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Author Spotlight: Exploring the Role of Ion Channels in Cancer: Characterization and Potential Treatment Approaches
Published on: June 16, 2023
Ion Channels in Multiple Myeloma: Pathogenic Role and Therapeutic Perspectives
Ilaria Saltarella1, Concetta Altamura1, Aurelia Lamanuzzi2
1Department of Biomedical Sciences and Human Oncology, Section of Pharmacology, University of Bari Aldo Moro Medical School, Piazza Giulio Cesare 11, I-70124 Bari, Italy.
Abstract:
Ion channels are pore-forming proteins that allow ions to flow across plasma membranes and intracellular organelles in both excitable and non-excitable cells. They are involved in the regulation of several biological processes (i.e., proliferation, cell volume and shape, differentiation, migration, and apoptosis). Recently, the aberrant expression of ion channels has emerged as an important step of malignant transformation, tumor progression, and drug resistance, leading to the idea of "onco-channelopathy". Here, we review the contribution of ion channels and transporters in multiple myeloma (MM), a hematological neoplasia characterized by the expansion of tumor plasma cells (MM cells) in the bone marrow (BM). Deregulation of ion channels sustains MM progression by modulating intracellular pathways that promote MM cells' survival, proliferation, and drug resistance. Finally, we focus on the promising role of ion channels as therapeutic targets for the treatment of MM patients in a combination strategy with currently used anti-MM drugs to improve their cytotoxic activity and reduce adverse effects.
Insights
Ion channels, implicated in cancer as "onco-channelopathies," are crucial in multiple myeloma (MM) progression. Targeting these ion channels offers a promising therapeutic strategy to enhance anti-MM drug efficacy.
Area of Science:
- Molecular Biology
- Cell Biology
- Oncology
Background:
- Ion channels regulate essential cellular functions like proliferation and apoptosis.
- Aberrant ion channel expression is linked to cancer development and drug resistance, termed "onco-channelopathy."
- Multiple myeloma (MM) is a hematological cancer driven by malignant plasma cells in the bone marrow.
Purpose of the Study:
- To review the role of ion channels and transporters in multiple myeloma.
- To highlight how ion channel deregulation promotes MM cell survival, proliferation, and drug resistance.
- To explore the potential of ion channels as therapeutic targets in MM treatment.
Main Methods:
- Literature review of studies on ion channels in multiple myeloma.
- Analysis of the impact of ion channel dysregulation on MM pathogenesis.
- Evaluation of ion channels as therapeutic targets in MM.
Main Results:
- Ion channel deregulation significantly contributes to MM progression.
- Targeting ion channels can modulate intracellular pathways crucial for MM cell survival and proliferation.
- Ion channels play a role in MM drug resistance.
Conclusions:
- Ion channels are critical regulators of multiple myeloma.
- Targeting ion channels presents a promising therapeutic avenue for MM.
- Combination strategies involving ion channel modulators could improve MM treatment outcomes and reduce side effects.
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