Cited by 27Multiple Myeloma Research and TreatmentsNF-κB Signaling PathwaysTGF-β signaling in diseases

Role of NF-κB Signaling in the Interplay between Multiple Myeloma and Mesenchymal Stromal Cells

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Cippitelli, Marco, Stabile, Helena, Kosta, Andrea, Petillo, Sara, Lucantonio, Lorenzo, Gismondi, Angela, Santoni, Angela, Fionda, Cinzia·2023·International Journal of Molecular Sciences

Abstract

Nuclear factor-κB (NF-κB) transcription factors play a key role in the pathogenesis of multiple myeloma (MM). The survival, proliferation and chemoresistance of malignant plasma cells largely rely on the activation of canonical and noncanonical NF-κB pathways. They are triggered by cancer-associated mutations or by the autocrine and paracrine production of cytokines and growth factors as well as direct interaction with cellular and noncellular components of bone marrow microenvironment (BM). In this context, NF-κB also significantly affects the activity of noncancerous cells, including mesenchymal stromal cells (MSCs), which have a critical role in disease progression. Indeed, NF-κB transcription factors are involved in inflammatory signaling that alters the functional properties of these cells to support cancer evolution. Moreover, they act as regulators and/or effectors of pathways involved in the interplay between MSCs and MM cells. The aim of this review is to analyze the role of NF-κB in this hematologic cancer, focusing on NF-κB-dependent mechanisms in tumor cells, MSCs and myeloma–mesenchymal stromal cell crosstalk.

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Crossref · 10.3390/ijms24031823

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  • NF-κB plays a critical role in controlling the impact that MM-MSCs have on multiple myeloma cells by encouraging MM-MSC proliferation, chemoresistance, and immune escape.

    “Moreover, by encouraging MM-MSCs’ proliferation, chemoresistance, and immune escape, NF-κB (Nuclear factor Kappa B) plays a critical role in controlling the impact that MM-MSCs have on MM cells [104].”

    From Mesenchymal stromal cells in bone marrow niche of patients with multiple myeloma: a double-edged sword (2025) · cites this paper as [104]

    The Introduction says NF-κB regulates the effects of MM-MSCs on MM cells by promoting growth, chemoresistance and immune escape. But the growth attributed to NF-κB is that of MM cells, not proliferation of MM-MSCs; section 4.1 likewise describes MM-MSCs supporting MM cell growth. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • NF-κB activation mediates bone destruction in MM patients by modulating osteoclast stimulators like MIP-1α.

    “Moreover, NF-κB activation mediates bone destruction in MM patients by modulating osteoclast stimulators like MIP-1α [142].”

    From Multiple myeloma: signaling pathways and targeted therapy (2024) · cites this paper as [142]

    Section 4.2 (page unavailable) links NF-κB signaling to osteoclast formation and MM-related bone resorption, including regulation of the osteoclast-promoting factors RANKL and IL-6. It does not identify MIP-1α or say that NF-κB modulates it, so the specific mechanism in the claim is unsupported. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • The NF-κB signaling pathway plays a pivotal role in the pathophysiology of multiple myeloma, significantly impacting the survival, proliferation, and chemoresistance of malignant plasma cells.

    “Concurrently, the NF-κB signaling pathway plays a pivotal role in the pathophysiology of MM, significantly impacting the survival, proliferation, and chemoresistance of malignant PC.”
  • NF-κB transcription factors mastermind important modifications to mesenchymal stromal cell functional properties that promote the progression of cancer, acting as effectors or regulators of pathways that control interactions between multiple myeloma cells and mesenchymal stromal cells.

    “It’s interesting to note that NF-κB transcription factors also mastermind important modifications to MSC functional properties that promote the progression of cancer. They play a crucial role as effectors or regulators of pathways that control interactions between MM cells and MSCs on several levels [104].”

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Authors
Cippitelli, M., Stabile, H., Kosta, A., Petillo, S., Lucantonio, L., Gismondi, A., Santoni, A., & Fionda, C.
Affiliations
  • Sapienza University of Rome (IT)
  • Istituto Neurologico Mediterraneo (IT)
Corresponding author
  • Cippitelli, Marco
  • Fionda, Cinzia
Venue
International Journal of Molecular Sciences
Publisher
MDPI AG
Published
2023-01-17
Volume
24
Issue
3
Pages
1823
ISSN
1422-0067 (ISSN-L)
OpenAlex
W4317103854
Cited by
26
References
85
Citations by year
2026: 5 · 2025: 11 · 2024: 5 · 2023: 5
FWCI
1.32
Type
journal article
Language
en
Open access
Locations
  • International Journal of Molecular Sciences (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
Funders
  • Sapienza University of Rome (2018/RG11816426E8448B, 2020/RP120172A7CD4ACB, 2017NTK4HY_005)
  • Ministero dell’Istruzione, dell’Università e Ricerca Scientifica (2018/RG11816426E8448B, 2020/RP120172A7CD4ACB, 2017NTK4HY_005)
Topics
  • Health Sciences › Medicine › Hematology › Multiple Myeloma Research and Treatments
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › NF-κB Signaling Pathways
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › TGF-β signaling in diseases
Keywords
NF-κB signaling, multiple myeloma, mesenchymal stem cells, bone marrow microenvironment, canonical NF-κB pathway, non-canonical NF-κB signaling, chemoresistance, plasma cell survival, inflammation, cytokines
MeSH terms
Humans, Multiple Myeloma, Transcription Factors, Signal Transduction, NF-kappa B, Stromal Cells, Tumor Microenvironment, Mesenchymal Stem Cells

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