Two-component T-cell immunotherapy enables antigen pre-targeting to reduce cytokine release without forfeiting efficacy DOI Creative Commons

M. Tommy Gambles,

Isaac Kendell,

Jiahui Li

et al.

Nanomedicine Nanotechnology Biology and Medicine, Journal Year: 2025, Volume and Issue: unknown, P. 102825 - 102825

Published: April 1, 2025

Language: Английский

Outcomes and prognostic indicators in daratumumab-refractory multiple myeloma: a multicenter real-world study of elotuzumab, pomalidomide, and dexamethasone in 247 patients DOI Creative Commons
Enrica Antonia Martino, Salvatore Palmieri, Mónica Galli

et al.

ESMO Open, Journal Year: 2025, Volume and Issue: 10(2), P. 104084 - 104084

Published: Jan. 7, 2025

Language: Английский

Citations

2

Mechanisms for resistance to BCMA-targeted immunotherapies in multiple myeloma DOI
Tingting Yue, Yue Sun,

Yun Dai

et al.

Blood Reviews, Journal Year: 2025, Volume and Issue: unknown, P. 101256 - 101256

Published: Jan. 1, 2025

Language: Английский

Citations

1

Comprehensive Review of Early and Late Toxicities in CAR T-Cell Therapy and Bispecific Antibody Treatments for Hematologic Malignancies DOI Open Access
Ayrton Bangolo, Behzad Amoozgar,

Charlene Mansour

et al.

Cancers, Journal Year: 2025, Volume and Issue: 17(2), P. 282 - 282

Published: Jan. 17, 2025

Chimeric antigen receptor T-cell (or CAR-T) therapy and bispecific antibodies (BsAbs) have revolutionized the treatment of hematologic malignancies, offering new options for relapsed or refractory cases. However, these therapies carry risks early complications, such as cytokine release syndrome (CRS) immune effector cell-associated neurotoxicity (ICANS), delayed issues like graft-versus-host disease (GVHD), infections, secondary cancers. Effective management requires diagnosis using advanced biomarkers imaging, along with prompt interventions involving immunosuppressants, corticosteroids, inhibitors. A multidisciplinary approach is essential, integrating hematologists, oncologists, infectious specialists, emerging strategies targeted biologics personalized medicine showing promise in balancing efficacy toxicity management. Ongoing research critical to refine diagnostics treatments, ensuring that not only extend survival but also improve patients' quality life. This review provides insights healthcare professionals quickly recognize treat complications CAR-T BsAbs therapies. By focusing on detection through imaging outlining timely therapeutic interventions, it aims equip care team knowledge necessary manage challenges treatments effectively, ultimately optimizing patient outcomes.

Language: Английский

Citations

1

Advancements in Multiple Myeloma Therapies: A Comprehensive Review by Disease Stage DOI Open Access
Hager Hisham El Khatib,

Хамдан Абдулла,

Layla Khaled Nassar

et al.

Lymphatics, Journal Year: 2025, Volume and Issue: 3(1), P. 2 - 2

Published: Jan. 22, 2025

Multiple myeloma is an incurable hematologic malignancy arising from plasma cells. The uncontrolled growth of monoclonal cells leads to abnormal overproduction immunoglobulins. recommended course treatment for MM according disease progression and responses therapeutic intervention, highlighting the necessity multiple options that alleviate different parts MM. This comprehensive review provides insights into current treatments how take preventative prognostic measures. In advanced MM, osteoporosis a common symptom originates lack regulation in osteoclast activity bone resorption. Bisphosphonates such as zoledronic acid pamidronate along with antibodies denosumab hinder function aid reducing risk fractures patients For targeted therapy approaches, proteasome inhibitors impede protein degradation pathways cause accumulation misfolded proteins promoting cancer cell proliferation CAR-T another can utilize T target isolate Overall, this highlights frontrunners those diagnosed

Language: Английский

Citations

1

Immuntherapien des multiplen Myeloms DOI

Sofie‐Katrin Kadel,

Leo Rasche

Deleted Journal, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 16, 2025

Immuntherapien haben die Behandlung des multiplen Myeloms grundlegend verändert. Die Einführung von monoklonalen Antikörpern wie Daratumumab markierte einen ersten Durchbruch und etablierte diese Wirkstoffklasse in der Erstlinientherapie. Neuere Ansätze CAR-T-Zellen bispezifische Antikörper nutzen das enorme zytotoxische Potenzial T‑Zellen zur gezielten Eliminierung Krebszellen zeigen beeindruckende Ergebnisse. So ist Ciltacabtagen-Autoleucel (Cilta-Cel) bei Patienten mit Lenalidomid-refraktärer Erkrankung bereits ab zweiten Therapielinie zugelassen. Bispezifische bieten darüber hinaus auch nach CAR-T-Zell-Therapie vielversprechende Therapieoptionen. Besonders Aussicht, durch eine einmalige Infusion langanhaltende tiefe Remissionen zu erzielen, könnte Zukunft therapiefreien Intervallen für Patient:innen führen. Allerdings beinhalten neue Herausforderungen. Zum Beispiel wurde erhöhte Infektionsrate unter BCMA-adressierenden Therapien beobachtet, engmaschige Überwachung Substitution polyvalenten Immunglobulinen erfordert. Ebenso Antigenverlust ein potenzielles Problem, insbesondere sequenziellen berücksichtigt werden muss. Im vorliegenden Artikel Chancen, entstehen, erörtert gleichzeitig Herausforderungen Anforderungen, Therapieplanung sollten, angesprochen.

Citations

0

An evaluation of linvoseltamab for treatment of relapsed/refractory multiple myeloma DOI
Zachary M. Avigan, Mohammad Rattu, Joshua Richter

et al.

Expert Opinion on Biological Therapy, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 8, 2025

Introduction Bispecific antibody therapies, primarily targeting B-cell maturation antigen (BCMA), have shown remarkable outcomes in the treatment of heavily pretreated patients with multiple myeloma (MM). However, there are no current head-to-head trials informing practice for selection or sequencing optimal T cell redirection strategies later lines therapy. Linvoseltamab is a novel BCMA-targeted bispecific that was recently evaluated phase 1/2 LINKER-MM1 trial and currently pending formal regulatory approval.

Language: Английский

Citations

0

Multiple Myeloma Insights from Single-Cell Analysis: Clonal Evolution, the Microenvironment, Therapy Evasion, and Clinical Implications DOI Open Access
Sihong Li, Jiahui Liu, Madeline Peyton

et al.

Cancers, Journal Year: 2025, Volume and Issue: 17(4), P. 653 - 653

Published: Feb. 14, 2025

Multiple myeloma (MM) is a complex and heterogeneous hematologic malignancy characterized by clonal evolution, genetic instability, interactions with supportive tumor microenvironment. These factors contribute to treatment resistance, disease progression, significant variability in clinical outcomes among patients. This review explores the mechanisms underlying MM including epigenetic changes that drive role of bone marrow microenvironment supporting growth immune evasion, impact genomic instability. We highlight critical insights gained from single-cell technologies, such as transcriptomics, genomics, multiomics, which have enabled detailed understanding heterogeneity at cellular level, facilitating identification rare cell populations drug resistance. Despite promise advanced remains an incurable challenges remain their application, high costs, data complexity, need for standardized bioinformatics ethical considerations. emphasizes importance continued research collaboration address these challenges, ultimately aiming enhance personalized strategies improve patient MM.

Language: Английский

Citations

0

Targeting active microglia alleviates distal edge of proton radiation-induced neural damage DOI Creative Commons

Keman Liao,

Dan Ou,

Chen Mei

et al.

Advances in Radiation Oncology, Journal Year: 2025, Volume and Issue: unknown, P. 101764 - 101764

Published: March 1, 2025

Proton therapy (PT) has distinct advantages in its ability to precisely target tumors while avoiding adjacent normal tissues. However, the distal edge effects of PT constrain application. This study investigated brain tissue response regions protons and compared it with effect photons. The occurrence damage from photons at was a murine model. Bragg peak treatment plans for models were optimized. Hematoxylin eosin immunofluorescence staining performed along margin. In addition, approximate distance neuronal sites calculated. Furthermore, small-molecule inhibitor studied inhibit microglia activation. injury model successfully established. Reactive gliosis granulovacuolar degeneration observed right hemisphere proton irradiation group. Neuronal injuries multiple locations (the frontal lobe, thalamus, cerebral cortex) border, but no injured neurons detected vertical photon exposed areas. Meanwhile, severe neural seen horizontal irradiation. At (0.4633 ± 0.01856 cm), abnormal morphology accumulated. IBA1 CD68 revealed activated corresponding sites, indicating their involvement irradiation-induced damage. Activated not irradiation, whereas many Moreover, asparagine endopeptidase inhibitors administered via intraperitoneal injection significantly reduced active thalamus cortex alleviated demonstrated that radiation induces accumulation edge. Targeting may play protective role radiation.

Language: Английский

Citations

0

Myeloma and MGUS DOI
Matthew Streetly

Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

Citations

0

The Interaction between the Bone Marrow Microenvironment and Immunotherapy in Multiple Myeloma: Mechanisms, Challenges, and Prospects DOI

慧敏 张

Advances in Clinical Medicine, Journal Year: 2025, Volume and Issue: 15(04), P. 1122 - 1130

Published: Jan. 1, 2025

Language: Английский

Citations

0