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Updated: Jan 31, 2026

Nerve Stem Cell Differentiation by a One-step Cold Atmospheric Plasma Treatment In Vitro
Published on: January 11, 2019
Recent advances in the pathophysiology and treatment of plasma cell dyscrasias
1Division of Clinical Oncology/Hematology, Department of Internal Medicine, The Jikei University School of Medicine, 3-25-8 Nishi-Shimbashi, Minato-Ku, Tokyo, 105-0003, Japan. kaz-suzuki@jikei.ac.jp.
Abstract:
Multiple myeloma is an incurable plasma cell malignancy. Its prognosis improved with the introduction of proteasome inhibitors, immunomodulatory drugs, and monoclonal antibodies, but outcomes for triple-class-exposed (TCE) myeloma remained poor. New therapeutic options including CAR-T cell therapy and bispecific antibodies have now further improved prognosis, even in TCE myeloma. While true cure remains challenging, functional cure, defined as long-term disease control through a favorable immune environment suppressing minimal residual disease (MRD), is currently considered a realistic therapeutic goal.
Insights
Multiple myeloma prognosis has improved with new therapies, especially for triple-class-exposed (TCE) patients. Functional cure, involving long-term disease control and suppressed minimal residual disease (MRD), is now a realistic goal.
Area of Science:
- Hematology
- Oncology
- Immunology
Background:
- Multiple myeloma is an incurable plasma cell cancer.
- Previous treatments improved outcomes but not for triple-class-exposed (TCE) patients.
Purpose of the Study:
- To review advancements in multiple myeloma treatment.
- To highlight improved outcomes in TCE myeloma with novel therapies.
- To define functional cure as a therapeutic goal.
Main Methods:
- Literature review of recent clinical trials and therapeutic advancements.
- Analysis of treatment outcomes in triple-class-exposed multiple myeloma.
- Definition and exploration of functional cure in multiple myeloma.
Main Results:
- CAR-T cell therapy and bispecific antibodies significantly improved prognosis in TCE myeloma.
- Functional cure, characterized by sustained MRD suppression, is achievable.
- A favorable immune microenvironment is key for long-term disease control.
Conclusions:
- Novel therapies offer new hope for previously refractory multiple myeloma.
- Functional cure represents a shift towards long-term management rather than complete eradication.
- Continued research into immune modulation is crucial for achieving functional cure.
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