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The article presents a study that investigated a serological surrogate for bone marrow assessment to optimise patient management and the patient experience. It discussed the findings to demonstrate a potential use for performed serological tests as surrogate markers for bone marrow minimal residual disease (MRD) negativity. It mentions the Isotype and International Staging System (ISS) distribution, median marrow plasma cell involvement, and median lactate dehydrogenase levels.

Mass cytometry in POEMS (polyneuropathy, organomegaly, endocrinopathy, M-protein, skin changes) syndrome: looking for a needle in a haystack In their current paper, Kourelis I et al i . profile the different immune cells within the bone marrow (BM) of patients with POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, M-protein, skin changes) (Kourelis I et al. i , [8]). Different immune checkpoint regulators are expressed by HRS cells, but PD-L1 is found to be universally present on HRS cells due to a genetic amplification at chromosome 9 (De Goycoechea I et al. i , [6]). [Extracted from the article]

Summary: Deletion of the long arm of chromosome 6 (del6q) is the most frequent cytogenetic abnormality in Waldenström macroglobulinaemia (WM), occurring in approximately 50% of patients. Its effect on patient outcome has not been completely established. We used fluorescence in situ hybridisation to analyse the prevalence of del6q in selected CD19+ bone marrow cells of 225 patients with newly diagnosed immunoglobulin M (IgM) monoclonal gammopathies. Del6q was identified in one of 27 (4%) cases of IgM‐monoclonal gammopathy of undetermined significance, nine of 105 (9%) of asymptomatic WM (aWM), and 28/93 (30%) of symptomatic WM (sWM), and was associated with adverse prognostic features and higher International Prognostic Scoring System for WM (IPSSWM) score. Asymptomatic patients with del6q ultimately required therapy more often and had a shorter time to transformation (TT) to symptomatic disease (median TT, 30 months vs. 199 months, respectively, P < 0·001). When treatment was required, 6q‐deleted patients had shorter progression‐free survival (median 20 vs. 47 months, P < 0·001). The presence of del6q translated into shorter overall survival (OS), irrespective of the initial diagnosis, with a median OS of 90 compared with 131 months in non‐del6q patients (P = 0·01). In summary, our study shows that del6q in IgM gammopathy is associated with symptomatic disease, need for treatment and poorer clinical outcomes. [ABSTRACT FROM AUTHOR]

Multiple myeloma, inducible T-cell co-stimulator (ICOS), ICOS ligand (ICOSL), soluble ICOS, soluble ICOSL, osteopontin Keywords: multiple myeloma; inducible T-cell co-stimulator (ICOS); ICOS ligand (ICOSL); soluble ICOS; soluble ICOSL; osteopontin EN multiple myeloma inducible T-cell co-stimulator (ICOS) ICOS ligand (ICOSL) soluble ICOS soluble ICOSL osteopontin 1288 1289 2 03/22/22 20220315 NES 220315 INTRODUCTION Multiple myeloma (MM) is a cancer of bone marrow plasma cells that often develops from premalignant monoclonal gammopathy of undetermined significance (MGUS) through an intermediate stage known as smouldering multiple myeloma (SMM).1,2 MGUS and SMM are asymptomatic, whereas symptomatic patients with MM have one or more CRAB criteria (hypercalcaemia, renal failure, anaemia, and/or bone lesions). Inducible T-cell co-stimulator (ICOS) and ICOS ligand are novel players in the multiple-myeloma microenvironment. [Extracted from the article]