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Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
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Related Experiment Video

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Multiple Myeloma and the Immune Microenvironment.

Yawara Kawano1, Aldo M Roccaro1, Irene M Ghobrial1

  • 1Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA. United States.

Current Cancer Drug Targets
|February 17, 2017
PubMed
Summary

Recent advances in cancer therapy include immune checkpoint inhibitors for solid tumors. This review explores immune interactions in multiple myeloma (MM), an incurable plasma cell cancer, focusing on the bone marrow microenvironment.

Keywords:
DCsMDSCsMultiple myelomaNK cellseffector T cellsmacrophages checkpoint inhibitors.tregs

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Area of Science:

  • Oncology
  • Immunology
  • Hematology

Background:

  • Immune therapies, particularly immune checkpoint inhibitors, show promise in solid tumors.
  • Multiple myeloma (MM) is a plasma cell neoplasm often associated with immune deficiencies.
  • The bone marrow microenvironment plays a crucial role in MM progression and immune evasion.

Purpose of the Study:

  • To review current knowledge on the interaction between malignant plasma cells and the bone marrow immune microenvironment.
  • To highlight the challenges in developing immune therapies for MM due to its complex microenvironment and tumor heterogeneity.

Main Methods:

  • Literature review of pre-clinical models and clinical trials.
  • Analysis of the interplay between malignant plasma cells and immune cells within the bone marrow.

Main Results:

  • MM progression is linked to an immunosuppressive bone marrow milieu that promotes immune escape.
  • Despite treatment advances, MM remains largely incurable, necessitating novel therapeutic strategies.

Conclusions:

  • Targeting both the MM clone and its immune microenvironment is vital for effective treatment.
  • Understanding the complex bone marrow microenvironment is key to developing successful immune therapies for MM.