Article(id=1292126448396034510, tenantId=1146029695717560320, journalId=1246415772164075586, issueId=1292126409196064779, articleNumber=null, orderNo=null, doi=10.13699/j.cnki.1001-6821.2026.02.001, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1766332800000, receivedDateStr=2025-12-22, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1785996551845, onlineDateStr=2026-08-06, pubDate=1769529600000, pubDateStr=2026-01-28, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1785996551845, onlineIssueDateStr=2026-08-06, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1785996551845, creator=13701087609, updateTime=1785996551845, updator=13701087609, issue=Issue{id=1292126409196064779, tenantId=1146029695717560320, journalId=1246415772164075586, year='2026', volume='42', issue='2', pageStart='151', pageEnd='300', issueExtLink='null', onlineDate='null', pubDate='1769529600000', pubDateStr='2026-01-28', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1785996542500, creator='13701087609', updateTime=1786014671444, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1292202447569707674, tenantId=1146029695717560320, journalId=1246415772164075586, issueId=1292126409196064779, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1292202447569707675, tenantId=1146029695717560320, journalId=1246415772164075586, issueId=1292126409196064779, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=151, endPage=157, ext={EN=ArticleExt(id=1292126448811270607, articleId=1292126448396034510, tenantId=1146029695717560320, journalId=1246415772164075586, language=EN, title=Effect of daratumumab on the levels of
miR-140-5
p,
miR-17-3
p and
miR-29
c in patients with relapsed and refractory multiple myeloma, columnId=1246531407326105792, journalTitle=Chinese Journal of Clinical Pharmacology, columnName=Clinical and Basic Bridging Research, runingTitle=null, highlight=null, articleAbstract=
Objective To investigate the effect of daratumumab on the levels of serum micro ribonucleic acid (miR) miR-140-5p, miR-17-3p and miR-29c in patients with relapsed and refractory multiple myeloma (RRMM).
Methods In this study, 92 RRMM patients included in the study were divided into control and study groups by random number table method, 46 cases in each group. All cases were admitted to the Affiliated Hospital of Nantong University from January 2022 to January 2025. The control group was treated with VRD regimen (bortezomib, dexamethasone, lenalidomide), and the study group was treated with DVD regimen (daratumumab, bortezomib, dexamethasone). Both groups were treated for 21 d as a course of treatment, a total of 4 courses of treatment. The efficacy after 4 course of treatment, T lymphocyte subsets, inflammation-related indicators, serum miR-140-5p, miR-17-3p, miR-29c levels before and after 4 course of treatment, and safety were compared between the two groups.
Results Compared with the control group (65.22%), the total remission rate (84.78%) of the study group after 4 course of treatment was higher (P<0.05). Compared with before treatment, the levels of peripheral blood CD3+, CD4+, CD4+/CD8+ and serum interferon-γ (IFN-γ), miR-140-5p and miR-29c increased after 4 course of treatment in the two groups, and the study group were higher; the levels of peripheral blood CD8+, serum C-reactive protein (CRP), transforming growth factor-β (TGF-β) and miR-17-3p decreased, and the study group were lower (all P<0.05). No significant difference was observed between the two groups in terms of safety (P>0.05).
Conclusion Daratumumab could effectively regulate T lymphocyte subsets, inflammation-related indicators and serum levels of miR-140-5p, miR-17-3p and miR-29c in RRMM patients, improve the immune function of the body, reduce the inflammatory response of the body. The curative effect was significant and the safety was good.
, authors=Ting HU
1, Bei-bei YU
2, Hai-yan ZHANG
3, authorsList=Ting HU, Bei-bei YU, Hai-yan ZHANG, authorCompany=null, correspAuthors=Hai-yan ZHANG, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1292126449293615568, articleId=1292126448396034510, tenantId=1146029695717560320, journalId=1246415772164075586, language=CN, title=达雷妥尤单抗对复发难治性多发性骨髓瘤患者
miR-140-5
p、
miR-17-3
p、
miR-29
c水平的影响, columnId=1246531407485489349, journalTitle=中国临床药理学杂志, columnName=临床与基础桥接研究, runingTitle=null, highlight=null, articleAbstract=
目的 探讨达雷妥尤单抗对复发难治性多发性骨髓瘤（RRMM）患者血清微小核糖核酸（miR）miR-140-5p、miR-17-3p、miR-29c水平的影响。
方法 本研究采用随机数字表法，将92例纳入研究的RRMM患者分为对照组与研究组，每组各46例。所有病例均于2022年1月至2025年1月期间收治于南通大学附属医院。对照组给予硼替佐米+地塞米松+来那度胺方案（VRD方案），研究组给予达雷妥尤单抗+硼替佐米+地塞米松方案（DVD方案），两组均以21 d为1个疗程，共治疗4个疗程。比较两组治疗4个疗程后的疗效，治疗前和治疗4个疗程后的T淋巴细胞亚群、炎症相关指标、血清miR-140-5p、miR-17-3p、miR-29c水平以及治疗期间的安全性。
结果 较对照组（65.22%），研究组治疗4个疗程后的总缓解率（84.78%）更高（P<0.05）。与治疗前比较，两组治疗4个疗程后的外周血CD3+、CD4+、CD4+/CD8+及血清干扰素-γ（IFN-γ）、miR-140-5p、miR-29c水平升高，研究组更高；外周血CD8+及血清C反应蛋白（CRP）、转化生长因子-β（TGF-β）、miR-17-3p水平降低，研究组更低（均P<0.05）。两组安全性对比无差异（P>0.05）。
结论 达雷妥尤单抗可有效调节RRMM患者T淋巴细胞亚群、炎症相关指标及血清miR-140-5p、miR-17-3p、miR-29c水平，改善机体免疫功能，减轻机体炎症反应，疗效显著，且安全性良好。
, authors=胡婷
1, 余蓓蓓
2, 张海燕
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胡婷（1980-），女，主管药师，主要从事临床药学方面的研究
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