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Go to: Abstract Multiple myeloma MM is a plasma cell neoplasm characterized by an abnormal proliferation of clonal, terminally differentiated B lymphocytes. Current approaches for the treatment of MM focus on developing new diagnostic techniques; however, the search for prognostic markers is also crucial. This enables the classification of patients into risk groups and, thus, the selection of the most optimal treatment method. Particular attention should be paid to the possible use of immune factors, as the immune system plays a key role in the formation and course of MM. In this review, we focus on characterizing the components of the immune system that are of prognostic value in MM patients, in order to facilitate the development of new diagnostic and therapeutic directions. Keywords: cytokines, immune cells, markers, multiple myeloma, prognostic factors Go to: 1. MM is characterized by an abnormal proliferation of clonal, terminally differentiated B lymphocytes. Malignant plasma cells are present primarily in the bone marrow, but can also be recorded in peripheral blood and other extramedullary sites, especially in the advanced stage of the disease [ 2 ]. In the course of MM, the overproduction of monoclonal proteins M-proteins is observed, which then accumulate in the serum and urine. This condition causes the occurrence of extensive disease symptoms, including anaemia, hypercalcemia, and kidney and bone damage, as well as immunosuppression [ 3 ]. Factors That Influence Group Polarization. Factors That Influence Group Polarization

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PI4KIIIalpha mutations in the posterior follicle cells lead to oocyte polarization defects similar to those caused by mutations in the Hippo signaling pathway. The Merlin-Expanded- Kibra complex is required at the apical membrane for Hippo activity. DV asymmetry of the Drosophila oocyte is established during mid-oogenesis through a repolarization process initiated in the posterior follicle cells PFCs.

In response to an unknown signal from the PFCs the oocyte nucleus migrates from the posterior end to the dorsal-anterior corner of the oocyte. As a consequence, the Gurken Grk protein no longer accumulates at the posterior cortex of the oocyte, but is now found in the dorsal-anterior membrane overlying the oocyte nucleus where Factors That Influence Group Polarization activates Factors That Influence Group Polarization to initiate DV patterning. In a genetic screen directed at FC components affecting this repolarization process, a complementation group with six lethal mutant alleles was isolated, and initially named after a representative allele, GS When the PFCs were mutant for the GS27 gene product, the oocyte nucleus frequently remained at the posterior end of the oocyte. This phenotype was confirmed by the abnormal posterior localization of Grk in late egg chambers Yan, The lethality of the GS27 complementation group was mapped through duplication and deficiency mapping to the X-chromosomal region 3AA8, which contains 16 genes.

Sequencing of candidate genes showed that four alleles of the GS27 complementation group contained mutations that lead to premature stop codons in the coding region of CG, a predicted phosphatidylinositol 4-kinase. Phosphoinositides, including PIP4, are important phospholipids in the cell membrane that participate in numerous signaling events.

Four classes here PI4Ks have been identified in mammalian cells that localize to different cellular compartments and are likely to perform non-redundant functions.

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To investigate the oocyte polarization defects caused by PI4KIIIalpha mutations, the localization of well-established oocyte polarity markers was examined. The microtubule cytoskeleton is polarized in the oocyte. Staufen localizes to the posterior pole of wild-type oocytes after stage 8 and is required for the localization of maternal RNAs. Therefore, in combination with the mislocalization of the oocyte nucleus, these results demonstrate that PI4KIIIalpha is required in the PFCs for all aspects of the establishment of correct oocyte polarity Yan, To examine whether the polarization defect observed in PI4KIIIalpha mutants was caused by disruption of one of these signaling pathways, well-established downstream targets of each pathway were examined in PI4KIIIalpha mutants Yan, Notch signaling is Factors That Influence Group Polarization for FCs to exit the mitotic cell cycle at stage 6 and switch to an endocycle.

Consistent with a failure to exit the mitotic cycle, the PI4KIIIalpha mutant PFCs often lost their monolayered epithelial structure and had smaller nuclei than neighboring cells.

Factors That Influence Group Polarization

In wild-type FCs, Cut expression is downregulated whereas Hnt expression is upregulated upon Notch activation at stage 6. The phenotypes described above are similar to those caused by mutations in Hippo pathway components.

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In particular, the observation that only PFCs appear affected is characteristic of Polarizatio in the Hippo pathway, which are reported to affect Notch signaling only in this group of FCs. This upregulation was observed in all FCs, regardless of their position. Multiple lines of evidence suggest that the apical localization of the Expanded-Merlin-Kibra complex is crucial for Hippo signaling activity as it is proposed to function as a platform to bring the core Hippo components into close proximity and facilitate the phosphorylation reactions.

In addition, it has been reported that Expanded directly interacts with Yki and functions to sequester Yki in the cytoplasm Yan, The complex is confined to the apical domain in wild-type FCs.]

Factors That Influence Group Polarization

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