Updates in Hematology

🔎 LITERATURE REVIEW

Here is a comprehensive review on MM: https://lnkd.in/danyHAYD

🧪 TRANSLATIONAL RESEARCH

💡 “Hallmarks of T-cell exhaustion and antigen experience are absent in multiple myeloma from diagnosis to maintenance therapy” : https://lnkd.in/dbsek8aM

  • The study addresses whether T-cell exhaustion is a common feature in newly diagnosed multiple myeloma patients, potentially explaining the immune evasion of cancer cells.
  • However, through extensive single-cell multiomic and functional profiling, the authors found no evidence of T-cell exhaustion.
  • The lack of exhausted T cells could partially explain why anti-PD-1 therapies—which aim to reinvigorate exhausted T cells—have been largely unsuccessful in MM.

💡 “Engineering anti-BCMA CAR T cells for enhancing myeloma killing efficacy via apoptosis regulation” : https://lnkd.in/d-7bxA63

 

 

  • Anti-BCMA CAR-T cells were engineered to release a granzyme B–NOXA fusion protein, enabling them to overcome apoptosis resistance in myeloma cells.
  • The targeted delivery of MCL-1 inhibitory molecules has the potential to be applied to a broader range of cancers characterised by apoptosis resistance.

💊 CLINICAL TRIALS

💡 “Impact of clonal hematopoiesis on clinical outcomes to BCMA CAR-T in multiple myeloma” : https://lnkd.in/dk6Cwkm5

 

  • The authors evaluated the impact of clonal hematopoiesis of indeterminate potential (CHIP) on the efficacy and safety of BCMA CAR-T therapy in MM patients. This was motivated by preclinical studies suggesting that CHIP can modulate immune cell interactions.
  • Interestingly, the authors found that CHIP was not associated with therapy response or survival outcomes.
  • However, CHIP was linked to delayed hematopoietic recovery after therapy—a condition that can predispose MM patients to severe infections, a frequent cause of death following CAR-T therapy.

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