Potential Role of microRNAs in inducing Drug Resistance in Patients with Multiple Myeloma

The prognosis for newly diagnosed subjects with multiple myeloma (MM) has significantly progressed in recent years. However, most MM patients relapse and after several salvage therapies, the onset of multidrug resistance provokes the occurrence of a refractory disease. A continuous and bidirectional...

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Main Authors: Alessandro Allegra, Roberta Ettari, Vanessa Innao, Alessandra Bitto
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/10/2/448
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author Alessandro Allegra
Roberta Ettari
Vanessa Innao
Alessandra Bitto
author_facet Alessandro Allegra
Roberta Ettari
Vanessa Innao
Alessandra Bitto
author_sort Alessandro Allegra
collection DOAJ
description The prognosis for newly diagnosed subjects with multiple myeloma (MM) has significantly progressed in recent years. However, most MM patients relapse and after several salvage therapies, the onset of multidrug resistance provokes the occurrence of a refractory disease. A continuous and bidirectional exchange of information takes place between the cells of the microenvironment and neoplastic cells to solicit the demands of cancer cells. Among the molecules serving as messengers, there are microRNAs (miRNA), a family of small noncoding RNAs that regulate gene expression. Numerous miRNAs are associated with drug resistance, also in MM, and the modulation of their expression or activity might be explored to reverse it. In this review we report the most recent studies concerning the relationship between miRNAs and chemoresistance to the most frequently used drugs, such as proteasome inhibitors, steroids, alkylating agents and immunomodulators. The experimental use of antagomirs or miRNA mimics have successfully been proven to counteract chemoresistance and display synergistic effects with antimyeloma drugs which could represent a fundamental moment to overcome resistance in MM treatment.
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spelling doaj.art-a65a3b2817bb4c18a015873ba0729c132023-12-11T17:43:03ZengMDPI AGCells2073-44092021-02-0110244810.3390/cells10020448Potential Role of microRNAs in inducing Drug Resistance in Patients with Multiple MyelomaAlessandro Allegra0Roberta Ettari1Vanessa Innao2Alessandra Bitto3Department of Human Pathology in Adulthood and Childhood, University of Messina, 98125 Messina, ItalyDepartment of Chemical, Biological, Pharmaceutical and Environmental Chemistry, University of Messina, 98100 Messina, ItalyDepartment of Human Pathology in Adulthood and Childhood, University of Messina, 98125 Messina, ItalyDepartment of Clinical and Experimental Medicine, University of Messina, 98125 Messina, ItalyThe prognosis for newly diagnosed subjects with multiple myeloma (MM) has significantly progressed in recent years. However, most MM patients relapse and after several salvage therapies, the onset of multidrug resistance provokes the occurrence of a refractory disease. A continuous and bidirectional exchange of information takes place between the cells of the microenvironment and neoplastic cells to solicit the demands of cancer cells. Among the molecules serving as messengers, there are microRNAs (miRNA), a family of small noncoding RNAs that regulate gene expression. Numerous miRNAs are associated with drug resistance, also in MM, and the modulation of their expression or activity might be explored to reverse it. In this review we report the most recent studies concerning the relationship between miRNAs and chemoresistance to the most frequently used drugs, such as proteasome inhibitors, steroids, alkylating agents and immunomodulators. The experimental use of antagomirs or miRNA mimics have successfully been proven to counteract chemoresistance and display synergistic effects with antimyeloma drugs which could represent a fundamental moment to overcome resistance in MM treatment.https://www.mdpi.com/2073-4409/10/2/448micro-RNAmultiple myelomachemoresistancebone marrow microenvironmentantagomirmiRNA mimics
spellingShingle Alessandro Allegra
Roberta Ettari
Vanessa Innao
Alessandra Bitto
Potential Role of microRNAs in inducing Drug Resistance in Patients with Multiple Myeloma
Cells
micro-RNA
multiple myeloma
chemoresistance
bone marrow microenvironment
antagomir
miRNA mimics
title Potential Role of microRNAs in inducing Drug Resistance in Patients with Multiple Myeloma
title_full Potential Role of microRNAs in inducing Drug Resistance in Patients with Multiple Myeloma
title_fullStr Potential Role of microRNAs in inducing Drug Resistance in Patients with Multiple Myeloma
title_full_unstemmed Potential Role of microRNAs in inducing Drug Resistance in Patients with Multiple Myeloma
title_short Potential Role of microRNAs in inducing Drug Resistance in Patients with Multiple Myeloma
title_sort potential role of micrornas in inducing drug resistance in patients with multiple myeloma
topic micro-RNA
multiple myeloma
chemoresistance
bone marrow microenvironment
antagomir
miRNA mimics
url https://www.mdpi.com/2073-4409/10/2/448
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