Oncolytic measles virus targets high CD46 expression on multiple myeloma cells
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Updated: Aug 8, 2026

Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Hooi Tin Ong1, Michael M Timm, Philip R Greipp
1Molecular Medicine Program, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Objective:
Multiple myeloma (MM) is an incurable B cell malignancy and novel therapeutics are urgently needed. Live attenuated measles virus (MV) has potent oncolytic activity against MM tumor xenografts. The virus is tumor selective and preferentially targets cells that express high levels of CD46 receptors. However, CD46 levels on MM have not previously been evaluated. In this study, we investigated the potential of CD46 as a target for MM therapy and correlated surface levels of CD46 on MM cells with their susceptibility to MV-induced cytopathic effects.
Materials And Methods:
CD46 expression on neoplastic plasma cells (PCs) and nonplasma cells (NPCs) from 38 MM patients was analyzed by flow cytometry and receptor numbers were quantitated using BD QuantiBRITE PE beads.
Results:
Results showed that malignant PCs expressed significantly higher levels of CD46 receptors compared to NPCs (p < 0.0001). The mean CD46 receptor numbers on PCs and NPCs were 49,130/cell and 7,340/cell, respectively. Potent cytopathic effects of extensive intercellular fusion were observed in measles-infected PCs but not in NPCs. The extent of MV-induced cytopathic effects of cell fusion correlated with CD46 expression levels on the MM cells. Normal plasma cells do not overexpress CD46 and colony-forming assays demonstrated that MV was not cytotoxic to normal bone marrow progenitor cells.
Conclusion:
The present study establishes CD46 as a surface antigen that is expressed more abundantly on primary MM cells compared to normal hematopoietic cells of various lineages in the bone marrow, making CD46 a promising surface marker for targeted cytoreductive therapy of MM.
Insights
Multiple myeloma cells overexpress CD46, making them susceptible to measles virus therapy. This study confirms CD46 as a promising target for multiple myeloma treatment.
Area of Science:
- Oncology
- Virology
- Immunology
Background:
- Multiple myeloma (MM) is an incurable B cell malignancy requiring novel therapeutics.
- Live attenuated measles virus (MV) exhibits oncolytic activity against MM xenografts.
- MV selectively targets cells with high CD46 receptor expression.
Purpose of the Study:
- To evaluate CD46 as a therapeutic target for MM.
- To correlate CD46 surface levels on MM cells with MV susceptibility.
- To assess CD46 expression on MM cells for the first time.
Main Methods:
- Flow cytometry analyzed CD46 expression on neoplastic plasma cells (PCs) and nonplasma cells (NPCs) from 38 MM patients.
- BD QuantiBRITE PE beads quantified CD46 receptor numbers.
- Measles virus (MV) infection assessed cytopathic effects and cell fusion.
Main Results:
- Malignant PCs showed significantly higher CD46 expression than NPCs (mean 49,130 vs. 7,340 receptors/cell).
- MV induced potent cytopathic effects, including intercellular fusion, in infected PCs but not NPCs.
- Cytopathic effects correlated with CD46 expression levels on MM cells.
- MV was not cytotoxic to normal bone marrow progenitor cells.
Conclusions:
- CD46 is a surface antigen overexpressed on primary MM cells compared to normal bone marrow hematopoietic cells.
- CD46 represents a promising surface marker for targeted cytoreductive therapy in MM.
- This study validates CD46 as a potential therapeutic target for multiple myeloma.
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