miRNAs driving diagnosis, progression, and drug resistance in multiple myeloma

Pathol Res Pract. 2023 Aug:248:154704. doi: 10.1016/j.prp.2023.154704. Epub 2023 Jul 22.

Abstract

Multiple myeloma (MM) is a tumor of transformed plasma cells. It's the second most common hematologic cancer after non-Hodgkin lymphoma. MM is a complex disease with many different risk factors, including ethnicity, race, and epigenetics. The microRNAs (miRNAs) are a critical epigenetic factor in multiple myeloma, influencing key aspects such as pathogenesis, prognosis, and resistance to treatment. They have the potential to assist in disease diagnosis and modulate the resistance behavior of MM towards therapeutic regimens. These characteristics could be attributed to the modulatory effects of miRNAs on some vital pathways such as NF-KB, PI3k/AKT, and P53. This review discusses the role of miRNAs in MM with a focus on their role in disease progression, diagnosis, and therapeutic resistance.

Keywords: Diagnosis; Drug resistance; MM; Multiple myeloma; Progression; miRNAs.

Publication types

  • Review

MeSH terms

  • Drug Resistance, Neoplasm / genetics
  • Gene Expression Regulation, Neoplastic
  • Humans
  • MicroRNAs* / metabolism
  • Multiple Myeloma* / diagnosis
  • Multiple Myeloma* / drug therapy
  • Multiple Myeloma* / genetics
  • Phosphatidylinositol 3-Kinases / metabolism
  • Prognosis

Substances

  • MicroRNAs
  • Phosphatidylinositol 3-Kinases