“…Proteasome inhibition results in the buildup of misfolded and damaged intracellular proteins, leading to the disruption of multiple cellular signaling pathways and ultimately cell death. − Multiple myeloma cells seem to be especially sensitive to proteasome inhibition, quite likely because of their overproduction of protein and high protein turnover, resulting in greater need for proteasomal degradation and clearance. ,,,,,,, Nevertheless, all cells, both normal and malignant, require a functioning proteasome. Different types of cells exhibit differences in sensitivity to proteasome inhibition, but proteasome inhibition will, at some level and duration, be lethal to essentially any cell.…”