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Blood, 15 March 2006, Vol. 107, No. 6, pp. 2531-2535.
Prepublished online as a Blood First Edition Paper on November 29, 2005; DOI 10.1182/blood-2005-04-1768.


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Submitted May 2, 2005
Accepted November 8, 2005

Neoplastic circulating endothelial cells in multiple myeloma with 13q14 deletion

Gian Matteo Rigolin*, Chiara Fraulini, Maria Ciccone, Endri Mauro, Anna Maria Bugli, Cristiano De Angeli, Massimo Negrini, Antonio Cuneo, and Gianluigi Castoldi

Hematology Section, Department of Biomedical Sciences, Azienda Ospedaliero-Universitaria Arcispedale S. Anna, University of Ferrara, Ferrara, Italy
Microbiology Section, Department of Experimental and Diagnostic Medicine, University of Ferrara, Ferrara, Italy; Centro interdipartimentale per la Ricerca sul Cancro, University of Ferrara, Ferrara, Italy

* Corresponding author; email: rglgmt{at}unife.it.

In multiple myeloma (MM), circulating endothelial cells (CECs) represent a vascular marker of angiogenesis and may reflect tumor mass. In this report, we showed that, in 5 MM patients with 13q14 deletion, CECs carried the same chromosome aberration as the neoplastic plasma cells (11-32% of CECs with 13q14 deletion). Most of CECs displayed immunophenotypic features of endothelial progenitor cells as they expressed CD133, a marker gradually lost during endothelial differentiation and absent on mature endothelial cells. To the contrary, in 3 patients with monoclonal gammopathy of undetermined significance and 13q14 deletion, CECs were cytogenetically normal and had a mature immunophenotype. In MM CECs, immunoglobulin genes were clonally rearranged. These findings suggest a possible origin of CECs from a common hemangioblast precursor that can give rise to both plasma cells and endothelial cells and point to a direct contribution of MM-derived CECs to tumor vasculogenesis and possibly to the spreading and progression of the disease.


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