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changes in protein profiles in bortezomib applied multiple myeloma ...

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TABLE OF CONTENTS<br />

LIST OF FIGURES ......................................................................................................... ix<br />

LIST OF TABLES ........................................................................................................... xi<br />

CHAPTER 1. INTRODUCTION TO MULTIPLE MYELOM ....................................... 1<br />

1.1. Cancer ................................................................................................... 1<br />

1.2. Multiple Myeloma (MM) ..................................................................... 4<br />

1.2.1. The Classification of MM ............................................................. 6<br />

1.2.2. Molecular Pathways of MM ......................................................... 8<br />

1.2.3. Risk Factors for MM ................................................................... 10<br />

1.2.4. Signs and Symptoms of MM ...................................................... 11<br />

1.2.5. Diagnosis of MM ........................................................................ 13<br />

1.2.6. Stages of MM .............................................................................. 16<br />

1.2.6.1. The Durie-Salmon Stag<strong>in</strong>g System .................................. 17<br />

1.2.6.2. The International Stag<strong>in</strong>g System ..................................... 18<br />

1.2.7. Treatment Strategy for MM ........................................................ 19<br />

1.2.7.1. Bortezomib ....................................................................... 19<br />

1.2.7.2. Biology of The Proteasome .............................................. 20<br />

1.2.7.3. Ubiquit<strong>in</strong>-Proteasome Pathway (UPP) ............................. 21<br />

1.2.7.4. Proteasome Inhibition by Bortezomib .............................. 22<br />

CHAPTER 2. PROTEOMICS AND MASS SPECTROMETRY .................................. 25<br />

2.1. Proteomics .......................................................................................... 25<br />

2.1.1. Prote<strong>in</strong> Profil<strong>in</strong>g and its Importance ........................................... 26<br />

2.1.2. Biological Sources <strong>in</strong> Cancer and Proteomics Research ............ 28<br />

2.1.3. Exploitation of Prote<strong>in</strong> Profil<strong>in</strong>g <strong>in</strong> MM .................................... 29<br />

2.1.4. Techniques for Determ<strong>in</strong><strong>in</strong>g Changes <strong>in</strong> Prote<strong>in</strong> Profiles .......... 30<br />

2.1.4.1. Gel Electrophoresis ........................................................... 31<br />

2.1.4.1.1. One-Dimensional Gel Electrophoresis<br />

(1D PAGE) .......................................................... 32<br />

vi

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