Multiple myeloma (MM) is a B-cell neoplasm, mainly characterized by the monoclonal expansion of plasma cells, the presence of monoclonal serum immunoglobulin and the occurrence of osteolysis. The malignant cell corresponds to a long-lived plasma cell located in the bone marrow (BM) carrying somatically rearranged Ig genes with clonally fixed hypervariable regions (Bakkus et al, 1992;Hallek et al, 1998). This implies a post-germinal centre origin of the MM cells (Bakkus et al, 1992) having a specific migration to the extravascular compartment of the BM. This process of migration of MM cells to the extravascular compartment of the BM, and referred to as 'homing', is believed to be highly specific since no elevated quantity of malignant B-cells are observed in the peripheral blood or in other organs. After their specific homing to the BM, these cells proliferate and differentiate into mature plasma cells. It is only at the endstage of the disease of some patients that extramedullar spread is observed.In our previous work we have reported the 5T2MM model in the C57BL/KaLwRij mice (Radl et al, 1979) as a good model to study the homing of human myeloma cells in the BM (Vanderkerken et al, 1996(Vanderkerken et al, , 1997. In this model, MM cells are isolated from diseased animals and are transplanted into young syngeneic recipients by intravenous injection. From 9 weeks on after injection we observe a specific localization of the MM cells in the BM and partly in the spleen of the mice. This study did not, however, reveal whether this selective localization of MM cells in the BM is due to a selective initial entry of the cells through the endothelial barrier of the BM, or whether this homing is more random, and survival and growth factors, only present in BM, determine the unique presence of MM cells.The migration of lymphocytes in general (Butcher and Picker, 1996) is known to include a multistep cascade of processes mainly involving the endothelium. This interaction with the endothelium requires at least four independent steps: initial tethering, arrest, adhesion and transendothelial migration. It is the combination of the selectivity of each independent step which makes the process highly specific. In vivo, BM endothelial cells (BM EC) act as gate-keepers separating the BM compartment from the sinusoidal lumen. These cells may therefore play an important role in the selective entry of the MM cells.We conclude here that MM cells have a selective homing behaviour which is the result of the combination of a selective adhesion to the BM EC followed by the entry in the extravascular compartment and a selective survival and growth, making the BM and spleen microenvironment unique. Summary One of the main characteristics of multiple myeloma cells is their predominant localization in the bone marrow. It is, however, unclear whether this is due to a selective initial entry, or whether this entry is more random and other processes like survival and/or growth stimulation, only present in the medullar microenvironment, are uniqu...