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Targeting the Pim kinases in multiple myeloma
N A Keane1, M Reidy2, A Natoni2
1Apoptosis Research Centre, National University of Ireland Galway and Department of Haematology, Galway University Hospital, Galway, Ireland.
Abstract:
Multiple myeloma (MM) is a plasma cell malignancy that remains incurable. Novel treatment strategies to improve survival are urgently required. The Pims are a small family of serine/threonine kinases with increased expression across the hematological malignancies. Pim-2 shows highest expression in MM and constitutes a promising therapeutic target. It is upregulated by the bone marrow microenvironment to mediate proliferation and promote MM survival. Pim-2 also has a key role in the bone destruction typically seen in MM. Additional putative roles of the Pim kinases in MM include trafficking of malignant cells, promoting oncogenic signaling in the hypoxic bone marrow microenvironment and mediating resistance to therapy. A number of Pim inhibitors are now under development with lead compounds entering the clinic. The ATP-competitive Pim inhibitor LGH447 has recently been reported to have single agent activity in MM. It is anticipated that Pim inhibition will be of clinical benefit in combination with standard treatments and/or with novel drugs targeting other survival pathways in MM.
Insights
Multiple myeloma (MM) treatment needs novel strategies. Targeting Pim-2, a kinase upregulated in MM, offers a promising therapeutic avenue by inhibiting cancer cell survival and bone destruction.
Area of Science:
- Hematology
- Oncology
- Molecular Biology
Background:
- Multiple myeloma (MM) is an incurable plasma cell malignancy.
- Novel therapeutic strategies are essential to improve patient survival rates.
- Pim kinases, particularly Pim-2, are overexpressed in hematological malignancies, including MM.
Purpose of the Study:
- To investigate the role of Pim-2 in multiple myeloma pathogenesis.
- To evaluate Pim-2 as a therapeutic target for MM.
- To explore the potential of Pim inhibitors in MM treatment.
Main Methods:
- Analysis of Pim kinase expression in MM.
- Investigation of Pim-2's function in MM cell proliferation and survival.
- Assessment of Pim-2's role in MM-related bone destruction.
- Evaluation of Pim inhibitor activity in MM models.
Main Results:
- Pim-2 is highly expressed in MM and upregulated by the bone marrow microenvironment.
- Pim-2 promotes MM cell proliferation, survival, and bone destruction.
- Pim kinases may also influence malignant cell trafficking, oncogenic signaling, and therapy resistance.
- The Pim inhibitor LGH447 has demonstrated single-agent activity in MM.
Conclusions:
- Pim-2 is a crucial therapeutic target in multiple myeloma.
- Pim inhibition holds promise for improving MM treatment outcomes.
- Combination therapies involving Pim inhibitors may enhance clinical benefit in MM.
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