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Extracellular vesicles in multiple myeloma: pathogenesis and therapeutic application

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Abstract

Multiple myeloma (MM), characterised by the clonal proliferation of plasma cells in the bone marrow, is the second most common haematological malignancy worldwide. Although there is now an impressive artillery of therapeutics to tackle this condition, resistance remains a prevalent issue. The bone marrow microenvironment performs a crucial role in supporting MM pathogenesis and promoting the development of therapeutic resistance. Extracellular vesicles (EVs), small vesicles that carry bioactive molecules, are a key component of cell-to-cell communication within the bone marrow microenvironment. In this review, we summarise the contribution of EVs to disease progression and anticancer treatment resistance and discuss the potential therapeutic applications of EVs in MM.

Original languageEnglish
Pages (from-to)4979-4991
Number of pages13
JournalThe FEBS Journal
Volume292
Issue number19
Early online date09 Apr 2025
DOIs
Publication statusPublished - Oct 2025

Keywords

  • extracellular vesicles
  • multiple myeloma
  • pathogenesis

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