From MGUS to Multiple Myeloma, a Paradigm for Clonal Evolution of Premalignant Cells.

Abstract:

:Multiple myeloma (MM) is a treatable, but incurable, malignancy of plasma cells (PC) in the bone marrow (BM). It represents the final stage in a continuum of PC dyscrasias and is consistently preceded by a premalignant phase termed monoclonal gammopathy of undetermined significance (MGUS). The existence of this well-defined premalignant phase provides the opportunity to study clonal evolution of a premalignant condition into overt cancer. Unraveling the mechanisms of malignant transformation of PC could enable early identification of MGUS patients at high risk of progression and may point to novel therapeutic targets, thereby possibly delaying or preventing malignant transformation. The MGUS-to-MM progression requires multiple genomic events and the establishment of a permissive BM microenvironment, although it is generally not clear if the various microenvironmental events are causes or consequences of disease progression. Advances in gene-sequencing techniques and the use of serial paired analyses have allowed for a more specific identification of driver lesions. The challenge in cancer biology is to identify and target those lesions that confer selective advantage and thereby drive evolution of a premalignant clone. Here, we review recent advances in the understanding of malignant transformation of MGUS to MM. Cancer Res; 78(10); 2449-56. ©2018 AACR.

journal_name

Cancer Res

journal_title

Cancer research

authors

van Nieuwenhuijzen N,Spaan I,Raymakers R,Peperzak V

doi

10.1158/0008-5472.CAN-17-3115

subject

Has Abstract

pub_date

2018-05-15 00:00:00

pages

2449-2456

issue

10

eissn

0008-5472

issn

1538-7445

pii

0008-5472.CAN-17-3115

journal_volume

78

pub_type

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