Related Experiment Video
Updated: Jun 18, 2026

Methods for Evaluating the Role of c-Fos and Dusp1 in Oncogene Dependence
Published on: January 7, 2019
Targeting the Fanconi anemia/BRCA pathway circumvents drug resistance in multiple myeloma
Danielle N Yarde1, Vasco Oliveira, Linda Mathews
1Cancer Biology Ph.D. Program, University of South Florida, Tampa, Florida 33612, USA.
Abstract:
The Fanconi anemia/BRCA (FA/BRCA) DNA damage repair pathway plays a pivotal role in the cellular response to replicative stress induced by DNA alkylating agents and greatly influences drug response in cancer treatment. We recently reported that FA/BRCA genes are overexpressed and causative for drug resistance in human melphalan-resistant multiple myeloma cell lines. However, the transcriptional regulation of the FA/BRCA pathway is not understood. In this report, we describe for the first time a novel function of the NF-kappaB subunits, RelB/p50, as transcriptional activators of the FA/BRCA pathway. Specifically, our findings point to constitutive phosphorylation of IkappaB kinase alpha and subsequent alterations in FANCD2 expression and function as underlying events leading to melphalan resistance in repeatedly exposed multiple myeloma cells. Inhibiting NF-kappaB by small interfering RNA, blocking the IkappaB kinase complex with BMS-345541, or using the proteasome inhibitor bortezomib drastically reduced FA/BRCA gene expression and FANCD2 protein expression in myeloma cells, resulting in diminished DNA damage repair and enhanced melphalan sensitivity. Importantly, we also found that bortezomib decreases FA/BRCA gene expression in multiple myeloma patients. These results show for the first time that NF-kappaB transcriptionally regulates the FA/BRCA pathway and provide evidence for targeting Fanconi anemia-mediated DNA repair to enhance chemotherapeutic response and circumvent drug resistance in myeloma patients.
Insights
NF-kappaB subunits RelB/p50 activate the Fanconi anemia/BRCA (FA/BRCA) DNA repair pathway. Targeting this pathway enhances chemotherapy response and overcomes drug resistance in multiple myeloma.
Area of Science:
- Molecular Biology
- Cancer Research
- Genetics
Background:
- The Fanconi anemia/BRCA (FA/BRCA) pathway is crucial for DNA repair and influences cancer drug response.
- FA/BRCA genes are overexpressed in melphalan-resistant multiple myeloma, causing drug resistance.
- Transcriptional regulation of the FA/BRCA pathway remains largely unknown.
Purpose of the Study:
- To elucidate the transcriptional regulation of the FA/BRCA pathway.
- To identify novel regulators of FA/BRCA in multiple myeloma.
- To explore therapeutic strategies targeting FA/BRCA for overcoming drug resistance.
Main Methods:
- Investigated the role of NF-kappaB subunits (RelB/p50) in regulating FA/BRCA.
- Analyzed constitutive phosphorylation of IkappaB kinase alpha.
- Assessed the impact of NF-kappaB inhibition (siRNA, BMS-345541) and proteasome inhibition (bortezomib) on FA/BRCA expression and FANCD2.
- Evaluated drug sensitivity in multiple myeloma cells and patient samples.
Main Results:
- Identified NF-kappaB subunits RelB/p50 as transcriptional activators of the FA/BRCA pathway.
- Demonstrated constitutive IkappaB kinase alpha phosphorylation in melphalan-resistant myeloma cells, affecting FANCD2.
- Showed that inhibiting NF-kappaB or proteasome function reduces FA/BRCA and FANCD2 expression, enhancing melphalan sensitivity.
- Confirmed bortezomib decreases FA/BRCA expression in multiple myeloma patients.
Conclusions:
- NF-kappaB transcriptionally regulates the FA/BRCA pathway.
- Targeting Fanconi anemia-mediated DNA repair can enhance chemotherapeutic response.
- This provides a strategy to circumvent drug resistance in multiple myeloma patients.
More Related Videos
14:51Pooled shRNA Library Screening to Identify Factors that Modulate a Drug Resistance Phenotype
Published on: June 17, 2022
08:59Looking for Driver Pathways of Acquired Resistance to Targeted Therapy: Drug Resistant Subclone Generation and Sensitivity Restoring by Gene Knock-down
Published on: December 11, 2017
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Treatment Resistant Cancers
Treatment Resistent Cancers
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase