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Updated: Apr 28, 2026

An Organotypic High Throughput System for Characterization of Drug Sensitivity of Primary Multiple Myeloma Cells
Published on: July 15, 2015
Bone marrow stromal cell-derived exosomes as communicators in drug resistance in multiple myeloma cells
Jinheng Wang1, An Hendrix2, Sophie Hernot3
1Department of Hematology and Immunology, Myeloma Center Brussels, Vrije Universiteit Brussel, Brussels, Belgium; Research Center for Immunology, Xinxiang Medical University, Xinxiang, Henan, People's Republic of China;
Abstract:
The interplay between bone marrow stromal cells (BMSCs) and multiple myeloma (MM) cells performs a crucial role in MM pathogenesis by secreting growth factors, cytokines, and extracellular vesicles. Exosomes are membranous vesicles 40 to 100 nm in diameter constitutively released by almost all cell types, and they mediate local cell-to-cell communication by transferring mRNAs, miRNAs, and proteins. Although BMSC-induced growth and drug resistance of MM cells has been studied, the role of BMSC-derived exosomes in this action remains unclear. Here we investigate the effect of BMSC-derived exosomes on the viability, proliferation, survival, migration, and drug resistance of MM cells, using the murine 5T33MM model and human MM samples. BMSCs and MM cells could mutually exchange exosomes carrying certain cytokines. Both naive and 5T33 BMSC-derived exosomes increased MM cell growth and induced drug resistance to bortezomib. BMSC-derived exosomes also influenced the activation of several survival relevant pathways, including c-Jun N-terminal kinase, p38, p53, and Akt. Exosomes obtained from normal donor and MM patient BMSCs also induced survival and drug resistance of human MM cells. Taken together, our results demonstrate the involvement of exosome-mediated communication in BMSC-induced proliferation, migration, survival, and drug resistance of MM cells.
Insights
Bone marrow stromal cell (BMSC)-derived exosomes promote multiple myeloma (MM) cell growth and drug resistance. These exosomes mediate communication, influencing MM cell viability, proliferation, survival, migration, and resistance to bortezomib therapy.
Area of Science:
- Oncology
- Cell Biology
- Biochemistry
Background:
- Bone marrow stromal cells (BMSCs) play a key role in multiple myeloma (MM) pathogenesis through secreted factors.
- Exosomes mediate intercellular communication by transferring molecular cargo, but their specific role in BMSC-MM cell interactions is unclear.
Purpose of the Study:
- To investigate the effect of BMSC-derived exosomes on MM cell viability, proliferation, survival, migration, and drug resistance.
- To elucidate the role of exosome-mediated communication in the BMSC-MM cell interplay.
Main Methods:
- Utilized the murine 5T33MM model and human MM samples.
- Analyzed MM cell responses to BMSC-derived exosomes, including growth, drug resistance, and pathway activation.
- Investigated exosome cargo exchange between BMSCs and MM cells.
Main Results:
- BMSC-derived exosomes (from both naive and 5T33 models) enhanced MM cell growth and bortezomib resistance.
- Exosomes facilitated mutual cytokine exchange between BMSCs and MM cells.
- BMSC-derived exosomes modulated key survival pathways (JNK, p38, p53, Akt) in MM cells.
- Exosomes from both normal and MM patient BMSCs induced survival and drug resistance in human MM cells.
Conclusions:
- Exosome-mediated communication is involved in BMSC-induced proliferation, migration, survival, and drug resistance of MM cells.
- BMSC-derived exosomes represent a significant factor in multiple myeloma progression and treatment resistance.
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