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.

Cancer Research
|November 26, 2009
PubMed

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.

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