Furthermore, bone marrow MSCs have been shown to up-regulate the secretion of several inflammatory factors (interleukin- (IL-) 6, vascular endothelial growth factor (VEGF), SDF-1, and tumor necrosis factor-α (TNF-α)) as a result of their direct interaction with myeloma cells, which in turn promote supportive role of TME in undisturbed survival, growth, and development of multiple myeloma [62]. The gene discussed is TNF; the disease is plasma cell myeloma.