p53 regulates CD46 expression and measles virus infection in myeloma cells

Anne Lok1,2, Geraldine Descamps1, Benoit Tessoulin1,2

  • 1CRCINA, INSERM, CNRS, Université d'Angers, Université de Nantes, Nantes, France.

Blood Advances
|December 12, 2018
PubMed

Insights

Myeloma cells are highly sensitive to oncolytic measles virus (MV) infection, especially when the p53 pathway is deficient. This suggests MV-based therapies could be effective for patients with p53-deficient myeloma.

Area of Science:

  • Oncology
  • Virology
  • Molecular Biology

Background:

  • Multiple myeloma is a hematologic malignancy characterized by uncontrolled plasma cell proliferation.
  • Oncolytic viruses, such as measles virus (MV), are being investigated as a therapeutic strategy for various cancers.
  • The tumor suppressor protein p53 plays a critical role in cellular response to DNA damage and stress.

Purpose of the Study:

  • To assess the sensitivity of myeloma cells to oncolytic measles virus (MV) in relation to the p53 tumor suppressor pathway.
  • To investigate the role of CD46 expression as a receptor for MV in myeloma cells and its correlation with p53 status.
  • To explore the potential of MV as a therapeutic agent for p53-deficient myeloma.

Main Methods:

  • Utilized 37 myeloma cell lines and 23 primary myeloma samples.
  • Assessed MV infection, cell death, and CD46 expression in relation to TP53 status.
  • Employed nutlin3a to activate the p53 pathway and TP53 silencing to evaluate its effects on CD46 expression and MV infection.
  • Conducted p53 chromatin immunoprecipitation assays and microRNA assessments to elucidate CD46 gene regulation by p53.

Main Results:

  • Myeloma cell infection and death by MV correlated with CD46 expression.
  • TP53-deficient myeloma cell lines exhibited higher CD46 expression and preferential MV infection compared to TP53-wild-type lines.
  • p53 pathway activation inhibited CD46 expression and MV infection in TP53-wild-type cells, while p53 silencing increased them.
  • p53 directly and indirectly regulated CD46 gene expression.
  • Primary myeloma cells overexpressed CD46, were highly infected by MV, and sensitive to MV-induced cell death.
  • Nutlin3a inhibited MV infection in p53-competent primary myeloma cells but not in p53-deficient cells, which remained highly sensitive to MV.

Conclusions:

  • Myeloma cells demonstrate high sensitivity to oncolytic measles virus.
  • The p53 pathway modulates CD46 expression, influencing MV infectivity in myeloma cells.
  • p53-deficient myeloma cells are particularly susceptible to MV infection, suggesting a potential therapeutic window.
  • Results support the rationale for a measles virus-based clinical trial in patients with p53-deficient multiple myeloma.

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