Immune-Pathogenesis of Myeloma

Hematol Oncol Clin North Am. 2024 Apr;38(2):281-291. doi: 10.1016/j.hoc.2023.12.011. Epub 2024 Jan 8.

Abstract

This research indicates that monoclonal gammopathy of undetermined significance (MGUS) and myeloma may stem from chronic immune activation and inflammation, causing immune dysfunction and spatial immune exclusion. As the conditions progress, a shift toward myeloma involves ongoing immune impairment, affecting both innate and adaptive immunity. Intriguingly, even in advanced myeloma stages, susceptibility to immune effector cells persists. This insight highlights the intricate interplay between immune responses and the development of these conditions, paving the way for potential therapeutic interventions targeting immune modulation in the management of MGUS and myeloma.

Keywords: Immune; Monoclonal gammopathy of undetermined significance (MGUS); Multiple myeloma; T cells.

Publication types

  • Review

MeSH terms

  • Disease Progression
  • Humans
  • Monoclonal Gammopathy of Undetermined Significance* / etiology
  • Monoclonal Gammopathy of Undetermined Significance* / therapy
  • Multiple Myeloma* / etiology
  • Multiple Myeloma* / therapy