Thalidomide, dexamethasone, Doxil and Velcade (ThaDD-V) followed by consolidation/maintenance therapy in patients with relapsed-refractory multiple myeloma

Abstract

Sclerostin, an osteocyte-expressed negative regulator of bone formation, is one of the inhibitors of Wnt signaling that is a critical pathway in the correct process of osteoblast differentiation. It has been demonstrated that Wnt signaling through the secretion of Wnt inhibitors, such as DKK1, sFRP-2, and sFRP-3, plays a key role in the decreased osteoblast activity associated with multiple myeloma (MM) bone disease. We provide evidence that sclerostin is expressed by myeloma cells that are human myeloma cell lines and plasma cells (CD138(+) cells) obtained from the bone marrow (BM) of a large number of MM patients with bone disease. Moreover, we show that there are no differences in sclerostin serum levels between MM patients and controls. Thus, our data indicate that MM cells, as a sclerostin source in the BM, could create a microenvironment with high sclerostin concentration that could contribute toward inhibiting osteoblast differentiation.


Autore Pugliese

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  • RIZZI R.

Titolo volume/Rivista

Non Disponibile


Anno di pubblicazione

2011

ISSN

0939-5555

ISBN

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Numero di citazioni Wos

13

Ultimo Aggiornamento Citazioni

Non Disponibile


Numero di citazioni Scopus

17

Ultimo Aggiornamento Citazioni

Non Disponibile


Settori ERC

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Codici ASJC

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