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Angiogenesis and vasculogenesis in multiple myeloma: role of inflammatory cells
Angelo Vacca1, Domenico Ribatti
1Department of Internal Medicine and Clinical Oncology, University of Bari Medical School, Bari, Italy. a.vacca@dimo.uniba.it
Abstract:
Angiogenesis plays a central role in the progression of both solid and hematologic tumors. We have focused our attention on multiple myeloma (MM) and on bone marrow stromal cells. These, in fact, both support tumor cell survival and participate in angiogenesis by releasing a broad number of angiogenic cytokines. Macrophages and mast cells may participate in this process through other mechanisms, such as vasculogenic mimicry. Lastly, it has been shown that hematopoietic stem and progenitor cells (HSPCs) are involved in vasculogenesis in MM.
Insights
Angiogenesis is crucial in multiple myeloma (MM) progression. Bone marrow stromal cells, macrophages, mast cells, and hematopoietic stem and progenitor cells (HSPCs) all contribute to tumor growth and blood vessel formation in MM.
Area of Science:
- Oncology and Hematology
- Tumor Microenvironment Research
- Angiogenesis Studies
Background:
- Angiogenesis is a key driver in both solid and hematologic malignancies.
- Multiple myeloma (MM) progression involves complex interactions within the bone marrow microenvironment.
- Bone marrow stromal cells are critical for supporting myeloma cell survival and angiogenesis.
Purpose of the Study:
- To elucidate the multifaceted roles of various cell types in angiogenesis within multiple myeloma.
- To understand the contribution of bone marrow stromal cells, macrophages, mast cells, and HSPCs to tumor vascularization in MM.
Main Methods:
- Review and synthesis of existing literature on angiogenesis in multiple myeloma.
- Analysis of the mechanisms by which different cell types contribute to tumor vascularization.
Main Results:
- Bone marrow stromal cells release angiogenic cytokines, promoting tumor survival and vascularization.
- Macrophages and mast cells contribute to angiogenesis through mechanisms like vasculogenic mimicry.
- Hematopoietic stem and progenitor cells (HSPCs) are implicated in vasculogenesis in the context of MM.
Conclusions:
- Multiple cell types within the bone marrow microenvironment actively participate in angiogenesis in multiple myeloma.
- Targeting these cellular contributions could offer novel therapeutic strategies for MM.
- Understanding these complex cellular interactions is vital for advancing MM treatment.
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