University of Utah School of Medicine, Salt Lake City, Utah 84132, USA.
Curr Opin Support Palliat Care. 2010 Sep;4(3):195-9. doi: 10.1097/SPC.0b013e32833d3011.
Bone has always been considered a target organ for neoplastic disorder. This review analyzed the close interaction between bone microenvironment and paraproteinemias.
Paraproteinemias are a group of disorders characterized by the presence of a monoclonal protein measured in the blood or urine. Paraproteinemias include nonmalignant B cell disorders such as monoclonal gammopathy of undetermined significance and malignant diseases as multiple myeloma. All these conditions are characterized by increased risk of osteoporosis/osteopenia, and in the setting of multiple myeloma can manifest with osteolytic pattern.
This review focuses on the biological aspects of paraproteinemia and bone disease, and indicates possible new therapeutic interventions.
骨骼一直被认为是肿瘤性疾病的靶器官。本综述分析了骨微环境与副蛋白之间的密切相互作用。
副蛋白血症是一组以血液或尿液中存在单克隆蛋白为特征的疾病。副蛋白血症包括良性 B 细胞疾病,如意义未明的单克隆丙种球蛋白血症和恶性疾病,如多发性骨髓瘤。所有这些疾病的特点是骨质疏松/骨量减少的风险增加,在多发性骨髓瘤的情况下可表现为溶骨性模式。
本综述侧重于副蛋白血症和骨病的生物学方面,并指出可能的新的治疗干预措施。