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Published on: May 10, 2022
MAF protein mediates innate resistance to proteasome inhibition therapy in multiple myeloma
Ya-Wei Qiang1, Shiqiao Ye1, Yu Chen1
1Myeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR.
Abstract:
Multiple myeloma (MM) patients with the t(14;16) translocation have a poor prognosis, and unlike other molecular subgroups, their outcome has not improved with the introduction of bortezomib (Bzb). The mechanism underlying innate resistance of MM to Bzb is unknown. In the present study, we have investigated how MAF overexpression impacts resistance to proteasome inhibitor (PI) therapy (Bzb and carfilzomib). High levels of MAF protein were found in t(14;16) cell lines; cell lines from the t(4;14) subgroup had intermediate levels, whereas cell lines from the other subgroups had low levels. High expression of MAF protein in t(14;16) was associated with significantly higher PI half-maximum inhibitory concentration values compared with other molecular subgroups. PI exposure abrogated glycogen synthase kinase 3β (GSK3β)-mediated degradation of MAF protein, resulting in increased MAF protein stability and PI resistance. Subsequent studies using loss-of-function and gain-of-function models showed that silencing MAF led to increased sensitivity to PIs, enhanced apoptosis, and activation of caspase-3, -7, -8, -9, poly (ADP-ribose) polymerase, and lamin A/C. In contrast, overexpression of MAF resulted in increased resistance to PIs and reduced apoptosis. These results define the role of MAF and GSK3 in the resistance of t(14;16) MM to PIs and identifies a novel mechanism by which MAF protein levels are regulated by PIs, which in turn confers resistance to PIs.
Insights
Multiple myeloma patients with t(14;16) translocation show resistance to proteasome inhibitor therapy. MAF protein overexpression, stabilized by proteasome inhibitors, drives this resistance.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Multiple myeloma (MM) with t(14;16) translocation has a poor prognosis.
- This subgroup shows resistance to bortezomib (Bzb), unlike other MM molecular subgroups.
- The mechanism of innate resistance to proteasome inhibitors (PIs) in MM is unknown.
Purpose of the Study:
- Investigate how MAF overexpression impacts resistance to proteasome inhibitor (PI) therapy.
- Determine the role of MAF and GSK3 in PI resistance in t(14;16) MM.
- Identify novel mechanisms of MAF regulation by PIs.
Main Methods:
- Quantified MAF protein levels in MM cell lines across different molecular subgroups.
- Assessed PI sensitivity (IC50 values) in relation to MAF expression.
- Utilized loss-of-function and gain-of-function models to study MAF's role in PI resistance and apoptosis.
- Investigated the effect of PI exposure on MAF protein stability and GSK3β-mediated degradation.
Main Results:
- High MAF protein levels were observed in t(14;16) MM cell lines, correlating with higher PI resistance.
- Proteasome inhibitor exposure increased MAF protein stability by inhibiting GSK3β-mediated degradation.
- Silencing MAF sensitized cells to PIs, enhanced apoptosis, and activated caspases.
- MAF overexpression conferred PI resistance and reduced apoptosis.
Conclusions:
- MAF overexpression and its stabilization by PIs are key mechanisms of resistance in t(14;16) multiple myeloma.
- GSK3β plays a critical role in regulating MAF protein stability and subsequent PI resistance.
- Targeting MAF or its regulatory pathways may overcome PI resistance in this MM subgroup.
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