Tumor-host cell interactions in the bone disease of myeloma.

Tumor-host cell interactions in the bone disease of myeloma.
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DOI:
10.1016/j.bone.2010.06.029
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发表时间:
2011-01
期刊:
影响因子:
4.1
通讯作者:
Croucher, Peter I.
Croucher, Peter I.
中科院分区:
医学2区
文献类型:
--
作者:
Fowler, Jessica A.;Edwards, Claire M.;Croucher, Peter I.

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多发性骨髓瘤是一种血液恶性肿瘤,与破坏性溶骨性骨病的发生有关,这是骨髓瘤患者发病的主要原因。骨髓瘤细胞和骨髓微环境细胞之间的相互作用促进肿瘤生长和存活以及骨质破坏,溶骨性骨病现在被认为是肿瘤进展的一个重要组成部分。由于骨髓瘤骨病与破骨细胞骨吸收的增加和成骨细胞骨形成的抑制有关,因此迄今为止的研究主要集中在破骨细胞和成骨细胞的作用上。然而,现在很明显,骨髓内的其他细胞类型,包括免疫系统细胞、间充质干细胞和骨髓基质细胞,也可能导致骨髓瘤骨病的发生。这篇综述讨论了与骨髓瘤骨病有关的细胞机制和潜在的治疗靶点。
Multiple myeloma is a hematological malignancy that is associated with the development of a destructive osteolytic bone disease, which is a major cause of morbidity for patients with myeloma. Interactions between myeloma cells and cells of the bone marrow microenvironment promote both tumor growth and survival and bone destruction, and the osteolytic bone disease is now recognized as a contributing component to tumor progression. Since myeloma bone disease is associated with both an increase in osteoclastic bone resorption and a suppression of osteoblastic bone formation, research to date has largely focused upon the role of the osteoclast and osteoblast. However, it is now clear that other cell types within the bone marrow, including cells of the immune system, mesenchymal stem cells and bone marrow stromal cells, can contribute to the development of myeloma bone disease. This review discusses the cellular mechanisms and potential therapeutic targets that have been implicated in myeloma bone disease.
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