Antiangiogenic therapeutic approaches in multiple myeloma
Domenico Ribatti1, Giuseppe Mangialardi, Angelo Vacca
1Department of Basic Medical Sciences, Section of Human Anatomy and Histology, University of Bari Medical School, Piazza Giulio Cesare, 11, Bari, Italy. ribatti@anatomia.uniba.it
Abstract:
Angiogenesis is a constant hallmark of multiple myeloma (MM) progression and has prognostic potential. The pathophysiology of MM-induced angiogenesis involves both direct production of angiogenic cytokines by plasma cells and their induction within the bone marrow microenvironment. An improved understanding of the importance of angiogenesis-related signaling in MM has allowed for the rational use of antiangiogenic therapies in this tumor. This review article summarizes the literature data concerning the employment of the most important antiangiogenic therapeutic agents actually used in preclinical models and clinical settings for the treatment of MM.
Insights
Angiogenesis, the growth of new blood vessels, drives multiple myeloma (MM) progression. Antiangiogenic therapies targeting this process show promise for MM treatment.
Area of Science:
- Oncology
- Hematology
- Molecular Biology
Background:
- Angiogenesis is a critical factor in multiple myeloma (MM) progression and impacts patient prognosis.
- MM pathophysiology involves plasma cells producing angiogenic cytokines and influencing the bone marrow microenvironment.
- Understanding angiogenesis-related signaling is key to developing effective anti-MM therapies.
Purpose of the Study:
- To review the current literature on antiangiogenic therapies for multiple myeloma (MM).
- To summarize the use of key antiangiogenic agents in preclinical and clinical MM settings.
Main Methods:
- Comprehensive literature review of studies on angiogenesis in multiple myeloma.
- Analysis of data on antiangiogenic therapeutic agents used in preclinical models and clinical trials for MM.
Main Results:
- Angiogenesis is a consistent feature of MM, correlating with disease progression.
- Multiple antiangiogenic agents are under investigation and in clinical use for MM.
- The efficacy of these agents in preclinical and clinical settings is documented.
Conclusions:
- Targeting angiogenesis is a validated therapeutic strategy in multiple myeloma.
- Antiangiogenic therapies represent an important advancement in MM treatment.
- Further research into novel antiangiogenic agents and combinations is warranted.
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