Resumen
Multiple Myeloma is a hematological neoplasia originating from malignant plasma cells in the bone marrow. Despite improved therapies, this cancer is still considered incurable due to the occurrence of relapse and the development of drug resistance over time. Apart from cell-intrinsic oncogenic features such as genetic alterations and clonal evolution that promote tumor growth and survival, increasing evidence demonstrates that the bone marrow microenvironment plays a pivotal role in disease relapse and immune evasion by providing protected bone marrow niches in which dormant myeloma cells are able to reside and survive. This review summarizes the ways of the bone marrow micromilieu to nurture and interact with the malignant plasma cells, and provides insights into the vicious cycles arising from the interplay between myeloma cells and their surrounding tumoral stroma. Knowledge about these mechanisms and how to disrupt them may provide novel approaches to targeting and tackling multiple myeloma.