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Review
. 2006 Oct;34(10):1289-95.
doi: 10.1016/j.exphem.2006.06.017.

Chemokines in multiple myeloma

Affiliations
Review

Chemokines in multiple myeloma

Rohit Aggarwal et al. Exp Hematol. 2006 Oct.

Abstract

Objective: In this article we focus on the role that chemokines and chemokine receptors play in the pathogenesis of multiple myeloma and the associated bone destructive process, and consider their utility as novel therapeutic targets for treating this devastating disease.

Methods: Current research on the role that chemokine and chemokine receptors play in the pathogenesis of myeloma is reviewed.

Results: The chemokines, MIP-1alpha, MCP-1, IL-8, and SDF-1, and their receptors play important roles in homing of MM cells, tumor growth, and bone destruction in myeloma. They are attractive therapeutic targets for treating myeloma patients.

Conclusion: Addition of chemokine antagonists to current treatment regimens for myeloma should result in better therapeutic responses because of the loss of both the protective effect of the marrow microenvironment on the MM cells and the induction of osteoclast activity.

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Figures

Figure 1
Figure 1
Model for the role of chemokines in myeloma tumor progression in bone. MCP-1 and SDF-1 produced by marrow stromal cells/osteoblasts attract myeloma cells to bone. Myeloma cells then bind to marrow stromal cells through VCAM-1 (Step 1). Marrow stromal cells then increase expression of TNF-α, MCP-1, IL-8, and IL-6. Myeloma cells then increase production of MIP-1α and IL-3, which stimulate their growth (Step 2). These cytokines and chemokines enhance myeloma cell survival and growth and increase angiogenesis. The increased expression of RANKL, IL-3, IL-8, MCP-1, IL-6, and MIP-1α induce osteoclast formation and bone destruction (Step 3).

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