Mesenchymal stromal cells in bone marrow niche of patients with multiple myeloma: a double-edged sword
Sina Kamrani,
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Reza Naseramini,
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Pouria Khani
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et al.
Cancer Cell International,
Journal Year:
2025,
Volume and Issue:
25(1)
Published: March 26, 2025
Abstract
Multiple
myeloma
(MM)
is
a
hematological
malignancy
defined
by
the
abnormal
proliferation
and
accumulation
of
plasma
cells
(PC)
within
bone
marrow
(BM).
While
multiple
impacts
bone,
it
not
classified
as
primary
cancer.
The
microenvironment
significantly
influences
progression
its
treatment
response.
Mesenchymal
stromal
(MSCs)
in
this
environment
engage
with
other
components
via
direct
contact
secretion
soluble
factors.
This
review
examines
established
roles
MSCs
facets
MM
pathology,
encompassing
their
pro-inflammatory
functions,
contributions
to
tumor
epigenetics,
effects
on
immune
checkpoint
inhibitors
(ICIs),
influence
reprogramming,
chemotherapy
resistance,
senescence.
investigates
role
development
MM.
Language: Английский
Exploring two tumor treatment strategies: effectiveness of ribosome inactivating proteins and mesenchymal stem cells/MSC derived extracellular vesicles in cancer treatment
Maryamosadat Mavaei,
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Simin Farokhi,
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Mohammad Hasan Yousefi
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et al.
Frontiers in Oncology,
Journal Year:
2025,
Volume and Issue:
15
Published: May 13, 2025
Cancer
is
a
complex
and
heterogeneous
disease
that
often
requires
multifaceted
treatment
strategies
to
achieve
optimal
therapeutic
outcomes.
Given
the
limitations
of
single-agent
therapies,
particularly
in
face
intricate
biological
signaling
networks
resistance,
there
growing
need
for
combinatory
approaches.
This
article
presents
novel
hypothesis:
simultaneous
use
ribosome-inactivating
proteins
(RIPs)
mesenchymal
stem
cells
(MSCs)
or
MSC-derived
extracellular
vesicles
(EVs)
cancer
treatment.
RIPs,
with
their
potent
cytotoxic
properties,
can
target
tumor
effectively,
while
MSCs,
known
tumor-homing
abilities
regenerative
potential,
serve
as
delivery
vehicles,
potentially
enhancing
targeting
precision
reducing
systemic
toxicity
RIPs.
hypothesis
explores
synergistic
potential
combining
these
two
modalities,
leveraging
advantages
both
techniques
create
more
effective
strategy.
By
RIPs’
ability
inhibit
protein
synthesis
MSCs
EVs’
capability
modulate
microenvironment
deliver
agents.
approach
offers
promising
avenue
overcoming
cancer’s
inherent
complexity.
However,
challenges
remain,
such
optimizing
dosing
protocols,
addressing
safety
concerns,
ensuring
efficient
drug
delivery.
Future
research
clinical
trials
are
necessary
validate
this
combination
viable
therapy.
Language: Английский