Epigenetic regulation of cell adhesion-mediated drug resistance acquisition in multiple myeloma

Yusuke Furukawa1, Jiro Kikuchi

  • 1Division of Stem Cell Regulation, Center for Molecular Medicine, Jichi Medical University.

Insights

This study reveals histone H3 lysine-27 trimethylation (H3K27me3) is key to multiple myeloma drug resistance. Targeting the IGF-1R/PI3K/Akt pathway can reverse resistance by restoring H3K27me3 epigenetic marks.

Area of Science:

  • Epigenetics
  • Cancer Biology
  • Molecular Oncology

Background:

  • Cell adhesion-mediated drug resistance (CAM-DR) is a major challenge in multiple myeloma treatment.
  • Epigenetic modifications, particularly histone methylation, play crucial roles in cancer progression and drug resistance.

Purpose of the Study:

  • To elucidate the epigenetic mechanisms driving CAM-DR in multiple myeloma.
  • To identify specific histone modifications and signaling pathways involved in CAM-DR.

Main Methods:

  • Investigated histone H3 lysine-27 trimethylation (H3K27me3) as a critical epigenetic mark.
  • Examined the role of EZH2 phosphorylation and its impact on H3K27me3.
  • Utilized in vitro and in vivo murine myeloma models.
  • Assessed the effect of inhibiting the IGF-1R/PI3K/Akt pathway.

Main Results:

  • Identified H3K27me3 as a critical epigenetic regulator of CAM-DR.
  • Demonstrated that cell adhesion inactivates EZH2 via phosphorylation, preventing H3K27 hypermethylation and sustaining anti-apoptotic gene expression (IGF1, BCL2, HIF1A).
  • Showed that inhibiting the IGF-1R/PI3K/Akt pathway reversed CAM-DR by promoting EZH2 dephosphorylation and H3K27 hypermethylation.

Conclusions:

  • This study provides the first evidence of an epigenetic mechanism underlying CAM-DR in multiple myeloma.
  • Targeting EZH2 phosphorylation through kinase inhibitors offers a potential therapeutic strategy to overcome drug resistance.
  • Combination chemotherapy including kinase inhibitors may enhance the therapeutic index in multiple myeloma treatment.

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