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BTK suppresses myeloma cellular senescence through activating AKT/P27/Rb signaling
Chunyan Gu1,2,3, Hailin Peng4, Yue Lu5
1The Third Affiliated Hospital, Nanjing University of Chinese Medicine, Nanjing 210023, China.
Abstract:
We previously explored the role of BTK in maintaining multiple myeloma stem cells (MMSCs) self-renewal and drug-resistance. Here we investigated the elevation of BTK suppressing MM cellular senescence, a state of irreversible cellular growth arrest. We firstly discovered that an increased expression of BTK in MM samples compared to normal controls by immunohistochemistry (IHC), and significant chromosomal gain in primary samples. In addition, BTK high-expressing MM patients are associated with poor outcome in both Total Therapy 2 (TT2) and TT3 cohorts. Knockdown BTK expression by shRNA induced MM cellular senescence using β-galactosidase (SA-b-gal) staining, cell growth arrest by cell cycle staining and decreased clonogenicity while forcing BTK expression in MM cells abrogated these characteristics. We also validated this feature in mouse embryonic fibroblast cells (MEFs), which showed that elevated BTK expression was resistant to MEF senescence after serial cultivation in vitro. Further mechanism study revealed that BTK activated AKT signaling leading to down-regulation of P27 expression and hindered RB activity while AKT inhibitor, LY294002, overcame BTK-overexpression induced cellular senescence resistance. Eventually we demonstrated that BTK inhibitor, CGI-1746, induced MM cellular senescence, colony reduction and tumorigenecity inhibition in vivo. Summarily, we designate a novel mechanism of BTK in mediating MM growth, and BTK inhibitor is of great potential in vivo and in vitro suggesting BTK is a promising therapeutic target for MM.
Insights
Bruton
Area of Science:
- Oncology
- Molecular Biology
- Cellular Biology
Background:
- Bruton's tyrosine kinase (BTK) is implicated in multiple myeloma stem cell (MMSC) self-renewal and drug resistance.
- Cellular senescence is a state of irreversible growth arrest crucial in tumor suppression.
Purpose of the Study:
- To investigate the role of elevated Bruton's tyrosine kinase (BTK) in suppressing multiple myeloma (MM) cellular senescence.
- To explore BTK as a potential therapeutic target for MM.
Main Methods:
- Immunohistochemistry (IHC) and chromosomal analysis of MM patient samples.
- BTK knockdown using shRNA and overexpression in MM cells and mouse embryonic fibroblast cells (MEFs).
- Cell cycle analysis, SA-β-gal staining, clonogenicity assays, and in vivo tumorigenicity studies.
- Mechanism studies involving AKT signaling pathway and RB activity.
Main Results:
- Increased BTK expression and chromosomal gain observed in MM samples compared to normal controls.
- High BTK expression in MM patients correlates with poor prognosis in TT2 and TT3 cohorts.
- BTK knockdown induced MM cellular senescence, cell cycle arrest, and reduced clonogenicity.
- BTK activation of AKT signaling down-regulated P27 and hindered RB activity, contributing to senescence resistance.
- BTK inhibitor CGI-1746 induced MM cellular senescence and inhibited tumor growth in vivo.
Conclusions:
- BTK plays a novel role in promoting MM cell growth by suppressing cellular senescence.
- Targeting BTK with inhibitors like CGI-1746 demonstrates significant therapeutic potential in preclinical models of MM.
- BTK represents a promising therapeutic target for multiple myeloma treatment.
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