Bortezomib in the Treatment of Multiple Myeloma by Alfred L. Goldberg (auth.), Irene M. Ghobrial, Paul G.

By Alfred L. Goldberg (auth.), Irene M. Ghobrial, Paul G. Richardson, Kenneth C. Anderson (eds.)

Multiple Myeloma (MM) is the second one most typical form of blood melanoma, as a result of an overproduction of cancerous infection-fighting white blood cells, referred to as plasma cells. Plasma cells are an important a part of the immune method accountable for the creation of antibodies. Bortezomib is a promising anticancer drug concentrating on the proteasome. This proteasome inhibitor induces telephone tension and apoptosis within the melanoma cells. whereas a number of mechanisms usually are concerned, proteasome inhibition could hinder the degradation of pro-apoptotic elements, allowing activation of programmed telephone demise in neoplastic cells established upon the suppression of proapoptotic pathways. This monograph on bortezomib is a beneficial resource of knowledge for researchers and clinicians from the fields of oncology and pharmacology, operating both in academia or the pharmaceutical industry.

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Extra info for Bortezomib in the Treatment of Multiple Myeloma

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Dr. Goldberg receives royalty income from Millennium, Inc. He also has received special considerations and help from his wife, Dr. Joan Goldberg, a practicing hematologist, who thanks to bortezomib is now convinced that working on the proteasome is a worthwhile activity. References 1. Goldberg AL (1969) Protein turnover in skeletal muscle II: effects of denervation and cortisone on protein catabolism in skeletal muscle. J Biol Chem 244:3223–3229 2. Mitch WE, Goldberg AL (1996) Mechanisms of muscle wasting.

Caspase-3 induces DNA damage, which activates p53. Activation caspase-3 also cleaves DNA-PKcs and ATM/ATR proteins, as well as gp130, resulting in impaired DNA repair and response to IL-6, respectively. Although bortezomib triggers ER stress, it also blocks IRE1a and XBP1 splicing, thereby inhibiting its transcriptional activity bone disease and the effects of bortezomib in bone remodeling, specifically on osteoblasts and osteoclasts, have recently been reported [28, 29]. Specifically, bortezomib significantly induced a stimulatory effect on osteoblast markers in human mesenchymal stem cells (MSCs) without affecting the number of osteoblast progenitors in BM cultures or the viability of mature osteoblasts, associated with upregulated runt-related transcription factor 2 (Runx2)/Cbfa1 activity in human osteoblast progenitors and osteoblasts.

Joan Goldberg, a practicing hematologist, who thanks to bortezomib is now convinced that working on the proteasome is a worthwhile activity. References 1. Goldberg AL (1969) Protein turnover in skeletal muscle II: effects of denervation and cortisone on protein catabolism in skeletal muscle. J Biol Chem 244:3223–3229 2. Mitch WE, Goldberg AL (1996) Mechanisms of muscle wasting. The role of the ubiquitinproteasome pathway. L. Goldberg 3. Lecker SH et al (1999) Muscle protein breakdown and the critical role of the ubiquitinproteasome pathway in normal and disease states.

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