Shaping the Treatment Paradigm Based on the Current Understanding of the Pathobiology of Multiple Myeloma: An Overview
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Updated: Nov 28, 2025

Establishment of a Human Multiple Myeloma Xenograft Model in the Chicken to Study Tumor Growth, Invasion and Angiogenesis
Published on: May 1, 2015
Slavisa Ninkovic1,2, Hang Quach1,2
1Department of Haematology, St. Vincent's Hospital Melbourne, Fitzroy, VIC 3065, Australia.
Abstract:
Multiple myeloma is an incurable malignancy which despite progressive improvements in overall survival over the last decade remains characterised by recurrent relapse with progressively shorter duration of response and treatment-free intervals with each subsequent treatment. Efforts to unravel the complex and heterogeneous genomic alterations, the marked dysregulation of the immune system and the multifarious interplay between malignant plasma cells and those of the tumour microenvironment have not only led to improved understanding of myelomagenesis and disease progression but have facilitated the rapid development of novel therapeutics including immunotherapies and small molecules bringing us a step closer to therapies that no doubt will extend survival. Novel therapeutic combinations both in the upfront and relapsed setting as well as novel methods to assess response and guide management are rapidly transforming the management of myeloma.
Insights
Multiple myeloma, a cancer of plasma cells, frequently relapses. Ongoing research into its genetics and immune interactions is driving the development of new immunotherapies and small molecules to improve patient survival.
Area of Science:
- Hematology
- Oncology
- Immunology
Background:
- Multiple myeloma is a complex, incurable blood cancer characterized by frequent relapses.
- Despite survival improvements, relapses become more aggressive with each treatment cycle.
Purpose of the Study:
- To summarize recent advancements in understanding multiple myeloma pathogenesis.
- To highlight the development of novel therapeutics and management strategies.
Main Methods:
- Review of current research on genomic alterations in multiple myeloma.
- Analysis of immune system dysregulation in the myeloma tumor microenvironment.
- Evaluation of emerging immunotherapies and small molecule drugs.
Main Results:
- Understanding of myelomagenesis and disease progression has significantly improved.
- Novel therapeutics, including immunotherapies, are rapidly being developed.
- New methods for assessing response and guiding treatment are emerging.
Conclusions:
- Advances in understanding myeloma biology are accelerating the development of life-extending therapies.
- Novel therapeutic combinations and improved management strategies are transforming patient care.
- The future of multiple myeloma treatment involves personalized approaches based on molecular and immune profiles.
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05:32Multimodal Bioluminescent and Positronic-emission Tomography/Computational Tomography Imaging of Multiple Myeloma Bone Marrow Xenografts in NOG Mice
Published on: January 7, 2019
09:41An Organotypic High Throughput System for Characterization of Drug Sensitivity of Primary Multiple Myeloma Cells
Published on: July 15, 2015
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