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The Association between Metabolic Syndrome and Multiple Myeloma

Journal

ACTA HAEMATOLOGICA
Volume 144, Issue 1, Pages 24-32

Publisher

KARGER
DOI: 10.1159/000505992

Keywords

Cytokines; Lipids; Metabolic syndrome; Metformin; Myeloma; Obesity; Paraprotein; Statins

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Multiple myeloma is a hematological malignancy involving monoclonal proliferation of plasma cells leading to the presence of paraproteins in serum. There is a connection between paraproteins, metabolic syndrome features, inflammatory cytokines, and the development of MM. Some drugs used in treating metabolic syndrome, such as statins and metformin, may improve outcomes in MM.
Multiple myeloma (MM) is a haematological malignancy arising from monoclonal proliferation of plasma cells in the bone marrow, resulting in the presence of paraproteins or M-protein in serum. The involvement of paraproteins produced by malignant plasma cells in the development of hyperlipidaemia and low-HDL cholesterol has been described, as has an association with MM and obesity, hypertension, and type 2 diabetes mellitus, and insulin resistance, that is, features of the metabolic syndrome (MS). There is an association between MS components, inflammatory cytokines, and the development of MM, and some drugs used in the treatment of MS such as statins and metformin may improve outcomes in MM.

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