The BAFF/APRIL cytokine network is intimately linked through three different receptors to the survival and fi tness of B lineage cells, from the first expression of a complete B cell receptor to their differentiation to memory B and plasma cells. The speci fi c, pervasive, and survival-linked nature of the relationship between B lineage cells and this cytokine network make it both a likely disease modi fi er and a tantalizing target for therapeutic intervention in humoral immune pathologies. Some current therapeutics directly targeting the BAFF/APRIL cytokine network have been developed and undergone clinical trials in the context of autoimmunity with some limited success. Despite a powerful rationale and a constantly deepening mechanistic understanding of the BAFF/APRIL cytokine network in normal and malignant plasma cells, trials of cytokine network-targeted therapeutics in multiple myeloma are still in their infancy and have shown only minor promise. There is signi fi cantly greater potential in inhibiting NF-kB, a downstream mediator of BAFF/APRIL signals.
|Original language||English (US)|
|Title of host publication||Advances in Biology and Therapy of Multiple Myeloma: Volume 1: Basic Science|
|Publisher||Springer New York|
|Number of pages||16|
|ISBN (Print)||9781461446668, 9781461446651|
|State||Published - Jan 1 2013|
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