Mechanism of action of lenalidomide in hematological malignancies

<p>Abstract</p> <p>Immunomodulatory drugs lenalidomide and pomalidomide are synthetic compounds derived by modifying the chemical structure of thalidomide to improve its potency and reduce its side effects. Lenalidomide is a 4-amino-glutamyl analogue of thalidomide that lacks the n...

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Main Authors: Kotla Venumadhav, Goel Swati, Nischal Sangeeta, Heuck Christoph, Vivek Kumar, Das Bhaskar, Verma Amit
Format: Article
Language:English
Published: BMC 2009-08-01
Series:Journal of Hematology & Oncology
Online Access:http://www.jhoonline.org/content/2/1/36
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author Kotla Venumadhav
Goel Swati
Nischal Sangeeta
Heuck Christoph
Vivek Kumar
Das Bhaskar
Verma Amit
author_facet Kotla Venumadhav
Goel Swati
Nischal Sangeeta
Heuck Christoph
Vivek Kumar
Das Bhaskar
Verma Amit
author_sort Kotla Venumadhav
collection DOAJ
description <p>Abstract</p> <p>Immunomodulatory drugs lenalidomide and pomalidomide are synthetic compounds derived by modifying the chemical structure of thalidomide to improve its potency and reduce its side effects. Lenalidomide is a 4-amino-glutamyl analogue of thalidomide that lacks the neurologic side effects of sedation and neuropathy and has emerged as a drug with activity against various hematological and solid malignancies. It is approved by FDA for clinical use in myelodysplastic syndromes with deletion of chromosome 5q and multiple myeloma. Lenalidomide has been shown to be an immunomodulator, affecting both cellular and humoral limbs of the immune system. It has also been shown to have anti-angiogenic properties. Newer studies demonstrate its effects on signal transduction that can partly explain its selective efficacy in subsets of MDS. Even though the exact molecular targets of lenalidomide are not well known, its activity across a spectrum of neoplastic conditions highlights the possibility of multiple target sites of action.</p>
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spelling doaj.art-e0793a6d30db468da523b46da125b6582022-12-21T19:13:46ZengBMCJournal of Hematology & Oncology1756-87222009-08-01213610.1186/1756-8722-2-36Mechanism of action of lenalidomide in hematological malignanciesKotla VenumadhavGoel SwatiNischal SangeetaHeuck ChristophVivek KumarDas BhaskarVerma Amit<p>Abstract</p> <p>Immunomodulatory drugs lenalidomide and pomalidomide are synthetic compounds derived by modifying the chemical structure of thalidomide to improve its potency and reduce its side effects. Lenalidomide is a 4-amino-glutamyl analogue of thalidomide that lacks the neurologic side effects of sedation and neuropathy and has emerged as a drug with activity against various hematological and solid malignancies. It is approved by FDA for clinical use in myelodysplastic syndromes with deletion of chromosome 5q and multiple myeloma. Lenalidomide has been shown to be an immunomodulator, affecting both cellular and humoral limbs of the immune system. It has also been shown to have anti-angiogenic properties. Newer studies demonstrate its effects on signal transduction that can partly explain its selective efficacy in subsets of MDS. Even though the exact molecular targets of lenalidomide are not well known, its activity across a spectrum of neoplastic conditions highlights the possibility of multiple target sites of action.</p>http://www.jhoonline.org/content/2/1/36
spellingShingle Kotla Venumadhav
Goel Swati
Nischal Sangeeta
Heuck Christoph
Vivek Kumar
Das Bhaskar
Verma Amit
Mechanism of action of lenalidomide in hematological malignancies
Journal of Hematology & Oncology
title Mechanism of action of lenalidomide in hematological malignancies
title_full Mechanism of action of lenalidomide in hematological malignancies
title_fullStr Mechanism of action of lenalidomide in hematological malignancies
title_full_unstemmed Mechanism of action of lenalidomide in hematological malignancies
title_short Mechanism of action of lenalidomide in hematological malignancies
title_sort mechanism of action of lenalidomide in hematological malignancies
url http://www.jhoonline.org/content/2/1/36
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AT heuckchristoph mechanismofactionoflenalidomideinhematologicalmalignancies
AT vivekkumar mechanismofactionoflenalidomideinhematologicalmalignancies
AT dasbhaskar mechanismofactionoflenalidomideinhematologicalmalignancies
AT vermaamit mechanismofactionoflenalidomideinhematologicalmalignancies