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Updated: Mar 16, 2026

Intracellular Refolding Assay
Published on: January 24, 2012
Bortezomib-induced heat shock response protects multiple myeloma cells and is activated by heat shock factor 1 serine
Shardule P Shah1, Ajay K Nooka1, David L Jaye1,2
1Department of Hematology and Medical Oncology, Winship Cancer Institute of Emory University and the Emory University School of Medicine, Atlanta, GA, USA.
Abstract:
Proteasome inhibitors such as bortezomib are highly active in multiple myeloma by affecting signaling cascades and leading to a toxic buildup of misfolded proteins. Bortezomib-treated cells activate the cytoprotective heat shock response (HSR), including upregulation of heat shock proteins (HSPs). Here we inhibited the bortezomib-induced HSR by silencing its master regulator, Heat Shock Factor 1 (HSF1). HSF1 silencing led to bortezomib sensitization. In contrast, silencing of individual and combination HSPs, except HSP40β, did not result in significant bortezomib sensitization. However, HSP40β did not entirely account for increased bortezomib sensitivity upon HSF1 silencing. To determine the mechanism of HSF1 activation, we assessed phosphorylation and observed bortezomib-inducible phosphorylation in cell lines and patient samples. We determined that this bortezomib-inducible event is phosphorylation at serine 326. Prior clinical use of HSP inhibitors in combination with bortezomib has been disappointing in multiple myeloma therapy. Our results provide a rationale for targeting HSF1 activation in combination with bortezomib to enhance multiple myeloma treatment efficacy.
Insights
Targeting Heat Shock Factor 1 (HSF1) enhances bortezomib efficacy in multiple myeloma by inhibiting the heat shock response. Silencing HSF1, not individual heat shock proteins, sensitized cells to bortezomib, revealing a new therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Cellular Stress Response
Background:
- Proteasome inhibitors like bortezomib are effective in multiple myeloma but induce a cytoprotective heat shock response (HSR).
- The HSR involves the upregulation of heat shock proteins (HSPs), which can counteract drug-induced stress.
Purpose of the Study:
- To investigate the role of Heat Shock Factor 1 (HSF1), the master regulator of HSR, in bortezomib resistance.
- To explore HSF1 activation mechanisms and its potential as a therapeutic target in multiple myeloma.
Main Methods:
- Silencing of HSF1 and individual HSPs using genetic approaches.
- Assessment of bortezomib sensitivity in treated cell lines and patient samples.
- Analysis of HSF1 phosphorylation at serine 326.
Main Results:
- HSF1 silencing significantly sensitized multiple myeloma cells to bortezomib.
- Silencing of most individual HSPs, except HSP40β, did not enhance bortezomib sensitivity.
- Bortezomib treatment induced phosphorylation of HSF1 at serine 326 in cell lines and patient samples.
Conclusions:
- HSF1, rather than individual HSPs, is a key mediator of the bortezomib-induced HSR in multiple myeloma.
- Targeting HSF1 activation, specifically phosphorylation at serine 326, offers a promising strategy to overcome bortezomib resistance.
- Combining HSF1 inhibition with bortezomib may improve therapeutic outcomes in multiple myeloma.
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