Aptamers, a New Therapeutic Opportunity for the Treatment of Multiple Myeloma

Multiple Myeloma (MM) remains an incurable disease due to high relapse rates and fast development of drug resistances. The introduction of monoclonal antibodies (mAb) has caused a paradigm shift in MM treatment, paving the way for targeted approaches with increased efficacy and reduced toxicities. N...

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Main Authors: Ane Amundarain, Fernando Pastor, Felipe Prósper, Xabier Agirre
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/21/5471
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author Ane Amundarain
Fernando Pastor
Felipe Prósper
Xabier Agirre
author_facet Ane Amundarain
Fernando Pastor
Felipe Prósper
Xabier Agirre
author_sort Ane Amundarain
collection DOAJ
description Multiple Myeloma (MM) remains an incurable disease due to high relapse rates and fast development of drug resistances. The introduction of monoclonal antibodies (mAb) has caused a paradigm shift in MM treatment, paving the way for targeted approaches with increased efficacy and reduced toxicities. Nevertheless, antibody-based therapies face several difficulties such as high immunogenicity, high production costs and limited conjugation capacity, which we believe could be overcome by the introduction of nucleic acid aptamers. Similar to antibodies, aptamers can bind to their targets with great affinity and specificity. However, their chemical nature reduces their immunogenicity and production costs, while it enables their conjugation to a wide variety of cargoes for their use as delivery agents. In this review, we summarize several aptamers that have been tested against MM specific targets with promising results, establishing the rationale for the further development of aptamer-based strategies against MM. In this direction, we believe that the study of novel plasma cell surface markers, the development of intracellular aptamers and further research on aptamers as building blocks for complex nanomedicines will lead to the generation of next-generation targeted approaches that will undoubtedly contribute to improve the management and life quality of MM patients.
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spelling doaj.art-76e95113870742cba19d58d7f6c2e83d2023-11-24T04:04:56ZengMDPI AGCancers2072-66942022-11-011421547110.3390/cancers14215471Aptamers, a New Therapeutic Opportunity for the Treatment of Multiple MyelomaAne Amundarain0Fernando Pastor1Felipe Prósper2Xabier Agirre3Center for Applied Medical Research (CIMA), IDISNA, University of Navarra, 31008 Pamplona, SpainCenter for Applied Medical Research (CIMA), IDISNA, University of Navarra, 31008 Pamplona, SpainCenter for Applied Medical Research (CIMA), IDISNA, University of Navarra, 31008 Pamplona, SpainCenter for Applied Medical Research (CIMA), IDISNA, University of Navarra, 31008 Pamplona, SpainMultiple Myeloma (MM) remains an incurable disease due to high relapse rates and fast development of drug resistances. The introduction of monoclonal antibodies (mAb) has caused a paradigm shift in MM treatment, paving the way for targeted approaches with increased efficacy and reduced toxicities. Nevertheless, antibody-based therapies face several difficulties such as high immunogenicity, high production costs and limited conjugation capacity, which we believe could be overcome by the introduction of nucleic acid aptamers. Similar to antibodies, aptamers can bind to their targets with great affinity and specificity. However, their chemical nature reduces their immunogenicity and production costs, while it enables their conjugation to a wide variety of cargoes for their use as delivery agents. In this review, we summarize several aptamers that have been tested against MM specific targets with promising results, establishing the rationale for the further development of aptamer-based strategies against MM. In this direction, we believe that the study of novel plasma cell surface markers, the development of intracellular aptamers and further research on aptamers as building blocks for complex nanomedicines will lead to the generation of next-generation targeted approaches that will undoubtedly contribute to improve the management and life quality of MM patients.https://www.mdpi.com/2072-6694/14/21/5471aptamersmultiple myelomatargeted therapies
spellingShingle Ane Amundarain
Fernando Pastor
Felipe Prósper
Xabier Agirre
Aptamers, a New Therapeutic Opportunity for the Treatment of Multiple Myeloma
Cancers
aptamers
multiple myeloma
targeted therapies
title Aptamers, a New Therapeutic Opportunity for the Treatment of Multiple Myeloma
title_full Aptamers, a New Therapeutic Opportunity for the Treatment of Multiple Myeloma
title_fullStr Aptamers, a New Therapeutic Opportunity for the Treatment of Multiple Myeloma
title_full_unstemmed Aptamers, a New Therapeutic Opportunity for the Treatment of Multiple Myeloma
title_short Aptamers, a New Therapeutic Opportunity for the Treatment of Multiple Myeloma
title_sort aptamers a new therapeutic opportunity for the treatment of multiple myeloma
topic aptamers
multiple myeloma
targeted therapies
url https://www.mdpi.com/2072-6694/14/21/5471
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