Genome Instability in Multiple Myeloma: Facts and Factors

Multiple myeloma (MM) is a malignant neoplasm of terminally differentiated immunoglobulin-producing B lymphocytes called plasma cells. MM is the second most common hematologic malignancy, and it poses a heavy economic and social burden because it remains incurable and confers a profound disability t...

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Main Authors: Anna Y. Aksenova, Anna S. Zhuk, Artem G. Lada, Irina V. Zotova, Elena I. Stepchenkova, Ivan I. Kostroma, Sergey V. Gritsaev, Youri I. Pavlov
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/23/5949
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author Anna Y. Aksenova
Anna S. Zhuk
Artem G. Lada
Irina V. Zotova
Elena I. Stepchenkova
Ivan I. Kostroma
Sergey V. Gritsaev
Youri I. Pavlov
author_facet Anna Y. Aksenova
Anna S. Zhuk
Artem G. Lada
Irina V. Zotova
Elena I. Stepchenkova
Ivan I. Kostroma
Sergey V. Gritsaev
Youri I. Pavlov
author_sort Anna Y. Aksenova
collection DOAJ
description Multiple myeloma (MM) is a malignant neoplasm of terminally differentiated immunoglobulin-producing B lymphocytes called plasma cells. MM is the second most common hematologic malignancy, and it poses a heavy economic and social burden because it remains incurable and confers a profound disability to patients. Despite current progress in MM treatment, the disease invariably recurs, even after the transplantation of autologous hematopoietic stem cells (ASCT). Biological processes leading to a pathological myeloma clone and the mechanisms of further evolution of the disease are far from complete understanding. Genetically, MM is a complex disease that demonstrates a high level of heterogeneity. Myeloma genomes carry numerous genetic changes, including structural genome variations and chromosomal gains and losses, and these changes occur in combinations with point mutations affecting various cellular pathways, including genome maintenance. MM genome instability in its extreme is manifested in mutation <i>kataegis</i> and complex genomic rearrangements: chromothripsis, templated insertions, and chromoplexy. Chemotherapeutic agents used to treat MM add another level of complexity because many of them exacerbate genome instability. Genome abnormalities are driver events and deciphering their mechanisms will help understand the causes of MM and play a pivotal role in developing new therapies.
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spelling doaj.art-14e44f83d1f047bbbfe856dfa25da4cb2023-11-23T02:11:59ZengMDPI AGCancers2072-66942021-11-011323594910.3390/cancers13235949Genome Instability in Multiple Myeloma: Facts and FactorsAnna Y. Aksenova0Anna S. Zhuk1Artem G. Lada2Irina V. Zotova3Elena I. Stepchenkova4Ivan I. Kostroma5Sergey V. Gritsaev6Youri I. Pavlov7Laboratory of Amyloid Biology, St. Petersburg State University, 199034 St. Petersburg, RussiaInternational Laboratory “Computer Technologies”, ITMO University, 197101 St. Petersburg, RussiaDepartment of Microbiology and Molecular Genetics, University of California, Davis, CA 95616, USADepartment of Genetics and Biotechnology, St. Petersburg State University, 199034 St. Petersburg, RussiaDepartment of Genetics and Biotechnology, St. Petersburg State University, 199034 St. Petersburg, RussiaRussian Research Institute of Hematology and Transfusiology, 191024 St. Petersburg, RussiaRussian Research Institute of Hematology and Transfusiology, 191024 St. Petersburg, RussiaEppley Institute for Research in Cancer, Fred and Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE 68198, USAMultiple myeloma (MM) is a malignant neoplasm of terminally differentiated immunoglobulin-producing B lymphocytes called plasma cells. MM is the second most common hematologic malignancy, and it poses a heavy economic and social burden because it remains incurable and confers a profound disability to patients. Despite current progress in MM treatment, the disease invariably recurs, even after the transplantation of autologous hematopoietic stem cells (ASCT). Biological processes leading to a pathological myeloma clone and the mechanisms of further evolution of the disease are far from complete understanding. Genetically, MM is a complex disease that demonstrates a high level of heterogeneity. Myeloma genomes carry numerous genetic changes, including structural genome variations and chromosomal gains and losses, and these changes occur in combinations with point mutations affecting various cellular pathways, including genome maintenance. MM genome instability in its extreme is manifested in mutation <i>kataegis</i> and complex genomic rearrangements: chromothripsis, templated insertions, and chromoplexy. Chemotherapeutic agents used to treat MM add another level of complexity because many of them exacerbate genome instability. Genome abnormalities are driver events and deciphering their mechanisms will help understand the causes of MM and play a pivotal role in developing new therapies.https://www.mdpi.com/2072-6694/13/23/5949multiple myelomagenome instabilitytranslocationschromothripsis<i>kataegis</i>editing deaminases
spellingShingle Anna Y. Aksenova
Anna S. Zhuk
Artem G. Lada
Irina V. Zotova
Elena I. Stepchenkova
Ivan I. Kostroma
Sergey V. Gritsaev
Youri I. Pavlov
Genome Instability in Multiple Myeloma: Facts and Factors
Cancers
multiple myeloma
genome instability
translocations
chromothripsis
<i>kataegis</i>
editing deaminases
title Genome Instability in Multiple Myeloma: Facts and Factors
title_full Genome Instability in Multiple Myeloma: Facts and Factors
title_fullStr Genome Instability in Multiple Myeloma: Facts and Factors
title_full_unstemmed Genome Instability in Multiple Myeloma: Facts and Factors
title_short Genome Instability in Multiple Myeloma: Facts and Factors
title_sort genome instability in multiple myeloma facts and factors
topic multiple myeloma
genome instability
translocations
chromothripsis
<i>kataegis</i>
editing deaminases
url https://www.mdpi.com/2072-6694/13/23/5949
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