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High-burden protein homeostasis: An emerging therapeutic target and research progress in multiple myeloma
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Meng-jie GUO, Xiao-zhu TANG, Chun-yan GU, Ye YANG*
Acta Pharmaceutica Sinica | 2026, 61(6) : 1935 - 1949
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Acta Pharmaceutica Sinica | 2026, 61(6): 1935-1949
• Special Reports: Frontier Target Discovery and Molecular Pharmacological Mechanisms of Major Diseases •
High-burden protein homeostasis: An emerging therapeutic target and research progress in multiple myeloma
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Meng-jie GUO, Xiao-zhu TANG, Chun-yan GU, Ye YANG*
Affiliations
  • School of Medicine, Nanjing University of Chinese Medicine, Nanjing 210023, China
Published: 2026-06-12 doi: 10.16438/j.0513-4870.2025-0582
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Multiple myeloma (MM) is a malignant hematological cancer that originates from plasma cells in the bone marrow. The disease is characterized by abnormal proliferation of clonal plasma cells and excessive secretion of monoclonal immunoglobulin. High protein load is a common feature of various malignant tumors, resulting from abnormal protein synthesis, folding errors, post-translational modifications (PTMs), and imbalances in the protein degradation system. The bone marrow microenvironment also plays a role in these processes. Interestingly, while high protein levels are toxic to normal cells, cancer cells actually rely on this stress to grow and survive. MM cells, in particular, produce large amounts of immunoglobulins, which contribute to their malignant progression. This review provides a comprehensive overview of current and investigational treatments for MM, as well as the key molecular pathways involved in maintaining protein homeostasis. Special attention is given to the role of PTMs in shaping the high protein load phenotype in MM cells. These findings are in line with the traditional Chinese medicine concept of "cancer toxin" and may offer new insights for developing therapeutic strategies that target proteotoxic stress.

multiple myeloma  /  high-burden protein homeostasis  /  proteasome  /  post-translational modification  /  cancer toxin
郭梦婕, 唐校柱, 顾春艳, 杨烨. 高负荷蛋白稳态: 多发性骨髓瘤治疗的新兴靶点与研究进展. 药学学报, 2026 , 61 (6) : 1935 -1949 . DOI: 10.16438/j.0513-4870.2025-0582
Meng-jie GUO, Xiao-zhu TANG, Chun-yan GU, Ye YANG. High-burden protein homeostasis: An emerging therapeutic target and research progress in multiple myeloma[J]. Acta Pharmaceutica Sinica, 2026 , 61 (6) : 1935 -1949 . DOI: 10.16438/j.0513-4870.2025-0582
Year 2026 volume 61 Issue 6
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170
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doi: 10.16438/j.0513-4870.2025-0582
  • Receive Date:2025-05-22
  • Online Date:2026-09-21
  • Published:2026-06-12
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  • Received:2025-05-22
  • Revised:2025-07-30
Affiliations
    School of Medicine, Nanjing University of Chinese Medicine, Nanjing 210023, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
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属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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