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العنوان
Correlation of bone marrow secreted protein acidic and rich in cysteine (SPARC) expression to multiple myeloma prognostic factors and response to treatment /
الناشر
Nesreen Amer Ramadan Aly ,
المؤلف
Nesreen Amer Ramadan Aly
هيئة الاعداد
باحث / Nermeen Ahmed Hassan Ahmed
مشرف / Amal Kaddah
مشرف / Amr Hosni Elkhadem
مشرف / Nada Sherin Ahmed
تاريخ النشر
2021
عدد الصفحات
232 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
طب الأسنان
تاريخ الإجازة
13/10/2020
مكان الإجازة
جامعة القاهرة - الفم والأسنان - Prosthodontics
الفهرس
Only 14 pages are availabe for public view

from 220

from 220

Abstract

Multiple myeloma (MM) is a clonal malignancy of terminally differentiated plasma cell representing the second most common hematological malignancy. Even though biologics transformed the landscape of MM treatment, cure is still an unmet clinical need. As such, decoding the mechanisms underlying the pathogenesis of MM is critical for development of new therapeutic approaches to treatment and long-term disease remission. Neoplastic transformation in MM is initiated in secondary lymphoid tissue (SLT) germinal center (GC) where B-cell committed to terminal differentiation into plasma cell (PC) but still targeted by on-goin somatic hypermutation (SHM).The neoplastic PCs preferentially home to the bone marrow (BM), where extensive studies substantiated the role of marrow stroma in survival, growth and drug resistance of myeloma cells. The relationship between SLT and BM micro-environments in MM has not been fully elucidated. Nevertheless, it has been recently shown that secreted protein acidic and rich in cysteine (SPARC) is a common stromal motif expressed in micro-environments suggesting a continuous role in MM pathogenesis. We reason that common molecular patterns operate at both sites of the origin (SLTs) and the destination (BM) of the MM disease. One of these molecules, a protein called 2SPARC3 expressed in both micro-environments; we hypothesized that SPARC dysregulation in the GCs and BM stroma promotes Myelomagenesis and that therapeutic rectification of SPARC levels would inhibit MM progression