role of IL-6 in multiple myeloma
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Introduction
Role of IL-6:
- IL-6 is essential for survival & proliferation of myeloma cells which express receptors IL-6 receptors
- IL-6 prevents spontaneous & dexamethasone-induced apoptosis of myeloma cells
- serum IL-6 is increased in patients with myeloma, thought to be produced largely by stromal & bone cells within the marrow
- myeloma cells shed the soluble form of the IL-6 receptor alpha which can apparently amplify response of myeloma cells to IL-6
- soluble IL-6 receptor alpha is present in serum of patients with myeloma, especially increased in patients with poor prognosis
- IL-6, soluble IL-6 receptor alpha & IL-1 beta activate osteoclasts & thus provoke bone reabsorption in myeloma