# Pterostilbene in the Management and Treatment of Multiple Myeloma

**Authors:** Benjamin S. Buehrer, Adam R. Grden, Ethan Johnson, Manav Y. Patel, Rupesh Raina

PMC · DOI: 10.3390/cimb48020216 · 2026-02-16

## TL;DR

Pterostilbene, a natural compound, may help treat multiple myeloma by inducing cancer cell death and limiting their growth.

## Contribution

The paper explores pterostilbene's potential as a supplementary treatment for multiple myeloma.

## Key findings

- Pterostilbene induces apoptosis in multiple myeloma cell lines.
- Synthetic derivatives of pterostilbene also show anti-neoplastic activity.
- Safety of pterostilbene has been evaluated with promising results.

## Abstract

Multiple Myeloma is a malignancy of the plasma cells of the bone marrow. This cancer rapidly becomes refractory to many of the currently available chemotherapeutic regimens used against it, requiring an alternative option or supplementary therapy. Pterostilbene is a naturally occurring compound in a variety of commonly consumed plants that exhibits strong antioxidant properties and, lately, has shown increasing activity as an anti-neoplastic compound. A review of the literature published since 2015 on Google Scholar and PubMed was conducted, with a focus on randomized controlled trials and an exclusion of review articles, unless pertinent to pathophysiology of Multiple Myeloma or background on Pterostilbene as a compound. Though data is limited in the use of Pterostilbene as an agent to combat Multiple Myeloma, studies have shown that it, along with synthetic derivatives, can induce apoptosis and limit proliferation of Multiple Myeloma cell lines. While safety has been evaluated in several settings with promising results, for Pterostilbene to be considered as a supplementary treatment in Multiple Myeloma, safe and effective doses of the compound in this patient population must be investigated and established via pre-clinical and clinical trials in the future.

## Linked entities

- **Chemicals:** Pterostilbene (PubChem CID 5281727)
- **Diseases:** Multiple Myeloma (MONDO:0009693)

## Full-text entities

- **Genes:** PRKAB1 (protein kinase AMP-activated non-catalytic subunit beta 1) [NCBI Gene 5564] {aka AMPK, HAMPKb}, Interleukin-6 [NCBI Gene 100628202], Mmp2 (matrix metallopeptidase 2) [NCBI Gene 17390] {aka Clg4a, GelA, MMP-2}, CASP3 (caspase 3) [NCBI Gene 836] {aka CPP32, CPP32B, SCA-1}, CYP2C8 (cytochrome P450 family 2 subfamily C member 8) [NCBI Gene 1558] {aka CPC8, CYP2C8DM, CYPIIC8, MP-12/MP-20}, Trp53-ps (transformation related protein 53, pseudogene) [NCBI Gene 22060], CDK6 (cyclin dependent kinase 6) [NCBI Gene 1021] {aka MCPH12, PLSTIRE}, GDNF (glial cell derived neurotrophic factor) [NCBI Gene 2668] {aka ATF, ATF1, ATF2, HFB1-GDNF, HSCR3}, MAF (MAF bZIP transcription factor) [NCBI Gene 4094] {aka AYGRP, CCA4, CTRCT21, c-MAF}, Mmp9 (matrix metallopeptidase 9) [NCBI Gene 17395] {aka B/MMP9, Clg4b, Gel B, MMP-9, pro-MMP-9}, IL6 (interleukin 6) [NCBI Gene 399500] {aka IL-6}, STAT3 (signal transducer and activator of transcription 3) [NCBI Gene 6774] {aka ADMIO, ADMIO1, APRF, HIES}, JUN (Jun proto-oncogene, AP-1 transcription factor subunit) [NCBI Gene 3725] {aka AP-1, AP1, c-Jun, cJUN, p39}, FOS (Fos proto-oncogene, AP-1 transcription factor subunit) [NCBI Gene 2353] {aka AP-1, C-FOS, p55}, Mapk14 (mitogen-activated protein kinase 14) [NCBI Gene 26416] {aka CSBP2, Crk1, Csbp1, Mxi2, PRKM14, PRKM15}, Abl1 (Abl proto-oncogene 1, non-receptor tyrosine kinase) [NCBI Gene 11350] {aka Abl, E430008G22Rik, c-Abl}, BAX (BCL2 associated X, apoptosis regulator) [NCBI Gene 581] {aka BCL2L4}, Mtor (mechanistic target of rapamycin kinase) [NCBI Gene 56717] {aka 2610315D21Rik, FRAP, FRAP2, Frap1, RAFT1, RAPT1}, IFNG (interferon gamma) [NCBI Gene 396991], CD38 (CD38 molecule) [NCBI Gene 952] {aka ADPRC 1, ADPRC1, cADPR1}, COX2 (cytochrome c oxidase subunit II) [NCBI Gene 4513] {aka COII, MTCO2}, Hspa1b (heat shock protein family A (Hsp70) member 1B) [NCBI Gene 15511] {aka HSP70B1, Hsp70, Hsp70-1, Hsp70.1, hsp68}, H3P16 (H3 histone pseudogene 16) [NCBI Gene 644914] {aka H3.6, H3F3AP6, p21}, CDK4 (cyclin dependent kinase 4) [NCBI Gene 1019] {aka CMM3, MCPH31, PSK-J3}, CCND1 (cyclin D1) [NCBI Gene 595] {aka BCL1, D11S287E, PRAD1, U21B31}, ABCB1 (ATP binding cassette subfamily B member 1) [NCBI Gene 5243] {aka ABC20, CD243, CLCS, ENPAT, GP170, MDR1}, MCL1 (MCL1 apoptosis regulator, BCL2 family member) [NCBI Gene 4170] {aka BCL2L3, EAT, MCL1-ES, MCL1L, MCL1S, Mcl-1}, MIR193B (microRNA 193b) [NCBI Gene 574455] {aka MIRN193B, mir-193b}, BCL2L1 (BCL2 like 1) [NCBI Gene 598] {aka BCL-XL/S, BCL2L, BCLX, Bcl-X, PPP1R52}, F3 (coagulation factor III, tissue factor) [NCBI Gene 2152] {aka CD142, TF, TFA}, BCL2 (BCL2 apoptosis regulator) [NCBI Gene 596] {aka Bcl-2, PPP1R50}, UGT1A6 (UDP glucuronosyltransferase family 1 member A6) [NCBI Gene 54578] {aka GNT1, HLUGP, HLUGP1, UDPGT 1-6, UGT-1F, UGT1-06}, Hsf1 (heat shock factor 1) [NCBI Gene 15499] {aka HSTF, HSTF 1, Hsf1alpha, Hsf1beta}, NFE2L2 (NFE2 like bZIP transcription factor 2) [NCBI Gene 4780] {aka IMDDHH, NRF2, Nrf-2}, ISYNA1 (inositol-3-phosphate synthase 1) [NCBI Gene 51477] {aka INO1, INOS, IPS, IPS 1, IPS-1}, CD274 (CD274 molecule) [NCBI Gene 574058] {aka PDL1}, Bcr (BCR activator of RhoGEF and GTPase) [NCBI Gene 110279] {aka 5133400C09Rik, mKIAA3017}
- **Diseases:** non-small-cell lung cancer (MESH:D002289), osteolytic (MESH:D030981), hypoxia (MESH:D000860), Hematologic Malignancies (MESH:D019337), bone pain (MESH:D010146), cervical cancer (MESH:D002583), CLL (MESH:D015451), pancreatic cancer (MESH:D010190), pancreatic ductal adenocarcinoma (MESH:D021441), injury to (MESH:D014947), inflammation (MESH:D007249), chromosomal lesions (MESH:D040181), CML (MESH:D015464), T-Cell Leukemia/Lymphoma (MESH:D015459), renal failure (MESH:D051437), MM (MESH:D009101), lung cancer (MESH:D008175), cancer (MESH:D009369), ovarian and colon cancers (MESH:D010051), lymphomas (MESH:D008223), breast cancer (MESH:D001943), MGUS (MESH:D008998), plasma cell disorder (MESH:D007952), DLBCL (MESH:D016403), esophageal cancer (MESH:D004938), tumorigenic (MESH:D002471), death (MESH:D003643), endometrial cancer (MESH:D016889), colon cancer (MESH:D015179), Leukemia (MESH:D007938), anemia (MESH:D000740), metastasis (MESH:D009362), bone disease (MESH:D001847), hypercalcemia (MESH:D006934), hematologic adverse events (MESH:D064420), infections (MESH:D007239), T-lymphoblastic leukemia (MESH:D054198)
- **Chemicals:** imatinib (MESH:D000068877), bortezomib (MESH:D000069286), amodiaquine (MESH:D000655), 5-Fluorouracil (MESH:D005472), dimethyl ether (MESH:C033413), resveratrol (MESH:D000077185), thalidomide (MESH:D013792), Thapsigargin (MESH:D019284), Stilbene (MESH:D013267), PT (MESH:C107773), pioglitazone (MESH:D000077205), polyphenols (MESH:D059808), daratumumab (MESH:C556306), serotonin (MESH:D012701), calcium (MESH:D002118), Gemcitabine (MESH:D000093542), Megestrol Acetate (MESH:D019290), elotuzumab (MESH:C546027), vorinostat (MESH:D000077337), cisplatin (MESH:D002945), DCZ0801 (-), dexamethasone (MESH:D003907), lenalidomide (MESH:D000077269)
- **Species:** Arachis hypogaea (goober, species) [taxon 3818], Mus musculus (house mouse, species) [taxon 10090], Homo sapiens (human, species) [taxon 9606], Rattus norvegicus (brown rat, species) [taxon 10116]
- **Mutations:** T315I

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12939963/full.md

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Source: https://tomesphere.com/paper/PMC12939963