What is Multiple Myeloma?

Multiple myeloma (MM) is cancer of plasma cells. These are differentiated B cells that originate in bone marrow. In the body, plasma cells have an important role in producing antibodies to defend against infections.1

When plasma cells grow in an uncontrolled way, which can occur in multiple myeloma, they suppress the growth of other bone marrow cells. This can lead to other conditions, including anemia, bleeding disorders, infections, and bone lesions. In most patients with multiple myeloma, plasma cells produce an abnormal nonfunctional type of antibody called monoclonal protein, which may contribute to disease progression.3

Who is affected by myeloma?

In the United States , more than 35,000 new diagnoses of multiple myeloma are expected each year, along with more than 12,000 multiple myeloma-associated deaths4

There are several factors that can contribute to the risk for developing multiple myeloma, including being older (the average age at the time of diagnosis is approximately 70).5 Men are more likely to develop multiple myeloma than women, and Black people are twice as likely to develop multiple myeloma as White people.5 If you have a family member with myeloma, your risk may be increased.5 Some evidence has also reported that being overweight or obese may increase risk, as well as having underlying conditions like pernicious anemia and ankylosing spondylitis.6,7

There may also be some occupational risk for the development of multiple myeloma, particularly those that involve exposure to chemicals and other hazardous substances.7

References

  1. Syeda MZ, Hong T, Huang C, Huang W, Mu Q. B cell memory: From generation to reactivation: A multipronged defense wall against pathogens. Cell Death Discov. 2024;10:117.
  2. National Cancer Institute. NCI Dictionary of Cancer Terms. https://www.cancer.gov/publications/dictionaries/cancer-terms/def/multiple-myeloma
  3. National Comprehensive Cancer Network®. NCCN Guidelines for Patients. Multiple Myeloma, 2023. https://www.nccn.org/patients/guidelines/content/PDF/myeloma-patient.pdf
  4. Siegel RL, Giaquinto AN, Jemal A. Cancer statistics, 2024. CA Cancer J Clin. 2024;74:12-49.
  5. Padala SA, Barsouk A, Barsouk A, et al. Epidemiology, staging, and management of multiple myeloma. Med Sci. 2021;9:3.
  6. Went M, Cornish AJ, Law PJ, et al. Search for multiple myeloma risk factors using Mendelian randomization. Blood Adv. 2020;4:2172-2179.
  7. Sergentanis TN, Zagouri F, Tsilimidos G, et al. Risk factors for multiple myeloma: A systematic review of meta-analyses. Clin Lymphoma Myeloma Leuk. 2015;15:563-577.e1-3.
  8. Basavatarakam Indo American Cancer Hospital & Research Institute. Multiple myeloma: Causes, symptoms, diagnosis, and treatment – Indo American Hospital, Hyderabad. 2023. https://induscancer.com/multiple-myeloma-causes-symptoms-diagnosis-and-treatment-basavatarakam-indo-american-cancer-hospital/

All URLs accessed August 30, 2024

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