Table 1.
Sample (MM PCs) | %intramedullary PCs | Paraprotein type | ISS | ISS-R | High LDH | Karyotype | C | R | A | B |
---|---|---|---|---|---|---|---|---|---|---|
(A) | ||||||||||
MM1 | 80% | IgG/κ | III | III | Y | t(4;14), gain 1q, hypodiploid | N | N | Y | N |
MM1.2 | 75% | IgG/κ | Y | t(4;14), gain 1q | N | N | Y | Y | ||
MM2 | 70% | IgG/κ+κ | III | II | N | Normal | Y | Y | Y | Y |
MM3 | 100% | IgG/κ | II | II | N | Normal | N | N | Y | Y |
MM4 | 30% | IgG/λ | III | II | N | Normal | N | N | Y | N |
MM5 | 100% | κ | ND | ND | N | Normal | N | N | Y | Y |
MM6 | 70% | IgG/λ | II | II | N | Hyperdiploid | N | N | Y | Y |
MM7 | 70% | IgA/κ | II | II | N | Hyperdiploid | N | N | Y | N |
MM8 | 60-70% | IgG/λ | III | III | Y | del17p, gain1q | N | Y | Y | N |
MM9 | 95% | IgG/κ | I | I | N | t(11;14) | N | N | N | Y |
(B) | ||||||||||
BMSC1 | 50% | IgG/λ | I | I | N | Hyperdiploid | Y | N | Y | Y |
BMSC2 | 100% | IgA/κ | III | II | N | del1p, hypodiploid | Y | Y | Y | Y |
BMSC3 | 30% | κ | NA | NA | ND | gain1q | ||||
BMSC4 | 45% | IgG/κ | II | II | N | Hyperdiploid | N | N | N | Y |
BMSC5 | 70% | IgA/λ | I | I | N | Hyperdiploid | N | N | Y | Y |
MM plasma cells (A) and MM BMSC (B) were isolated from the bone marrow of patients. Clinical staging was performed according to the International Staging System (ISS; albumin levels ≤ or > 35 g/L; β2-microglobulin levels ≤ or > 3.5 mg/L) and to the International Staging System-Revisited in 2015 (ISS-R, in addition to the ISS criteria, considered the presence of high level of LDH and the presence of chromosomal abnormalities). The presence of high lactate dehydrogenase LDH was evaluated. All features are reported as data at diagnosis
PC plasma cell, BMSC bone marrow stromal cell, ISS International Staging System, ISS-R International Staging System-Revised, LDH lactate dehydrogenase, C calcium elevated, R renal failure, A anemia, B bone disease, Y yes/present, N no/absent, NA not available, ND not determined