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IL-17 相关信号在骨髓瘤发生、疾病预后/进展及治疗策略中的作用——范围综述

英文原题:The role of IL-17-related signaling in myelomagenesis, disease prognosis/progression, and therapeutic approach-a scoping review.

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The role of IL-17-related signaling in myelomagenesis, disease prognosis/progression, and therapeutic approach-a scoping review.

PubMed 2025/06/09(内容时间) Clin Exp Med Q2 · IF 4.5(JCR 2025)

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中文摘要

多发性骨髓瘤(MM)是一种浆细胞恶性肿瘤,尽管治疗有所进展,对临床医生和患者而言仍是挑战。包括单克隆抗体、双特异性抗体、CAR-T 细胞疗法以及新一代免疫调节药物和蛋白酶体抑制剂在内的现代治疗方案,显著改善了临床结局,但仍有改进空间,也需要新的治疗策略。IL-17相关信号是MM研究中相对未充分探索的领域。研究已证实,IL-17是浆细胞及其恶性对应细胞的生长因子,并与骨髓瘤发生和疾病进展相关。此外,目前用于其他适应证的单克隆抗体可从药理学角度靶向IL-17轴。本叙述性综述总结IL-17轴在MM中的作用,重点关注IL-17对MM发生和进展的影响,特别讨论其临床意义。我们还简要总结干预IL-17相关信号的潜在治疗作用,并概述未来研究方向。

展开英文摘要原文

Multiple myeloma (MM), a plasma cell malignancy, despite the progress in treatment, is still a challenge for both clinicians and affected patients. Modern treatment regimens including monoclonal antibodies, bispecific antibodies, CAR-T cell therapy as well as new generations of immunomodulatory drugs and proteasome inhibitors significantly improved clinical outcomes.

Nonetheless, there is still a room for improvement and novel therapeutic strategies. IL-17-related signaling is a relatively undiscovered area in MM research. It was established that IL-17 is the growth factor for plasma cells including their malignant counterparts, is associated with myelomagenesis and disease progression.

Furthermore, IL-17 axis can be pharmacologically targeted by monoclonal antibodies currently being used in different indications. In this narrative review we summarized the role of IL-17 axis in MM. Specifically, we focused on the role of IL-17 in MM development and progression with a particular emphasis upon clinical implications.

Moreover, we have briefly summarized the potential role of therapeutic interference with IL-17-related singling and have outlined future research directions.

论文信息

作者
Kulig P、Rałowiec A、Baumert B、Machaliński B
第一作者单位
Department of General Pathology, Pomeranian Medical University, Powstańców Wlkp. 72, 70-111, Szczecin, Poland.Poland
通讯作者单位
Department of Hematology and Transplantology, Pomeranian Medical University, Unii Lubelskiej 1, 71-252, Szczecin, Poland. boguslaw.machalinski@pum.edu.pl.Poland
文献类型
范围综述
期刊
Clinical and experimental medicine2025 Jun 9
原文标识
PubMed 40488820 · DOI 10.1007/s10238-025-01728-6