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.

Leukemia
|October 25, 2017
PubMed

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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