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Updated: Feb 7, 2026

Examining BCL-2 Family Function with Large Unilamellar Vesicles
Published on: October 5, 2012
Targeting Bcl-2 for the treatment of multiple myeloma
Cyrille Touzeau1,2,3, Paulo Maciag4, Martine Amiot5,6,7
1Department of Hematology, Centre Hospitalier Universitaire, Nantes, France. cyrille.touzeau@chu-nantes.fr.
Abstract:
Despite advances in the treatment of multiple myeloma, the disease still remains incurable for the majority of patients. The overexpression of anti-apoptotic proteins (i.e., Bcl-2, Bcl-XL or Mcl-1) is a hallmark of cancer and favors tumor cell survival and resistance to therapy. The oral drug venetoclax is the first-in-class Bcl-2-specific BH3 mimetic. In myeloma, in vitro sensitivity to venetoclax is mainly observed in plasma cells harboring the t(11;14) translocation, a molecular subgroup associated with high Bcl-2 and low Mcl-1/Bcl-XL expression. In addition with Bcl-2 members expression profile, functional tests as BH3 profiling or in vitro BH3 mimetic drug testing also predict sensitivity to the drug. Phase 1 clinical trials recently confirmed the efficacy of venetoclax monotherapy in heavily pretreated myeloma patients, mostly in patients with t(11;14). In combination with the proteasome inhibitor bortezomib, venetoclax therapy was found to be feasible and allowed promising response rate in relapsed myeloma patients, independent of t(11;14) status. The present review summarizes the current knowledge, "from bench to bedside", about venetoclax for the treatment of multiple myeloma.
Insights
Venetoclax, a Bcl-2 inhibitor, shows promise for treating multiple myeloma, particularly in patients with the t(11;14) translocation. Combination therapy with bortezomib offers further efficacy in relapsed myeloma.
Area of Science:
- Oncology
- Hematology
- Pharmacology
Background:
- Multiple myeloma remains largely incurable despite treatment advances.
- Overexpression of anti-apoptotic proteins like Bcl-2 drives cancer cell survival and therapy resistance.
- Venetoclax targets Bcl-2, offering a novel therapeutic strategy.
Purpose of the Study:
- To review the current understanding of venetoclax for multiple myeloma treatment.
- To bridge the gap between preclinical research and clinical application.
- To explore venetoclax's efficacy in various myeloma contexts.
Main Methods:
- Review of preclinical data and clinical trial results.
- Analysis of venetoclax's mechanism of action as a BH3 mimetic.
- Evaluation of patient subgroups, including those with t(11;14) translocation.
Main Results:
- Venetoclax monotherapy is effective in heavily pretreated myeloma patients, especially with t(11;14).
- In vitro sensitivity correlates with Bcl-2 expression and t(11;14) status.
- Combination with bortezomib shows feasibility and promising responses, irrespective of t(11;14).
Conclusions:
- Venetoclax represents a significant advancement in multiple myeloma therapy.
- Targeting Bcl-2 offers a viable strategy, particularly for specific molecular subgroups.
- Further research and clinical trials are warranted to optimize venetoclax-based treatments.
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