Angiogenesis-Related Cytokines, RANKL, and Osteoprotegerin in Multiple Myeloma Patients in relation to Clinical Features and Response to Treatment英文文献资料.docVIP

Angiogenesis-Related Cytokines, RANKL, and Osteoprotegerin in Multiple Myeloma Patients in relation to Clinical Features and Response to Treatment英文文献资料.doc

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Angiogenesis-Related Cytokines, RANKL, and Osteoprotegerin in Multiple Myeloma Patients in relation to Clinical Features and Response to Treatment英文文献资料

HindawiPublishingCorporation MediatorsofIn?ammation Volume2011,ArticleID867576,7pages doi:10.1155/2011/867576 ClinicalStudy Angiogenesis-RelatedCytokines,RANKL,and OsteoprotegerininMultipleMyelomaPatientsinrelationto ClinicalFeaturesandResponsetoTreatment K.S?ridaki, G.Sakellaris, 1 C.A.Pappa, 3 1 G.Tsirakis, P.Kanellou, M.Kaparou, M.Stratinaki, 2 2 2 1 andM.G.Alexandrakis 2 G.Kontakis, 3 1 2 3 BloodBank,VenizelionGeneralHospitalofHeraklion,71409Crete,Greece DepartmentofHaematology,UniversityHospitalofHeraklion,70013Crete,Greece DepartmentofSurgery,UniversityHospitalofHeraklion,70013Crete,Greece CorrespondenceshouldbeaddressedtoM.G.Alexandrakis,alexandm@med.uoc.gr Received12May2011;Revised21July2011;Accepted21July2011 AcademicEditor:FulvioD’Acquisto Copyright?2011K.S?ridakietal.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttributionLicense, whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited. Anessentialcytokinesystemfortheosteoclastbiologyinmultiplemyeloma(MM)consistsofthereceptorofactivatorofNF-κB ligand(RANKL),itsreceptor(RANK),andthesolubledecoyreceptor,osteoprotegerin(OPG).Myelomacellscauseimbalance inOPG/RANKLinteractions.WemeasuredserumlevelsofOPG,soluble(s)RANKL,sRANKL/OPGratio,markersofdisease activity[LDH,CRP,interleukin-6(IL-6),β2-microglobulin(B2M)],andangiogenicfactors[hepatocytegrowthfactor(HGF), vascularendothelialgrowthfactor(VEGF)],in54newlydiagnosedMMpatientsandin25oftheminplateauphase.Alltheabove valueswerehigherinMMpatientscomparedtocontrolsanddecreasedinplateauphase.sRANKLandRANKL/OPGwerehigher withadvancingdiseasestageandskeletalgrade.Signi?cantcorrelationswerefoundamongRANKLandRANKL/OPGwithHGF, LDH,VEGF,IL-6,andB2M.Inconclusion,RANKLandOPGplaysigni?cantrolesinMMpathophysiology,asregulatorsofbone turnoverandmediatorsofangiogenesis. 1.Introduction the enhancement in osteoblast-induced bone resorption, while OPG blocks RANKL and inhibit

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