MTDH is an oncogene in multiple myeloma, which is suppressed by Bortezomib treatment

Chunyan Gu1,2,3, Lang Feng4,5, Hailin Peng6

  • 1Department of Pathology, Nanjing Medical University, 210029, Nanjing, China.

Oncotarget
|December 20, 2015
PubMed

Insights

Metadherin (MTDH) is an oncogene in multiple myeloma (MM), promoting cancer growth. Bortezomib treatment suppresses MTDH, offering a potential therapeutic strategy for MM patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Genetics

Background:

  • Metadherin (MTDH) is a known oncogene in various cancers, but its role in multiple myeloma (MM) remains uncharacterized.
  • Understanding MTDH's function in MM is crucial for developing targeted therapies.

Purpose of the Study:

  • To investigate the role of Metadherin (MTDH) as an oncogene in multiple myeloma (MM).
  • To explore the correlation between MTDH expression, MM subgroups, patient outcomes, and response to Bortezomib treatment.

Main Methods:

  • Analysis of MTDH mRNA levels and chromosomal gain in MM cells.
  • Correlation studies between MTDH expression and patient survival in different cohorts (TT2, TT3).
  • In vitro and in vivo experiments involving MTDH knockdown using shRNA and Bortezomib treatment.

Main Results:

  • MTDH expression is elevated in MM cells, associated with chromosomal gain, and higher in the high-risk MMSET translocation (MS) subgroup.
  • High MTDH expression correlated with poor survival in the TT2 cohort, but favorable survival in the TT3 cohort, where Bortezomib treatment was prevalent.
  • MTDH knockdown induced apoptosis and inhibited MM cell growth in vitro and in vivo.
  • Bortezomib suppressed MTDH expression at both pre- and post-transcriptional levels.
  • MTDH was identified as a transcriptional target of the MMSET/NFκB/MYC signaling pathway, which is inhibited by Bortezomib.

Conclusions:

  • MTDH functions as an oncogene in multiple myeloma.
  • MTDH expression levels and their prognostic significance are influenced by treatment context, particularly Bortezomib.
  • Bortezomib exerts its anti-myeloma effects, in part, by downregulating MTDH expression and inhibiting the MMSET/NFκB/MYC pathway.

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