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Navigating the Clinical Landscape: Update on the Diagnostic and Prognostic Biomarkers in Multiple Myeloma

Overview
Journal Mol Biol Rep
Specialty Molecular Biology
Date 2024 Sep 9
PMID 39249557
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Abstract

Multiple myeloma, a complex hematologic malignancy, has devastating consequences for patients, including dramatic bone loss, severe bone pain, and pathological fractures that markedly decrease the quality of life and impact the survival of affected patients. This necessitates a refined understanding of biomarkers for accurate diagnosis and prognosis of such severe malignancy. Therefore, this article comprehensively covers current research, elucidating the diverse spectrum of biomarkers employed in clinical settings. From traditional serum markers to advanced molecular profiling techniques, the review provides a thorough examination of their utility and limitations. Through this scoping review, emphasis is placed on the evolving landscape of personalized medicine, where biomarkers play a pivotal role in tailoring therapeutic strategies. The integration of genomic, proteomic, next generation sequencing and flow cytometric data further enriches the discussion, unravelling the molecular intricacies underlying disease progression. The updated criteria allow for the treatment of people who clearly would benefit from therapy and might live longer if treated before significant organ damage occurs. Navigating through the evolving diagnostic and prognostic paradigms in multiple myeloma, this article equips clinicians and researchers with crucial insights for optimizing patient care and advancing future therapeutic approaches.

References
1.
Cowan A, Green D, Kwok M, Lee S, Coffey D, Holmberg L . Diagnosis and Management of Multiple Myeloma: A Review. JAMA. 2022; 327(5):464-477. DOI: 10.1001/jama.2022.0003. View

2.
Grant S, Wildes T, Rosko A, Silberstein J, Giri S . A real-world data analysis of predictors of early mortality after a diagnosis of multiple myeloma. Cancer. 2023; 129(13):2023-2034. PMC: 10330042. DOI: 10.1002/cncr.34760. View

3.
Nieto M, Hedjar A, Locke M, Caro J, Saif M . Analysis of Updates in Multiple Myeloma Treatment and Management. J Clin Haematol. 2023; 4(1):35-42. PMC: 10673627. DOI: 10.33696/haematology.4.055. View

4.
Bangolo A, Fwelo P, Trivedi C, Sagireddy S, Aljanaahi H, Auda A . Interaction between age and gender on survival outcomes in extramedullary multiple myeloma over the past two decades. World J Clin Oncol. 2023; 14(4):179-189. PMC: 10134202. DOI: 10.5306/wjco.v14.i4.179. View

5.
Ho M, Patel A, Goh C, Moscvin M, Zhang L, Bianchi G . Changing paradigms in diagnosis and treatment of monoclonal gammopathy of undetermined significance (MGUS) and smoldering multiple myeloma (SMM). Leukemia. 2020; 34(12):3111-3125. DOI: 10.1038/s41375-020-01051-x. View