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多发性骨髓瘤中的脂质代谢:发病机制、治疗机遇及未来方向。

Lipid metabolism in multiple myeloma: pathogenesis, therapeutic opportunities, and future directions.

作者信息

Wang Huiquan, Zhang Jiafeng, Ren Hefei, Chen Lei, Ren Jigang, Liu Chang, Wu Hongkun, Zhou Lin

机构信息

Department of Laboratory Medicine, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, China.

出版信息

Front Oncol. 2025 Mar 5;15:1531928. doi: 10.3389/fonc.2025.1531928. eCollection 2025.

DOI:10.3389/fonc.2025.1531928
PMID:40110197
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11919907/
Abstract

Multiple myeloma (MM) is a complex hematological malignancy characterized by the clonal expansion of plasma cells in the bone marrow. Emerging studies have emphasized the importance of lipid metabolism, which is closely associated with the survival, proliferation, and drug resistance of tumor cells. The hypoxic environment in the bone marrow (BM) contributes to metabolic reprogramming in MM cells, including alterations in metabolite levels, changes in metabolic enzyme activity, and metabolic shifts. Cancer cells possess the ability to adapt their metabolism in order to fulfill their continuously increasing energy demands. In this review, we will discuss the alterations in lipid metabolism during the development of MM, and their reciprocal interactions with the tumor microenvironment.

摘要

多发性骨髓瘤(MM)是一种复杂的血液系统恶性肿瘤,其特征是骨髓中浆细胞的克隆性扩增。新兴研究强调了脂质代谢的重要性,脂质代谢与肿瘤细胞的存活、增殖和耐药性密切相关。骨髓(BM)中的缺氧环境有助于MM细胞的代谢重编程,包括代谢物水平的改变、代谢酶活性的变化和代谢转变。癌细胞具有调整其代谢的能力,以满足其不断增加的能量需求。在本综述中,我们将讨论MM发生发展过程中脂质代谢的改变,以及它们与肿瘤微环境的相互作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd9b/11919907/1f8e1d7dfa33/fonc-15-1531928-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd9b/11919907/1f8e1d7dfa33/fonc-15-1531928-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd9b/11919907/1f8e1d7dfa33/fonc-15-1531928-g001.jpg

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Lipids Health Dis. 2024 Sep 16;23(1):299. doi: 10.1186/s12944-024-02289-5.
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Bispecific Antibodies for the Management of Relapsed/Refractory Multiple Myeloma.用于治疗复发/难治性多发性骨髓瘤的双特异性抗体
Cancers (Basel). 2024 Jun 26;16(13):2337. doi: 10.3390/cancers16132337.
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Current status of bispecific antibodies and CAR-T therapies in multiple myeloma.多发性骨髓瘤中双特异性抗体和 CAR-T 疗法的现状。
Int Immunopharmacol. 2024 Jun 15;134:112043. doi: 10.1016/j.intimp.2024.112043. Epub 2024 May 10.
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Protective Effects of High-Density Lipoprotein on Cancer Risk: Focus on Multiple Myeloma.高密度脂蛋白对癌症风险的保护作用:聚焦多发性骨髓瘤。
Biomedicines. 2024 Feb 24;12(3):514. doi: 10.3390/biomedicines12030514.
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Targeting of mitochondrial fission through natural flavanones elicits anti-myeloma activity.通过天然类黄酮靶向线粒体裂变可引发抗骨髓瘤活性。
J Transl Med. 2024 Feb 27;22(1):208. doi: 10.1186/s12967-024-05013-0.
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Targeting lipid metabolism of macrophages: A new strategy for tumor therapy.靶向巨噬细胞的脂质代谢:一种肿瘤治疗的新策略。
J Adv Res. 2025 Feb;68:99-114. doi: 10.1016/j.jare.2024.02.009. Epub 2024 Feb 18.
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