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Review
. 2014 May;3(3):261-77.
doi: 10.4155/ppa.14.18.

Recent advances in antimultiple myeloma drug development

Affiliations
Review

Recent advances in antimultiple myeloma drug development

Nuozhou Wang et al. Pharm Pat Anal. 2014 May.

Abstract

Multiple myeloma (MM) is the second most common hematological malignancy and is characterized by the aberrant proliferation of terminally differentiated plasma B cells with impairment in apoptosis capacity. Particularly, osteolytic bone diseases and renal failure resulting from hyperparaproteinemia and hypercalcemia have been the major serious sequelae that are inextricably linked with MM tumor progression. Despite the introduction of new treatment regimens, problematic neuropathy, thrombocytopenia, drug resistance and high MM relapse rates continue to plague the current therapies. New chemical agents are in development on the basis of understanding several signaling pathways and molecular mechanisms like tumor necrosis factor-α, proteasome, PI3K and MARKs. This review focuses on the most recent patents and clinical trials in the development of new medicine for the treatment of multiple myeloma. Furthermore, the important signaling pathways involved in the proliferation, survival and apoptosis of myeloma cells will be discussed.

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Figures

Figure 1
Figure 1
Frequency of patents and literature citations related to ‘multiple myeloma’ from 2005 to 2013.
Figure 2
Figure 2. The published patents related to multiple myeloma treatments and their associated targets
APRIL: A proliferation-inducing ligand; BMSC: Bone marrow stromal cells; CB2: Cannabinoid receptor 2; CD40: TNF receptor superfamily member 5; CXCR4: Chemokine receptor type 4; DKK1: Dickkopf-related protein 1; ERK: Extracellular signal-regulated kinases; FGFR3: Fibroblast growth factor receptor 3; HGF: Hepatocyte growth factor; Hsp90: Heat shock protein 90; JAK: Janus kinase; MAPK: Mitogen-activated protein kinase; MEK: Mitogen-activated protein kinase kinase; MIP-1α: Macrophage inflammatory protein-1α; MM cell: Multiple myeloma cell; mTOR: Mammalian target of rapamycin; PI3K: Phosphatidylinositide 3-kinases; PPARγ: Peroxisome proliferator-activated receptor gamma; PTEN: Phosphatase and tensin homolog; SDF-1α: Stromal cell-derived factor 1; STAT3: Signal transducer and activator of transcription 3; UPR: Unfolded protein response; VCAM: Vascular cell adhesion protein 1; VLA4: Very late antigen-4.

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