Table 2.

Key preclinical studies informing the role of the IBME in MM

Preclinical modelKey findingRelevance to IBMEReference
Mouse models Defined the concept of tumor immunoediting (elimination, equilibrium, escape) Basis for understanding immune control and evasion in MM 66  
Human MGUS patient samples + functional assays Identified SOX2-specific T-cell immunity delaying MM progression Highlights antigen-specific T-cell surveillance in early MM 67  
In vitro studies on soluble MICA Soluble MICA impairs NKG2D function on NK cells and T cells Mechanism of immune escape via downregulating NK/T cytotoxicity 68  
Mouse models + human samples DNAM-1 (CD226) is critical for NK cell antimyeloma immunity Reinforces importance of NK cytotoxic checkpoints 69  
Mouse models of CAR-T resistance Targeting cancer-associated fibroblasts restores CAR-T function Highlights the role of BM niche in therapy resistance 58  
CS1 CAR T cells + lenalidomide Lenalidomide enhances CAR-T function Shows immunomodulatory agents synergize with immune effectors 57  
Humanized mouse models Microenvironment supports premalignant and malignant PCs Demonstrates early microenvironmental dependency in MM 70  
Preclinical modelKey findingRelevance to IBMEReference
Mouse models Defined the concept of tumor immunoediting (elimination, equilibrium, escape) Basis for understanding immune control and evasion in MM 66  
Human MGUS patient samples + functional assays Identified SOX2-specific T-cell immunity delaying MM progression Highlights antigen-specific T-cell surveillance in early MM 67  
In vitro studies on soluble MICA Soluble MICA impairs NKG2D function on NK cells and T cells Mechanism of immune escape via downregulating NK/T cytotoxicity 68  
Mouse models + human samples DNAM-1 (CD226) is critical for NK cell antimyeloma immunity Reinforces importance of NK cytotoxic checkpoints 69  
Mouse models of CAR-T resistance Targeting cancer-associated fibroblasts restores CAR-T function Highlights the role of BM niche in therapy resistance 58  
CS1 CAR T cells + lenalidomide Lenalidomide enhances CAR-T function Shows immunomodulatory agents synergize with immune effectors 57  
Humanized mouse models Microenvironment supports premalignant and malignant PCs Demonstrates early microenvironmental dependency in MM 70  

BM, bone marrow.

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