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Published on: June 6, 2025
Inhibiting the oncogenic translation program is an effective therapeutic strategy in multiple myeloma
Salomon Manier1,2,3, Daisy Huynh4, Yu J Shen4
1Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02215, USA. irene_ghobrial@dfci.harvard.edu salomon_manier@dfci.harvard.edu.
Abstract:
Multiple myeloma (MM) is a frequently incurable hematological cancer in which overactivity of MYC plays a central role, notably through up-regulation of ribosome biogenesis and translation. To better understand the oncogenic program driven by MYC and investigate its potential as a therapeutic target, we screened a chemically diverse small-molecule library for anti-MM activity. The most potent hits identified were rocaglate scaffold inhibitors of translation initiation. Expression profiling of MM cells revealed reversion of the oncogenic MYC-driven transcriptional program by CMLD010509, the most promising rocaglate. Proteome-wide reversion correlated with selective depletion of short-lived proteins that are key to MM growth and survival, most notably MYC, MDM2, CCND1, MAF, and MCL-1. The efficacy of CMLD010509 in mouse models of MM confirmed the therapeutic relevance of these findings in vivo and supports the feasibility of targeting the oncogenic MYC-driven translation program in MM with rocaglates.
Insights
Researchers identified rocaglates as promising inhibitors of translation initiation for treating multiple myeloma (MM). This novel therapeutic strategy targets the MYC oncogene
Area of Science:
- Hematological Oncology
- Molecular Biology
- Drug Discovery
Background:
- Multiple myeloma (MM) is an incurable cancer driven by MYC overactivity.
- MYC upregulates ribosome biogenesis and translation, crucial for cancer cell growth.
Purpose of the Study:
- To investigate MYC's oncogenic program in MM.
- To identify small molecules targeting MYC-driven pathways as potential MM therapeutics.
Main Methods:
- Screened a diverse small-molecule library for anti-MM activity.
- Identified rocaglates as potent inhibitors of translation initiation.
- Performed expression profiling and proteome-wide analysis of MM cells treated with CMLD010509.
Main Results:
- Rocaglates, particularly CMLD010509, reversed the MYC-driven transcriptional program in MM cells.
- Treatment selectively depleted short-lived proteins essential for MM survival, including MYC, MDM2, CCND1, MAF, and MCL-1.
- CMLD010509 demonstrated efficacy in preclinical mouse models of MM.
Conclusions:
- Targeting MYC-driven translation with rocaglates is a feasible therapeutic strategy for multiple myeloma.
- CMLD010509 shows significant therapeutic potential for MM treatment.
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