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Updated: Oct 22, 2025

Myeloid Innate Signaling Pathway Regulation by MALT1 Paracaspase Activity
Published on: January 7, 2019
Involvement of Alarmins in the Pathogenesis and Progression of Multiple Myeloma
Giuseppe Murdaca1, Alessandro Allegra2, Francesca Paladin1
1Department of Internal Medicine, University of Genoa, Ospedale Policlinico San Martino IRCCS, 20132 Genoa, Italy.
Objective:
Multiple Myeloma (MM) is a haematological disease resulting from the neoplastic transformation of plasma cells. The uncontrolled growth of plasma cells in the bone marrow and the delivery of several cytokines causes bone erosion that often does not regress, even in the event of disease remission. MM is characterised by a multi-step evolutionary path, which starts with an early asymptomatic stage defined as monoclonal gammopathy of undetermined significance (MGUS) evolving to overt disease.
Data Sources And Study Selection:
We have selected scientific publications on the specific topics "alarmis, MGUS, and MM", drawing from PubMed. The keywords we used were alarmines, MGUS, MM, and immune system.
Results:
The analysis confirms the pivotal role of molecules such as high-mobility group box-1, heat shock proteins, and S100 proteins in the induction of neoangiogenesis, which represents a milestone in the negative evolution of MM as well as other haematological and non-haematological tumours.
Conclusions:
Modulation of the host immune system and the inhibition of neoangiogenesis may represent the therapeutic target for the treatment of MM that is capable of promoting better survival and reducing the risk of RRMM.
Insights
Alarmins like HMGB1 and S100 proteins drive cancer growth in Multiple Myeloma (MM). Targeting these alarmins and inhibiting new blood vessel formation may offer new treatments for MM and reduce relapse risk.
Area of Science:
- Hematology
- Immunology
- Oncology
Background:
- Multiple Myeloma (MM) is a plasma cell malignancy characterized by bone erosion.
- MM progresses through stages, from monoclonal gammopathy of undetermined significance (MGUS) to overt disease.
- Bone lesions in MM often persist even after disease remission.
Purpose of the Study:
- To investigate the role of alarmins in the pathogenesis of Multiple Myeloma.
- To identify molecular targets for improved MM treatment strategies.
Main Methods:
- Literature search on PubMed using keywords: alarmins, MGUS, MM, and immune system.
- Analysis of scientific publications focusing on the relationship between alarmins, MGUS, and MM.
Main Results:
- Alarmins, including high-mobility group box-1 (HMGB1), heat shock proteins, and S100 proteins, are crucial for neoangiogenesis.
- Neoangiogenesis is a key event in the progression of MM and other cancers.
- These molecules contribute to the negative evolution of hematological and non-hematological tumors.
Conclusions:
- Modulating the host immune system is a potential therapeutic strategy for MM.
- Inhibiting neoangiogenesis may improve survival rates in MM patients.
- Targeting alarmins and neoangiogenesis could reduce the risk of relapsed/refractory MM (RRMM).
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