Different evasion strategies in multiple myeloma

Multiple myeloma is the second most common malignant hematologic malignancy which evolved different strategies for immune escape from the host immune surveillance and drug resistance, including uncontrolled proliferation of malignant plasma cells in the bone marrow, genetic mutations, or deletion of...

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Main Authors: Chaofan Wang, Wanting Wang, Moran Wang, Jun Deng, Chunyan Sun, Yu Hu, Shanshan Luo
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1346211/full
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author Chaofan Wang
Wanting Wang
Moran Wang
Jun Deng
Chunyan Sun
Yu Hu
Shanshan Luo
author_facet Chaofan Wang
Wanting Wang
Moran Wang
Jun Deng
Chunyan Sun
Yu Hu
Shanshan Luo
author_sort Chaofan Wang
collection DOAJ
description Multiple myeloma is the second most common malignant hematologic malignancy which evolved different strategies for immune escape from the host immune surveillance and drug resistance, including uncontrolled proliferation of malignant plasma cells in the bone marrow, genetic mutations, or deletion of tumor antigens to escape from special targets and so. Therefore, it is a big challenge to efficiently treat multiple myeloma patients. Despite recent applications of immunomodulatory drugs (IMiDS), protease inhibitors (PI), targeted monoclonal antibodies (mAb), and even hematopoietic stem cell transplantation (HSCT), it remains hardly curable. Summarizing the possible evasion strategies can help design specific drugs for multiple myeloma treatment. This review aims to provide an integrative overview of the intrinsic and extrinsic evasion mechanisms as well as recently discovered microbiota utilized by multiple myeloma for immune evasion and drug resistance, hopefully providing a theoretical basis for the rational design of specific immunotherapies or drug combinations to prevent the uncontrolled proliferation of MM, overcome drug resistance and improve patient survival.
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spelling doaj.art-a4e9cec05b774b4f95e7db096864e22f2024-02-23T04:22:26ZengFrontiers Media S.A.Frontiers in Immunology1664-32242024-02-011510.3389/fimmu.2024.13462111346211Different evasion strategies in multiple myelomaChaofan WangWanting WangMoran WangJun DengChunyan SunYu HuShanshan LuoMultiple myeloma is the second most common malignant hematologic malignancy which evolved different strategies for immune escape from the host immune surveillance and drug resistance, including uncontrolled proliferation of malignant plasma cells in the bone marrow, genetic mutations, or deletion of tumor antigens to escape from special targets and so. Therefore, it is a big challenge to efficiently treat multiple myeloma patients. Despite recent applications of immunomodulatory drugs (IMiDS), protease inhibitors (PI), targeted monoclonal antibodies (mAb), and even hematopoietic stem cell transplantation (HSCT), it remains hardly curable. Summarizing the possible evasion strategies can help design specific drugs for multiple myeloma treatment. This review aims to provide an integrative overview of the intrinsic and extrinsic evasion mechanisms as well as recently discovered microbiota utilized by multiple myeloma for immune evasion and drug resistance, hopefully providing a theoretical basis for the rational design of specific immunotherapies or drug combinations to prevent the uncontrolled proliferation of MM, overcome drug resistance and improve patient survival.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1346211/fullmultiple myelomaevasionextrinsic mechanismintrinsic mechanismimmunology
spellingShingle Chaofan Wang
Wanting Wang
Moran Wang
Jun Deng
Chunyan Sun
Yu Hu
Shanshan Luo
Different evasion strategies in multiple myeloma
Frontiers in Immunology
multiple myeloma
evasion
extrinsic mechanism
intrinsic mechanism
immunology
title Different evasion strategies in multiple myeloma
title_full Different evasion strategies in multiple myeloma
title_fullStr Different evasion strategies in multiple myeloma
title_full_unstemmed Different evasion strategies in multiple myeloma
title_short Different evasion strategies in multiple myeloma
title_sort different evasion strategies in multiple myeloma
topic multiple myeloma
evasion
extrinsic mechanism
intrinsic mechanism
immunology
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1346211/full
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