Evidence map›Paper›PMID 31323969›Full record

ReviewJournal of clinical medicine2019

High-Risk Multiple Myeloma: Integrated Clinical and Omics Approach Dissects the Neoplastic Clone and the Tumor Microenvironment.

Antonio Giovanni Solimando, Matteo Claudio Da Vià, Sebastiano Cicco, Patrizia Leone, Giuseppe Di Lernia, Donato Giannico, Vanessa Desantis, Maria Antonia Frassanito, Arcangelo Morizio, Julia Delgado Tascon and 10 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed.

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  18. Article
  19. Bruton's Tyrosine Kinase Targeting in Multiple Myeloma.International journal of molecular sciences · 2021
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Antonio Giovanni SolimandoDepartment of Internal Medicine II, University Hospital, 97080 Würzburg, Germany. antonio.solimando@uniba.it.
Matteo Claudio Da ViàDepartment of Internal Medicine II, University Hospital, 97080 Würzburg, Germany.ORCID 0000-0002-5396-6584
Sebastiano CiccoDepartment of Biomedical Sciences and Human Oncology, Section of Internal Medicine "G. Baccelli", University of Bari Medical School, 70124 Bari, Italy.ORCID 0000-0002-1980-5728
Patrizia LeoneDepartment of Biomedical Sciences and Human Oncology, Section of Internal Medicine "G. Baccelli", University of Bari Medical School, 70124 Bari, Italy.ORCID 0000-0002-0904-1074
Giuseppe Di LerniaDepartment of Biomedical Sciences and Human Oncology, Section of Internal Medicine "G. Baccelli", University of Bari Medical School, 70124 Bari, Italy.ORCID 0000-0002-8181-5986
Donato GiannicoDepartment of Biomedical Sciences and Human Oncology, Section of Internal Medicine "G. Baccelli", University of Bari Medical School, 70124 Bari, Italy.
Vanessa DesantisDepartment of Biomedical Sciences and Human Oncology, Section of Internal Medicine "G. Baccelli", University of Bari Medical School, 70124 Bari, Italy.
Maria Antonia FrassanitoDepartment of Biomedical Sciences and Human Oncology, Section of Internal Medicine "G. Baccelli", University of Bari Medical School, 70124 Bari, Italy.
Arcangelo MorizioOrthopedics and Traumatology Unit ASL BA-Ospedale della Murgia "Fabio Perinei", 70022 Altamura, Italy.
Julia Delgado TasconDepartment of Internal Medicine II, University Hospital, 97080 Würzburg, Germany.
Assunta MelaccioDepartment of Biomedical Sciences and Human Oncology, Section of Internal Medicine "G. Baccelli", University of Bari Medical School, 70124 Bari, Italy.
Ilaria SaltarellaDepartment of Biomedical Sciences and Human Oncology, Section of Internal Medicine "G. Baccelli", University of Bari Medical School, 70124 Bari, Italy.
Giuseppe RanieriDepartment of Biomedical Sciences and Human Oncology, Section of Internal Medicine "G. Baccelli", University of Bari Medical School, 70124 Bari, Italy.
Roberto RiaDepartment of Biomedical Sciences and Human Oncology, Section of Internal Medicine "G. Baccelli", University of Bari Medical School, 70124 Bari, Italy.ORCID 0000-0002-1515-0090
Leo RascheDepartment of Internal Medicine II, University Hospital, 97080 Würzburg, Germany.
K Martin KortümDepartment of Internal Medicine II, University Hospital, 97080 Würzburg, Germany.
Andreas BeilhackDepartment of Internal Medicine II, University Hospital, 97080 Würzburg, Germany.ORCID 0000-0002-3165-2648
Vito RacanelliDepartment of Biomedical Sciences and Human Oncology, Section of Internal Medicine "G. Baccelli", University of Bari Medical School, 70124 Bari, Italy.ORCID 0000-0002-8639-1940
Angelo VaccaDepartment of Biomedical Sciences and Human Oncology, Section of Internal Medicine "G. Baccelli", University of Bari Medical School, 70124 Bari, Italy.
Hermann EinseleDepartment of Internal Medicine II, University Hospital, 97080 Würzburg, Germany.

Funding

Associazione Italiana per la Ricerca sul Cancro 20441Bayerische Forschungsstiftung FortiTher consortium (WP2TP3)Deutsche Forschungsgemeinschaft DFG FOR 1586, SPP 2084Regione Puglia - GLOBALDOC Project - CUP H96J17000160002
6 · The paper itself

Abstract

Multiple myeloma (MM) is a genetically heterogeneous disease that includes a subgroup of 10-15% of patients facing dismal survival despite the most intensive treatment. Despite improvements in biological knowledge, MM is still an incurable neoplasia, and therapeutic options able to overcome the relapsing/refractory behavior represent an unmet clinical need. The aim of this review is to provide an integrated clinical and biological overview of high-risk MM, discussing novel therapeutic perspectives, targeting the neoplastic clone and its microenvironment. The dissection of the molecular determinants of the aggressive phenotypes and drug-resistance can foster a better tailored clinical management of the high-risk profile and therapy-refractoriness. Among the current clinical difficulties in MM, patients' management by manipulating the tumor niche represents a major challenge. The angiogenesis and the stromal infiltrate constitute pivotal mechanisms of a mutual collaboration between MM and the non-tumoral counterpart. Immuno-modulatory and anti-angiogenic therapy hold great efficacy, but variable and unpredictable responses in high-risk MM. The comprehensive understanding of the genetic heterogeneity and MM high-risk ecosystem enforce a systematic bench-to-bedside approach. Here, we provide a broad outlook of novel druggable targets. We also summarize the existing multi-omics-based risk profiling tools, in order to better select candidates for dual immune/vasculogenesis targeting.

Indexed as

angiogenesisbone marrow microenvironmentdrug resistanceextramedullary diseasemultiple myeloma

Identifiers

PMID31323969
PMCPMC6678140

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.