Targeting signaling pathways in multiple myeloma: Pathogenesis and implication for treatments
Abstract
Multiple myeloma (MM), which is characterized by osteolytic bone lesions, anemia, hypercalcemia, and renal failure, accounts for approximately 10% of all hematologic malignancies. Although the therapeutic landscape of MM has evolved spectacularly over the past decades with 5-year median survival over 50%, most of these patients relapse eventually. The widely recognized therapeutic approaches include chemotherapy, radiation, stem cell transplant, and monoclonal antibody therapy. Former studies have implied that the proliferation, survival, migration and drug resistance of MM cells are in association with the activation of several signaling pathways. In this review, we intended to focus on the major signaling pathways such as PI3K/Akt/mTOR, Ras/Raf/MEK/MAPK, JAK/STAT, NF-κB, Wnt/β-catenin, and RANK/RANKL/OPG, that contribute to the pathogenesis of the MM and the therapeutic approaches developed to target them.
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The pathogenesis of multiple myeloma involves interaction between MM cells and the bone marrow microenvironment through soluble cytokines and cell adhesion molecules, activating PI3K/AKT/mTOR, RAS/MAPK, JAK/STAT, Wnt/β-catenin, and NF-κB pathways.
“The pathogenesis of MM involves the interaction between MM cells and the bone marrow microenvironment through soluble cytokines and cell adhesion molecules, which activate various signaling pathways such as PI3K/AKT/mTOR, RAS/MAPK, JAK/STAT, Wnt/β-catenin, and NF-κB pathways.”
From Multiple myeloma: signaling pathways and targeted therapy (2024) · cites this paper as [31]
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Multiple myeloma: signaling pathways and targeted therapy
Lu, Q., Yang, D., Li, H., Niu, T., & Tong, A. (2024) · Molecular biomedicine · doi:10.1186/s43556-024-00188-w · Cited by 90 · see citing works
- Authors
- Hu, J., & Hu, W.-X.
- Affiliations
- Central South University (CN)
- Corresponding author
- Hu, Jingping
- Hu, Wei-Xin
- ORCID
- Hu, Jingping
- Venue
- Cancer Letters
- Publisher
- Elsevier BV
- Published
- 2018-02
- Volume
- 414
- Pages
- 214-221
- ISSN
- 0304-3835 (ISSN-L)
- OpenAlex
- W2770054994
- Cited by
- 84
- References
- 7
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 10 · 2023: 13 · 2022: 8 · 2021: 15 · 2020: 10 · 2019: 13 · 2018: 3
- FWCI
- 1.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cancer Letters (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China (81400819, 81372538)
- Topics
- Health Sciences › Medicine › Hematology › Multiple Myeloma Research and Treatments
- Health Sciences › Medicine › Genetics › Chronic Lymphocytic Leukemia Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › PI3K/AKT/mTOR signaling in cancer
- Keywords
- multiple myeloma, signaling pathways, PI3K/AKT/mTOR pathway, JAK/STAT signaling, NF-κB, Wnt/β-catenin signaling, drug resistance, myeloma pathogenesis, targeted therapy, monoclonal antibodies, stem cell transplantation
- MeSH terms
- Phosphoinositide-3 Kinase Inhibitors, Antineoplastic Agents, Humans, Multiple Myeloma, Signal Transduction, Phosphatidylinositol 3-Kinases, MAP Kinase Signaling System, Proto-Oncogene Proteins c-akt, TOR Serine-Threonine Kinases, Molecular Targeted Therapy
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