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
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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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