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Updated: Mar 28, 2026

An Organotypic High Throughput System for Characterization of Drug Sensitivity of Primary Multiple Myeloma Cells
Published on: July 15, 2015
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.
Abstract:
Metadherin (MTDH) is identified as an oncogene in multiple cancers including breast cancer, bladder cancer and endometrial cancer. However, the function of MTDH in multiple myeloma (MM) is still unexplored. In this study, we disclose that MTDH is an oncogene in MM. This is characterized by an elevation mRNA level of MTDH and chromosomal gain of MTDH locus in MM cells compared to normal samples. Moreover, MTDH expression significantly increased in MMSET translocation (MS) subgroup, one of the high-risk subgroups in MM, and was significantly correlated with MM patients' poor outcomes in Total Therapy 2 (TT2) cohort. Further knockdown of MTDH expression by shRNA in MM cells induced cell apoptosis, inhibited MM cells growth in vitro and decreased xenograft tumor formation in vivo. Interestingly, opposite to TT2, MM patients with high-MTDH expression showed favorable survival outcomes in the TT3 cohort, while Bortezomib treatment was the major difference between TT2 and TT3 cohort. Furthermore we proved that Bortezomib suppressed pre- and post-transcription levels of MTDH expression of MM cells in vitro and in vivo. Finally, our studies demonstrated that MTDH is a transcriptional gene of MMSET/NFκB /MYC signaling in MM cells, which is inhibited by Bortezomib treatment.
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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