EC Clinical and Medical Case Reports

Case Series Volume 5 Issue 8 - 2022

Beneficial Role of Histone Deacetylase Inhibitor, Butyrate, to Multiple Myeloma: Case Reports

Akira Yagi1*, Megumi Hasegawa2 and Hiroyuki Abe3

1Special Advisor of Japan Aloe Science Association, Professor Emeritus of Fukuyama University, Hiroshima, Japan

2Pharmacist, Kampo Pharmacy Grace-Meg-Salon, Toshima-ku, Tokyo, Japan

3Founder/President of International Society of Personalized Medicine, Chiyoda-ku, Tokyo, Japan

*Corresponding Author: Akira Yagi, Special Advisor of Japan Aloe Science Association, Professor Emeritus of Fukuyama University, Hiroshima, Japan.
Received: July 05, 2022; Published: July 29, 2022



Multiple myeloma (MM) belongs to hematological malignancy that derives pro-survival/ proliferative signals from the bone marrow niche. Butyrate, a class I histone deacetylase inhibitor in MM, reduces the viability of MM cells, induces MM cell apoptosis via transcriptional activation of p21. The author discussed fermented butyrate in aloe vera juice (AVJ) as a potential adjuvant for MM, and in case reports of MM patient we expressed how autologous peripheral blood stem cell (APBST) transplantation therapy, and daratumab, velcade and dexamethasone (Dvd) and thalidomide administration recovered MM and how butyrate fermented in AVJ as an adjuvant prevented MM patient receiving paraneoplastic cerebella degeneration (PCD) treatment.

Keywords: Remission of Multiple Myeloma; APBST-Treatment; Drug Admission; Aloe Vera Gel; Fermented Butyrate; Case Reports

  1. Mithraprabhu S., et al. “Dysregulated class I histone deacetylases are indicators of poor prognosis in multiple myeloma”. Epigenetics 11 (2014): 1511-1520.
  2. Yao R., et al. “Histone deacetylase inhibitor sodium butyrate suppresses cell proliferation and induces apoptosis by targeting p21 in multiple myeloma”. American Journal of Translational Research 11 (2017): 4994-5002.
  3. A Yagi., et al. “Beneficial roles of histone deacetylase inhibitor butyrate to multiple myeloma, acute leukemia and acute myeloid leukemia: case reports”. Journal of Gastroenterology and Hepatology 2 (2020): 3107-3112.
  4. Pianko MJ., et al. “Minimal residual disease negativity in multiple myeloma is associated with intestinal microbiota composition”. Blood Advances 13 (2019): 2040-3044.
  5. Pianko MJ., et al. “Intestinal microbiota composition is associated with minimal residual disease negativity in patients with multiple myeloma”. Blood1 (2018): 3162.
  6. Jian X., et al. “Alterations of gut microbiome accelerate multiple myeloma progression by increasing the relative abundances of nitrogen recycling bacteria”. Blood 1 (2019): 688.
  7. Yagi A., et al. “Prophylactic role of Aloe components, butyrate fermented, micrnas, and hyaluronan on Alzheimer’s disease, Parkinson’s disease, and osteoarthritis in knee joints: case reports of aloe vera juice ingestion producing intestinal butyrogenic microbiome and bone regeneration”. Journal of Gastroenterology and Hepatology 1 (2021): 3398-3406.
  8. Cea M., et al. “New insights into the treatment of multiple myeloma with histone deacetylase inhibitors”. Current Pharmaceutical Design 4 (2013): 734-744.
  9. Yuille S., et al. “Human gut bacteria as potential class I histone deacetylase inhibitor in vitro through production of butyric acid and valeric acid”. Plos One (2018).
  10. Nwangwu CA., et al. “Increase of CIK cell efficacy by upregulating cell surface MICA and inhibition of NKG2D ligand shedding in multiple myeloma”. Hematological Oncology 4 (2017): 719-725.
  11. Alkharabsheh O., et al. “The human microbiota in multiple myeloma and proteasome inhibitors”. Acta Haematologica 143 (2020): 118-123.
  12. Harada T., et al. “Histone deacetylase inhibitors in multiple myeloma: from bench to bedside”. International Journal of Hematology 104 (2016): 304-309.
  13. Lu Q and Stappenbeck TS. “Local barriers configure systemic communications between the host and microbiota”. Science 376 (2022): 950-955.

Akira Yagi., et al. Beneficial Role of Histone Deacetylase Inhibitor, Butyrate, to Multiple Myeloma: Case Reports. EC Clinical and Medical Case Reports  5.8 (2022): 70-74.