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Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
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Treatment Resistant Cancers

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Combination Therapies and Personalized Medicine

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Single Cell Analysis of the Tumor Microenvironment Landscape Across the Disease Spectrum of Multiple Myeloma.

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Related Experiment Video

Updated: May 7, 2026

Chemical Inactivation of the E3 Ubiquitin Ligase Cereblon by Pomalidomide-based Homo-PROTACs
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Why proteasome inhibitors cannot ERADicate multiple myeloma.

Robert Z Orlowski1

  • 1Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA; Department of Experimental Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

Cancer Cell
|September 14, 2013
PubMed
Summary

Tumor cells can develop resistance to proteasome inhibitors like bortezomib through poorly understood mechanisms. A new study identifies XBP1s-negative subpopulations as a key factor in bortezomib resistance in multiple myeloma.

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Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Proteasome inhibitors are crucial for treating multiple myeloma.
  • Therapeutic resistance limits the effectiveness of these treatments.
  • Mechanisms underlying resistance are not fully understood.

Purpose of the Study:

  • To investigate novel mechanisms of therapeutic resistance in multiple myeloma.
  • To identify specific tumor cell subpopulations responsible for resistance to proteasome inhibitors.

Main Methods:

  • Analysis of tumor cell subpopulations.
  • Assessment of bortezomib resistance.
  • Investigation of the role of X-box binding protein 1 (XBP1) splicing.

Main Results:

  • Identification of XBP1s-negative tumor cell subpopulations.
  • Demonstration that these subpopulations exhibit resistance to bortezomib.
  • Association of these resistant subpopulations with clinical therapeutic failures.

Conclusions:

  • XBP1s-negative subpopulations contribute to bortezomib resistance in multiple myeloma.
  • Targeting these specific subpopulations may overcome therapeutic resistance.
  • Understanding these mechanisms can improve treatment strategies for multiple myeloma.