|Table of Contents|

Current status of research on the mechanism of drug resistance of bone marrow microenvironment-mediated proteasome inhibitors in the treatment of multiple myeloma

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2023 22
Page:
4289-4294
Research Field:
Publishing date:

Info

Title:
Current status of research on the mechanism of drug resistance of bone marrow microenvironment-mediated proteasome inhibitors in the treatment of multiple myeloma
Author(s):
WU MinLI Yinghua
Hematology Department,the First Affiliated Hospital of Harbin Medical University,Heilongjiang Harbin 150000,China.
Keywords:
multiple myelomabone marrow microenvironmentproteasome inhibitorsdrug resistancebortezomib
PACS:
R733.3
DOI:
10.3969/j.issn.1672-4992.2023.22.037
Abstract:
Multiple myeloma (MM) is a plasma cell proliferative malignant disease.In recent years,with the introduction of new drugs such as proteasome inhibitor (PI),immunomodulator,CD38 monoclonal antibody and the development of autologous stem cell transplantation,some progress has been made in the treatment of MM patients,but MM is still an incurable malignant tumor.The main cause of disease progression and death is drug resistance of MM cells,so we need new therapy urgently.The bone marrow microenvironment is regarded as the "soil" of hematopoietic stem cells,and its characteristic three-dimensional structure provides the basis for the survival of hematopoietic stem cells.It is closely related to the regulation of hematopoietic production,stem cell mobilization and homing and other life activities.The intricate relationship between MM cells and the bone marrow microenvironment affects the proliferation,survival and drug resistance of MM cells.This article mainly focuses on MM,bone marrow microenvironment and the mechanism of patients' resistance to related proteasome inhibitors,in order to find a new combination treatment plan to overcome bortezomib resistance and improve the prognosis of patients.

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