Multiple Myeloma Pathogenesis

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Questions and Answers

What is a key feature of malignant plasma cells in multiple myeloma?

  • They produce excessive amounts of antibodies.
  • They differentiate into mature B cells.
  • They have specific adhesion molecules for bone marrow stromal cells. (correct)
  • They undergo rapid apoptosis.

Which cytokine is produced by stromal cells in the bone marrow that aids in multiple myeloma pathogenesis?

  • Interleukin-2 (IL-2)
  • Interferon-gamma (IFN-γ)
  • Tumor necrosis factor-alpha (TNF-α)
  • Interleukin-6 (IL-6) (correct)

What role does interleukin-6 (IL-6) play in the growth of malignant plasma cells?

  • It inhibits bone marrow function.
  • It stimulates growth and prevents apoptosis. (correct)
  • It promotes the secretion of antibodies.
  • It induces differentiation into B cells.

What effect does interleukin-6 (IL-6) have on osteoclast activity?

<p>It stimulates osteoclast activity. (D)</p> Signup and view all the answers

What is a critical event in the transformation to malignant plasma cells in multiple myeloma?

<p>Multiple mutational events. (B)</p> Signup and view all the answers

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Study Notes

Multiple Myeloma Pathogenesis

  • Multiple myeloma develops through multiple mutations in the DNA of plasma cells, leading to malignant transformation
  • Malignant plasma cells express adhesion molecules enabling them to attach to the stromal cells within the bone marrow
  • Stromal cells in the bone marrow produce interleukin-6 (IL-6)
  • IL-6 acts as a growth factor for plasma cells, protecting them from programmed cell death (apoptosis), and encouraging the formation of osteoclasts, which degrade bone tissue

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