Novel Strategies for Immunotherapy in Multiple Myeloma: Previous Experience and Future Directions

Multiple myeloma (MM) is a life-threatening haematological malignancy for which standard therapy is inadequate. Autologous stem cell transplantation is a relatively effective treatment, but residual malignant sites may cause relapse. Allogeneic transplantation may result in durable responses due t...

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Main Authors: Ivetta Danylesko, Katia Beider, Avichai Shimoni, Arnon Nagler
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1155/2012/753407
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author Ivetta Danylesko
Katia Beider
Avichai Shimoni
Arnon Nagler
author_facet Ivetta Danylesko
Katia Beider
Avichai Shimoni
Arnon Nagler
author_sort Ivetta Danylesko
collection DOAJ
description Multiple myeloma (MM) is a life-threatening haematological malignancy for which standard therapy is inadequate. Autologous stem cell transplantation is a relatively effective treatment, but residual malignant sites may cause relapse. Allogeneic transplantation may result in durable responses due to antitumour immunity mediated by donor lymphocytes. However, morbidity and mortality related to graft-versus-host disease remain a challenge. Recent advances in understanding the interaction between the immune system of the patient and the malignant cells are influencing the design of clinically more efficient study protocols for MM. Cellular immunotherapy using specific antigen-presenting cells (APCs), to overcome aspects of immune incompetence in MM patients, has received great attention, and numerous clinical trials have evaluated the potential for dendritic cell (DC) vaccines as a novel immunotherapeutic approach. This paper will summarize the data investigating aspects of immunity concerning MM, immunotherapy for patients with MM, and strategies, on the way, to target the plasma cell more selectively. We also include the MM antigens and their specific antibodies that are of potential use for MM humoral immunotherapy, because they have demonstrated the most promising preclinical results.
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spelling doaj-art-a04eafc67c174775b5da4b4516f1376a2025-08-20T02:20:51ZengWileyClinical and Developmental Immunology1740-25221740-25302012-01-01201210.1155/2012/753407753407Novel Strategies for Immunotherapy in Multiple Myeloma: Previous Experience and Future DirectionsIvetta Danylesko0Katia Beider1Avichai Shimoni2Arnon Nagler3Division of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Center, Tel Aviv University, Tel Hashomer, IsraelDivision of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Center, Tel Aviv University, Tel Hashomer, IsraelDivision of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Center, Tel Aviv University, Tel Hashomer, IsraelDivision of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Center, Tel Aviv University, Tel Hashomer, IsraelMultiple myeloma (MM) is a life-threatening haematological malignancy for which standard therapy is inadequate. Autologous stem cell transplantation is a relatively effective treatment, but residual malignant sites may cause relapse. Allogeneic transplantation may result in durable responses due to antitumour immunity mediated by donor lymphocytes. However, morbidity and mortality related to graft-versus-host disease remain a challenge. Recent advances in understanding the interaction between the immune system of the patient and the malignant cells are influencing the design of clinically more efficient study protocols for MM. Cellular immunotherapy using specific antigen-presenting cells (APCs), to overcome aspects of immune incompetence in MM patients, has received great attention, and numerous clinical trials have evaluated the potential for dendritic cell (DC) vaccines as a novel immunotherapeutic approach. This paper will summarize the data investigating aspects of immunity concerning MM, immunotherapy for patients with MM, and strategies, on the way, to target the plasma cell more selectively. We also include the MM antigens and their specific antibodies that are of potential use for MM humoral immunotherapy, because they have demonstrated the most promising preclinical results.http://dx.doi.org/10.1155/2012/753407
spellingShingle Ivetta Danylesko
Katia Beider
Avichai Shimoni
Arnon Nagler
Novel Strategies for Immunotherapy in Multiple Myeloma: Previous Experience and Future Directions
Clinical and Developmental Immunology
title Novel Strategies for Immunotherapy in Multiple Myeloma: Previous Experience and Future Directions
title_full Novel Strategies for Immunotherapy in Multiple Myeloma: Previous Experience and Future Directions
title_fullStr Novel Strategies for Immunotherapy in Multiple Myeloma: Previous Experience and Future Directions
title_full_unstemmed Novel Strategies for Immunotherapy in Multiple Myeloma: Previous Experience and Future Directions
title_short Novel Strategies for Immunotherapy in Multiple Myeloma: Previous Experience and Future Directions
title_sort novel strategies for immunotherapy in multiple myeloma previous experience and future directions
url http://dx.doi.org/10.1155/2012/753407
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