for a Comprehensive Tumor Ecosystem Targeting.突破多发性骨髓瘤:一种全面靶向肿瘤生态系统的范例
Biomedicines. 2023 Jul 24;11(7):2087. doi: 10.3390/biomedicines11072087.
4
I-OPen: inferior outcomes of penta-refractory compared to penta-exposed multiple myeloma patients.I-OPen:与暴露于五药方案的多发性骨髓瘤患者相比,五药难治性患者的预后较差。
Blood Cancer J. 2022 Sep 23;12(9):138. doi: 10.1038/s41408-022-00733-2.
5
Treatment horizon in multiple myeloma.多发性骨髓瘤的治疗前景。
Eur J Haematol. 2022 Nov;109(5):425-440. doi: 10.1111/ejh.13840. Epub 2022 Sep 18.
6
Multiple myeloma: 2022 update on diagnosis, risk stratification, and management.多发性骨髓瘤:2022 年诊断、风险分层和治疗的更新。
Am J Hematol. 2022 Aug;97(8):1086-1107. doi: 10.1002/ajh.26590. Epub 2022 May 23.
7
Roadmap to cure multiple myeloma.多发性骨髓瘤的治疗路线图。
Cancer Treat Rev. 2021 Nov;100:102284. doi: 10.1016/j.ctrv.2021.102284. Epub 2021 Aug 31.
8
Epidemiology, Staging, and Management of Multiple Myeloma.多发性骨髓瘤的流行病学、分期和治疗。
Med Sci (Basel). 2021 Jan 20;9(1):3. doi: 10.3390/medsci9010003.
9
Bortezomib, thalidomide, and dexamethasone followed by double autologous haematopoietic stem-cell transplantation for newly diagnosed multiple myeloma (GIMEMA-MMY-3006): long-term follow-up analysis of a randomised phase 3, open-label study.硼替佐米、沙利度胺和地塞米松序贯双次自体造血干细胞移植治疗新诊断的多发性骨髓瘤(GIMEMA-MMY-3006):一项随机3期开放标签研究的长期随访分析
Lancet Haematol. 2020 Dec;7(12):e861-e873. doi: 10.1016/S2352-3026(20)30323-9.
10
Elotuzumab plus lenalidomide and dexamethasone for newly diagnosed multiple myeloma: a randomized, open-label, phase 2 study in Japan.依洛尤单抗联合来那度胺和地塞米松治疗初诊多发性骨髓瘤:日本一项随机、开放标签、2 期研究。
Int J Hematol. 2020 Jan;111(1):65-74. doi: 10.1007/s12185-019-02757-0. Epub 2019 Nov 7.