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Immunobiology and Immunotherapy of Multiple Myeloma

  • Madhav V. Dhodapkar
Part of the Contemporary Hematology book series (CH)

Clinical Heterogeneity of Myeloma

Multiple myeloma (MM) is a common B-cell malignancy characterized by clonal expansion of transformed plasma cells in the bone marrow.1 Natural history of MM is characterized by disease progression, and the development of anemia, lytic bone disease, and infections. However, although clonal expansion of transformed plasma cells is an essential prerequisite for the development of MM, the most common clinical outcome of such expansions in vivo in humans is not MM, but the development of monoclonal gammopathy of undetermined significance (MGUS). MGUS has been estimated to occur in up to 1–3% of the elderly population, and is commonly viewed as a pre-neoplastic state. However, most patients with MGUS will generally remain stable throughout their life, and only a small proportion (estimated at about 1% per year) will develop MM.2Another clinically distinct subset is patients with asymptomatic MM, who also have a relatively indolent course, but much higher...

Keywords

Natural Killer Cell Multiple Myeloma Myeloma Cell Immune Escape Autologous Tumor Cell 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

MVD was supported in part by funds from the National Institutes of Health, Dana Foundation, and Damon Runyon Cancer Research Fund.

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Madhav V. Dhodapkar
    • 1
  1. 1.Laboratory of Tumor Immunology and ImmunotherapyThe Rockefeller UniversityNew YorkUSA

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