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The oxidative stress response regulates DKK1 expression through the JNK signaling cascade in multiple myeloma plasma
Simona Colla1, Fenghuang Zhan, Wei Xiong
1Donna D. and Donald M. Lambert Laboratory of Myeloma Genetics at the Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Abstract:
Multiple myeloma (MM) plasma cells, but not those from healthy donors and patients with monoclonal gammopathy of undetermined significance or other plasma cell dyscrasias involving the bone marrow, express the Wnt-signaling antagonist DKK1. We previously reported that secretion of DKK1 by MM cells likely contributes to osteolytic lesions in this disease by inhibiting Wnt signaling, which is essential for osteoblast differentiation and survival. The mechanisms responsible for activation and regulation of DKK1 expression in MM are not known. Herein, we could trace DKK1 expression changes in MM cells to perturbations in the JNK signaling cascade, which is differentially modulated through oxidative stress and interactions between MM cells with osteoclasts in vitro. Despite its role as a tumor suppressor and mediator of apoptosis in other cell types including osteoblasts, our data suggest that DKK1, a stress-responsive gene in MM, does not mediate apoptotic signaling, is not activated by TP53, and its forced overexpression could not inhibit cell growth or sensitize MM cells to apoptosis following treatment with thalidomide or lenalidomide. We conclude that specific strategies to modulate persistent activation of the JNK pathway may be beneficial in preventing disease progression and treating myeloma-associated bone disease by inhibiting DKK1 expression.
Insights
Multiple myeloma plasma cells express DKK1, contributing to bone lesions by blocking Wnt signaling. Targeting the JNK pathway may inhibit DKK1, potentially treating myeloma and associated bone disease.
Area of Science:
- Oncology
- Molecular Biology
- Bone Biology
Background:
- Multiple myeloma (MM) plasma cells uniquely express DKK1, a Wnt-signaling antagonist.
- DKK1 secreted by MM cells contributes to osteolytic bone lesions by inhibiting essential Wnt signaling for osteoblast survival.
- Mechanisms regulating DKK1 expression in MM remain largely unknown.
Purpose of the Study:
- To investigate the mechanisms controlling DKK1 expression in multiple myeloma cells.
- To explore the role of oxidative stress and cell-cell interactions in DKK1 regulation.
- To determine if DKK1 mediates apoptosis or affects MM cell response to standard therapies.
Main Methods:
- Analysis of DKK1 expression in MM cells versus control groups.
- Investigating the involvement of the JNK signaling cascade.
- In vitro studies involving oxidative stress and MM cell-osteoclast interactions.
- Assessing DKK1's effect on MM cell apoptosis and drug sensitivity.
Main Results:
- DKK1 expression in MM cells is linked to perturbations in the JNK signaling pathway.
- JNK signaling modulation is influenced by oxidative stress and MM cell-osteoclast interactions.
- DKK1 does not mediate apoptotic signaling in MM, is not TP53-activated, and its overexpression doesn't sensitize MM cells to thalidomide or lenalidomide.
Conclusions:
- Persistent JNK pathway activation in MM contributes to DKK1 expression.
- Targeting the JNK pathway to inhibit DKK1 may offer a strategy for managing MM progression and bone disease.
- DKK1's role in MM appears distinct from its tumor suppressor functions in other cell types.
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