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Genetic Predisposition to Multiple Myeloma at 5q15 Is Mediated by an ELL2 Enhancer Polymorphism
Ni Li1, David C Johnson2, Niels Weinhold3
1Division of Genetics and Epidemiology, The Institute of Cancer Research, Surrey SM2 5NG, UK; Division of Molecular Pathology, The Institute of Cancer Research, Surrey SM2 5NG, UK.
Abstract:
Multiple myeloma (MM) is a malignancy of plasma cells. Genome-wide association studies have shown that variation at 5q15 influences MM risk. Here, we have sought to decipher the causal variant at 5q15 and the mechanism by which it influences tumorigenesis. We show that rs6877329 G > C resides in a predicted enhancer element that physically interacts with the transcription start site of ELL2. The rs6877329-C risk allele is associated with reduced enhancer activity and lowered ELL2 expression. Since ELL2 is critical to the B cell differentiation process, reduced ELL2 expression is consistent with inherited genetic variation contributing to arrest of plasma cell development, facilitating MM clonal expansion. These data provide evidence for a biological mechanism underlying a hereditary risk of MM at 5q15.
Insights
Genetic variations near the ELL2 gene on chromosome 5q15 are linked to multiple myeloma (MM) risk. A specific variant (rs6877329-C) reduces ELL2 expression, potentially hindering B cell development and promoting MM.
Area of Science:
- Genetics
- Oncology
- Molecular Biology
Background:
- Multiple myeloma (MM) is a plasma cell malignancy.
- Genome-wide association studies identified chromosome 5q15 as a risk locus for MM.
Purpose of the Study:
- To identify the causal genetic variant at 5q15 influencing MM risk.
- To elucidate the molecular mechanism by which this variant contributes to tumorigenesis.
Main Methods:
- Investigated the functional role of the rs6877329 single nucleotide polymorphism (SNP).
- Assessed enhancer activity and physical interaction with the ELL2 gene promoter.
- Quantified ELL2 expression levels in relation to the risk allele.
Main Results:
- The rs6877329 G>C variant is located in a predicted enhancer region interacting with the ELL2 transcription start site.
- The risk allele (rs6877329-C) is associated with decreased enhancer activity and reduced ELL2 expression.
- Lowered ELL2 expression correlates with impaired B cell differentiation and facilitates MM clonal expansion.
Conclusions:
- Identified rs6877329 as a functional variant at 5q15 contributing to MM risk.
- Demonstrated a mechanism where reduced ELL2 expression due to genetic variation promotes MM development.
- Provides insight into the hereditary basis of multiple myeloma.
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