Novel agents for multiple myeloma bone disease
10.3760/cma.j.issn.1009-9921.2014.02.020
- VernacularTitle:多发性骨髓瘤骨病的新药治疗
- Author:
Guangzhong YANG
- Publication Type:Journal Article
- Keywords:
Multiple myeloma;
Bone disease;
Novel agent
- From:
Journal of Leukemia & Lymphoma
2014;23(2):123-127
- CountryChina
- Language:Chinese
-
Abstract:
Bone disease is a major morbidity factor in patients with multiple myeloma and significantly affects their overall survival.A complex interplay between malignant plasma cells and other marrow cells results in the generation of a microenvironment to enhance both tumor growth and bone destruction.Bisphosphonates have consistently reduced the incidence of skeletal-related events in patients with multiple myeloma.However,their use is burdened with side-effects,including the risks of osteonecrosis of the jaw and kidney failure,suggesting that they should be discontinued after prolonged administration.New molecular targets of cell cross-talk in myeloma bone marrow are therefore under intensive investigation and new drugs are exploring in preclinical and clinical studies of myeloma bone disease.This review would focus on novel agents in myeloma bone disease.