2011
DOI: 10.1007/s12307-011-0086-3
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The Immune Microenvironment of Myeloma

Abstract: The bone marrow (BM) is the site of disease in myeloma and possesses unique immune characteristics involved in the pathobiology of the disease. Interactions of plasma cells with stromal cells, osteoclasts, osteoblasts, myeloid and lymphoid cells make up the unique bone marrow milieu that mediates myeloma disease progression.

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Cited by 45 publications
(51 citation statements)
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“…[7][8][9][10] Accordingly, B-cell precursors and normal plasma cells are compromised, and immune paresis is also a consistent finding in newly-diagnosed MM patients. 11 In turn, effector cells such…”
Section: Introductionmentioning
confidence: 79%
“…[7][8][9][10] Accordingly, B-cell precursors and normal plasma cells are compromised, and immune paresis is also a consistent finding in newly-diagnosed MM patients. 11 In turn, effector cells such…”
Section: Introductionmentioning
confidence: 79%
“…Interactions with BM-MSCs enhanced MM cell growth, survival and drug-resistance. 1,6,7 TNFa and TGFb have been reported to upregulate VCAM-1 and ICAM-1 expression and trigger IL-6 secretion in BMMSCs. 47 We add here an important novel contribution of IL-13 in these functions.…”
Section: Patients Were Cd4mentioning
confidence: 99%
“…The former is illustrated by a hazard ratio of 2.2 for developing infections even in patients with the MM precursor disease monoclonal gammopathy of unknown significance (MGUS) [8], the latter by an excess risk for malignancies such as non-melanoma skin cancer or acute myeloid leukemia/myelodysplastic syndrome in MM patients [9]. Malfunction of components of the innate and adoptive immune system in MM patients has also been described [1012]. In addition, MM cells can specifically shield themselves from T cell responses by overexpressing protective molecules such as PD-L1, especially in the context of inflammatory cytokines [13].…”
Section: Immunotherapy Of MM – a Long Journey To Successmentioning
confidence: 99%