The role of the Wnt-signaling antagonist DKK1 in the development of osteolytic lesions in multiple myeloma
The role of the Wnt-signaling antagonist DKK1 in the development of osteolytic lesions in multiple myeloma
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DOI:
10.1056/nejmoa030847
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发表时间:
2003-12-25
影响因子:
158.5
通讯作者:
Shaughnessy, JD
中科院分区:
文献类型:
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作者:
Tian, E;Zhan, FH;Shaughnessy, JD
Background: Myeloma cells may secrete factors that affect the function of osteoblasts, osteoclasts, or both.Methods: We subjected purified plasma cells from the bone marrow of patients with newly diagnosed multiple myeloma and control subjects to oligonucleotide microarray profiling and biochemical and immunohistochemical analyses to identify molecular determinants of osteolytic lesions.Results: We studied 45 control subjects, 36 patients with multiple myeloma in whom focal lesions of bone could not be detected by magnetic resonance imaging (MRI), and 137 patients in whom MRI detected such lesions. Different patterns of expression of 57 of approximately 10,000 genes from purified myeloma cells could be used to distinguish the two groups of patients (P