The Bone Marrow Microenvironment in Waldenström Macroglobulinemia

Hematol Oncol Clin North Am. 2018 Oct;32(5):777-786. doi: 10.1016/j.hoc.2018.05.005. Epub 2018 Jul 25.

Abstract

Waldenström macroglobulinemia (WM) is an indolent B-cell lymphoma defined predominantly by infiltration of lymphoplasmacytic cells into the bone marrow (BM) and increased production of monoclonal immunoglobulin M (IgM) by lymphoplasmacytic cells, and the secretion of IgM is enhanced by cytokines in the bone marrow microenvironment. This article highlights the available data regarding the interaction of WM cells with both the cellular and noncellular compartments of the BM microenvironment and discusses how the BM promotes malignant cell growth and increases IgM production in this disease.

Keywords: Angiogenesis; Bone marrow niche; Cytokines; Homing; Immune cells; Microenvironment; Waldenström macroglobulinemia.

Publication types

  • Review

MeSH terms

  • Bone Marrow* / metabolism
  • Bone Marrow* / pathology
  • Humans
  • Immunoglobulin M / genetics
  • Immunoglobulin M / metabolism
  • Neoplasm Proteins / genetics
  • Neoplasm Proteins / metabolism
  • Plasma Cells* / metabolism
  • Plasma Cells* / pathology
  • Tumor Microenvironment*
  • Waldenstrom Macroglobulinemia* / genetics
  • Waldenstrom Macroglobulinemia* / metabolism
  • Waldenstrom Macroglobulinemia* / pathology

Substances

  • Immunoglobulin M
  • Neoplasm Proteins