JAM-A as a prognostic factor and new therapeutic target in multiple myeloma
A G Solimando1,2,3, A Brandl1,2, K Mattenheimer1,2
1Department of Internal Medicine II, Interdisciplinary Center for Clinical Research Laboratory, University Hospital of Würzburg, Würzburg, Germany.
Abstract:
Cell adhesion in the multiple myeloma (MM) microenvironment has been recognized as a major mechanism of MM cell survival and the development of drug resistance. Here we addressed the hypothesis that the protein junctional adhesion molecule-A (JAM-A) may represent a novel target and a clinical biomarker in MM. We evaluated JAM-A expression in MM cell lines and in 147 MM patient bone marrow aspirates and biopsies at different disease stages. Elevated JAM-A levels in patient-derived plasma cells were correlated with poor prognosis. Moreover, circulating soluble JAM-A (sJAM-A) levels were significantly increased in MM patients as compared with controls. Notably, in vitro JAM-A inhibition impaired MM migration, colony formation, chemotaxis, proliferation and viability. In vivo treatment with an anti-JAM-A monoclonal antibody (αJAM-A moAb) impaired tumor progression in a murine xenograft MM model. These results demonstrate that therapeutic targeting of JAM-A has the potential to prevent MM progression, and lead us to propose JAM-A as a biomarker in MM, and sJAM-A as a serum-based marker for clinical stratification.
Insights
Junctional adhesion molecule-A (JAM-A) is crucial for multiple myeloma (MM) cell survival and drug resistance. Targeting JAM-A shows promise for MM treatment and offers a potential biomarker for disease stratification.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Cell adhesion in the multiple myeloma (MM) microenvironment promotes MM cell survival and drug resistance.
- Junctional adhesion molecule-A (JAM-A) is investigated as a potential therapeutic target and biomarker in MM.
Purpose of the Study:
- To evaluate the role of JAM-A in MM pathogenesis and its potential as a therapeutic target and biomarker.
- To assess JAM-A expression in MM cells and patient samples and its correlation with disease progression.
Main Methods:
- JAM-A expression was analyzed in MM cell lines and 147 MM patient bone marrow aspirates and biopsies.
- In vitro functional assays assessed the impact of JAM-A inhibition on MM cell behavior.
- In vivo studies utilized a murine xenograft MM model treated with an anti-JAM-A monoclonal antibody (αJAM-A moAb).
Main Results:
- Elevated JAM-A levels in patient plasma cells correlated with poor prognosis.
- Circulating soluble JAM-A (sJAM-A) levels were significantly higher in MM patients.
- In vitro JAM-A inhibition reduced MM cell migration, colony formation, chemotaxis, proliferation, and viability.
- In vivo treatment with αJAM-A moAb impaired tumor progression in a murine MM model.
Conclusions:
- JAM-A plays a significant role in multiple myeloma progression and drug resistance.
- Targeting JAM-A therapeutically holds potential for preventing MM progression.
- JAM-A and sJAM-A are proposed as valuable biomarkers for MM clinical stratification.
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