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Concise Review: Defining and Targeting Myeloma Stem Cell-Like Cells

Journal

STEM CELLS
Volume 32, Issue 5, Pages 1067-1073

Publisher

WILEY
DOI: 10.1002/stem.1643

Keywords

Myeloma niche; Clonogenic cells; Cancer stem cells; Multiple myeloma

Funding

  1. Ministry of Health, Labor and Welfare of Japan [21-8-5]
  2. Grants-in-Aid for Scientific Research [23591390] Funding Source: KAKEN

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Multiple myeloma (MM) remains incurable despite recent advances in the treatment of MM. Although the idea of MM cancer stem cells (CSCs) has been proposed for the drug resistance in MM, MM CSCs have not been properly defined yet. Besides clonotypic B cells, phenotypically distinct MM plasma cell fractions have been demonstrated to possess a clonogenic capacity, leading to long-lasting controversies regarding the cells of origin in MM or MM-initiating cells. However, MM CSCs may not be a static population and survive as phenotypically and functionally different cell types via the transition between stem-like and non-stem-like states in local microenvironments, as observed in other types of cancers. Targeting MM CSCs is clinically relevant, and different approaches have been suggested to target molecular, metabolic and epigenetic signatures, and the self-renewal signaling characteristic of MM CSC-like cells. Stem Cells 2014;32:1067-1073

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