دورية أكاديمية

Emerging Therapeutic Strategies to Overcome Drug Resistance in Multiple Myeloma.

التفاصيل البيبلوغرافية
العنوان: Emerging Therapeutic Strategies to Overcome Drug Resistance in Multiple Myeloma.
المؤلفون: Davis LN; Division of Hematology, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA., Sherbenou DW; Division of Hematology, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.; Department of Blood Disorders and Cell Therapies, University of Colorado Comprehensive Cancer Center, Aurora, CO 80045, USA.
المصدر: Cancers [Cancers (Basel)] 2021 Apr 02; Vol. 13 (7). Date of Electronic Publication: 2021 Apr 02.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: MDPI Country of Publication: Switzerland NLM ID: 101526829 Publication Model: Electronic Cited Medium: Print ISSN: 2072-6694 (Print) Linking ISSN: 20726694 NLM ISO Abbreviation: Cancers (Basel) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Basel, Switzerland : MDPI
مستخلص: Multiple myeloma is a malignant plasma cell neoplasm that remains incurable and is ultimately fatal when patients acquire multi-drug resistance. Thus, advancing our understanding of the mechanisms behind drug resistance in multi-relapsed patients is critical for developing better strategies to extend their lifespan. Here, we review the understanding of resistance to the three key drug classes approved for multiple myeloma treatment: immunomodulatory drugs, proteasome inhibitors, and monoclonal antibodies. We consider how the complex, heterogenous biology of multiple myeloma may influence the acquisition of drug resistance and reflect on the gaps in knowledge where additional research is needed to improve our treatment approaches. Fortunately, many agents are currently being evaluated preclinically and in clinical trials that have the potential to overcome or delay drug resistance, including next-generation immunomodulatory drugs and proteasome inhibitors, novel small molecule drugs, chimeric antigen receptor T cells, antibody-drug conjugates, and bispecific antibodies. For each class, we discuss the potential of these strategies to overcome resistance through modifying agents within each class or new classes without cross-resistance to currently available drugs.
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معلومات مُعتمدة: K08 CA222704 United States CA NCI NIH HHS; K08CA222704 United States CA NCI NIH HHS
فهرسة مساهمة: Keywords: clinical trials; drug resistance; immunomodulatory drugs; immunotherapy; monoclonal antibodies; multiple myeloma; proteasome inhibitors; resistance mechanisms; treatment
تواريخ الأحداث: Date Created: 20210430 Latest Revision: 20210609
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC8038312
DOI: 10.3390/cancers13071686
PMID: 33918370
قاعدة البيانات: MEDLINE
الوصف
تدمد:2072-6694
DOI:10.3390/cancers13071686