Evidence map›Paper›PMID 31541083›Full record

ArticleCell death & disease2019

TLR4 signaling drives mesenchymal stromal cells commitment to promote tumor microenvironment transformation in multiple myeloma.

Cesarina Giallongo, Daniele Tibullo, Giuseppina Camiolo, Nunziatina L Parrinello, Alessandra Romano, Fabrizio Puglisi, Alessandro Barbato, Concetta Conticello, Gabriella Lupo, Carmelina Daniela Anfuso and 4 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.5field-weighted citation impact, top 9% of its field
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

33 citing papers in PubMed, 61 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Cesarina Giallongo *Section of Haematology, Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy.
Daniele Tibullo *Department of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy. d.tibullo@unict.it.ORCID http://orcid.org/0000-0002-4416-8556
Giuseppina CamioloDepartment of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy.
Nunziatina L ParrinelloSection of Haematology, Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy.
Alessandra RomanoSection of Haematology, Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy.
Fabrizio PuglisiSection of Haematology, Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy.
Alessandro BarbatoSection of Haematology, Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy.
Concetta ConticelloSection of Haematology, Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy.
Gabriella LupoDepartment of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy.
Carmelina Daniela AnfusoDepartment of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy.
Giacomo LazzarinoInstitute of Biochemistry and Clinical Biochemistry, Catholic University of Rome, Largo F. Vito 1, 00168, Rome, Italy.
Giovanni Li VoltiDepartment of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy. livolti@unict.it.ORCID http://orcid.org/0000-0002-8678-2183
Giuseppe Alberto PalumboDepartment of Medical, Surgical Sciences and Advanced Technologies "G. F. Ingrassia", University of Catania, Catania, Italy.
Francesco Di RaimondoSection of Haematology, Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy.
University of Catania · ITUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inflammation represents a key feature and hallmark of tumor microenvironment playing a major role in the interaction with mesenchymal stromal cells (MSC) in cancer progression. The aim of the present study was to investigate the crosstalk between MSCs and myeloma cells (MM) in the pro-inflammatory microenvironment promoting immune evasion and tumor growth. MSC were collected from patients with diagnosis of MGUS (n = 10), smoldering myeloma (n = 7), multiple myeloma at diagnosis (n = 16), relapse (n = 5) or refractory (n = 3), and from age-matched healthy controls (HC, n = 10) and cultured with peripheral blood mononucleated cells (PBMC) from healthy volunteer donors. Similarly to MM, we showed that MSC from smoldering multiple myeloma (SMM) patients activated neutrophils and conferred an immunosuppressive and pro-angiogenic phenotype. Furthermore, co-cultures of plasma cells (PC) and HC-MSC suggested that such activation is driven by MM cells through the switching into a pro-inflammatory phenotype mediated by toll-like receptor 4 (TLR4). These results were further confirmed using a zebrafish as an immunocompetent in vivo model, showing the role of MM-MSC in supporting PCs engraftment and Th2 response. Such effect was abolished following inhibition of TLR4 signaling in MM-MSC before co-injection with PC. Moreover, the addition of a TLR4 inhibitor in the co-culture of HC-MSC with MM cells prevented the activation of the pro-tumor activity in PC-educated MSC. In conclusion, our study provides evidence that TLR4 signaling plays a key role in MSC transformation by inducing a pro-tumor phenotype associated with a permissive microenvironment allowing immune escape and tumor growth.

Identifiers

PMID31541083
PMCPMC6754430
OpenAlexW2974619755

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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 OpenQuestion graph.