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Bone Marrow Microenvironment in Multiple Myeloma Progression英文文献资料
HindawiPublishingCorporation
JournalofBiomedicineandBiotechnology
Volume2012,ArticleID157496,5pages
doi:10.1155/2012/157496
ReviewArticle
BoneMarrowMicroenvironmentin
MultipleMyelomaProgression
X.Leleu, I.M.Ghobrial, andA.M.Roccaro
S.Manier,1,2A.Sacco,1 2 1 1
1
Dana-FarberCancerInstitute,DepartmentofMedicalOncology,HarvardMedicalSchool,450BrooklineAvnue,
HIM246,Boston,MA02215,USA
ServicedesMaladiesduSang,CHRUdeLille,59000Lille,France
2
CorrespondenceshouldbeaddressedtoA.M.Roccaro,aldo roccaro@dfci.harvard.edu
Received3August2012;Accepted18September2012
AcademicEditor:Sue-HwaLin
Copyright?2012S.Manieretal.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttributionLicense,
whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited.
Substantial advances have been made in understanding the biology of multiple myeloma (MM) through the study of the
bonemarrow(BM)microenvironment.Indeed,theBMnicheappearstoplayanimportantroleindi?erentiation,migration,
proliferation,survival,anddrugresistanceofthemalignantplasmacells.TheBMnicheiscomposedofacellularcompartment
(stromal cells, osteoblasts, osteoclasts, endothelial cells, and immune cells) and a noncellular compartment including the
extracellularmatrix(ECM)andtheliquidmilieu(cytokines,growthfactors,andchemokines).Inthispaperwediscusshowthe
interactionbetweenthemalignantplasmacellandtheBMmicroenvironmentallowedmyelomaprogressionthroughcellhoming
andthenewconceptofpremetastaticniche.
1.Introduction
marrow microenvironment [6]. Substantial advances have
been made in understanding the biology of MM through
the study of the BM microenvironment. Indeed, the BM
niche appears to play an important role in di?erentiation,
migration,proliferation,survival,anddrugresistanceofthe
malignant plasma cells providing the preclinical evidences
for targeting MM cells and bone marrow stromal cells
(BMSC) as an antitumor strategy in this dis
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