Soluble B-cell maturation antigen in multiple myeloma Review


Authors: Costa, B. A.; Ortiz, R. J.; Lesokhin, A. M.; Richter, J.
Review Title: Soluble B-cell maturation antigen in multiple myeloma
Abstract: B-cell maturation antigen (BCMA) has emerged as a promising immunotherapeutic target in multiple myeloma (MM) management, with the successive approval of antibody-drug conjugates, bispecific antibodies, and chimeric antigen receptor T-cell therapies directed to this membrane receptor. Soluble BCMA (sBCMA), a truncated version produced through gamma-secretase cleavage, can be quantified in serum/plasma samples from patients with MM via electrochemiluminescence, fluorescence, or enzyme-linked immunosorbent assays, as well as through mass spectrometry-based proteomics. Besides its short serum half-life and independence from kidney function, sBCMA represents a reliable and convenient tool for MM monitoring in patients with nonsecretory or oligosecretory disease. Numerous studies have suggested a potential utility of this bioanalyte in the risk stratification of premalignant plasma cell disorders, diagnosis and prognostication of MM, and response evaluation following anti-myeloma therapies. In short, sBCMA might be the “Swiss army knife” of MM laboratory testing, but is it ready for prime time?. © 2024 Wiley Periodicals LLC.
Keywords: protein expression; lenalidomide; cancer recurrence; neurotoxicity; mass spectrometry; protein blood level; cancer immunotherapy; multiple cycle treatment; multiple myeloma; pathology; proteomics; enzyme linked immunosorbent assay; diagnostic value; quantitative analysis; drug response; methylprednisolone; drug half life; fluorescence analysis; adoptive immunotherapy; immunotherapy, adoptive; amyloid precursor protein secretases; secretase; cytokine release syndrome; liquid chromatography-mass spectrometry; antibodies, bispecific; cancer prognosis; bispecific antibody; ruxolitinib; smoldering multiple myeloma; humans; human; article; b cell maturation antigen; monoclonal gammopathy of undetermined significance; antibody drug conjugate; b-cell maturation antigen; chimeric antigen receptor t-cell immunotherapy; sandwich elisa; belantamab mafodotin; ciltacabtagene autoleucel; elranatamab; teclistamab; idecabtagene vicleucel; forimtamig; linvoseltamab; orvacabtagene autoleucel; talquetamab; electrochemiluminescence immunoassay
Journal Title: American Journal of Hematology
Volume: 99
Issue: 4
ISSN: 0361-8609
Publisher: John Wiley & Sons, Inc.  
Date Published: 2024-04-01
Start Page: 727
End Page: 738
Language: English
DOI: 10.1002/ajh.27225
PUBMED: 38270277
PROVIDER: scopus
DOI/URL:
Notes: Article -- Source: Scopus
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  1. Alexander Meyer Lesokhin
    363 Lesokhin
  2. Bruno Almeida Costa
    12 Costa