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Published on: October 28, 2019
NEK2 induces autophagy-mediated bortezomib resistance by stabilizing Beclin-1 in multiple myeloma
Jiliang Xia1,2, Yanjuan He1, Bin Meng2
1Department of Hematology, Xiangya Hospital, Central South University, Changsha, China.
Abstract:
NEK2 is associated with drug resistance in multiple cancers. Our previous studies indicated that high NEK2 confers inferior survival in multiple myeloma (MM); thus, a better understanding of the mechanisms by which NEK2 induces drug resistance in MM is required. In this study, we discovered that NEK2 enhances MM cell autophagy, and a combination of autophagy inhibitor chloroquine (CQ) and chemotherapeutic bortezomib (BTZ) significantly prevents NEK2-induced drug resistance in MM cells. Interestingly, NEK2 was found to bind and stabilize Beclin-1 protein but did not affect its mRNA expression and phosphorylation. Moreover, autophagy enhanced by NEK2 was significantly prevented by knockdown of Beclin-1 in MM cells, suggesting that Beclin-1 mediates NEK2-induced autophagy. Further studies demonstrated that Beclin-1 ubiquitination is decreased through NEK2 interaction with USP7. Importantly, knockdown of Beclin-1 sensitized NEK2-overexpressing MM cells to BTZ in vitro and in vivo. In conclusion, we identify a novel mechanism whereby autophagy is activated by the complex of NEK2/USP7/Beclin-1 in MM cells. Targeting the autophagy signaling pathway may provide a promising therapeutic strategy to overcome NEK2-induced drug resistance in MM.
Insights
High NEK2 levels promote drug resistance in multiple myeloma (MM) by enhancing autophagy. Inhibiting autophagy with chloroquine (CQ) alongside bortezomib (BTZ) can overcome this resistance.
Area of Science:
- Oncology
- Molecular Biology
- Cellular Biology
Background:
- The protein kinase NEK2 is implicated in drug resistance across various cancers.
- Elevated NEK2 expression correlates with poorer survival outcomes in multiple myeloma (MM).
- Understanding NEK2's role in MM drug resistance mechanisms is crucial for developing effective therapies.
Purpose of the Study:
- To elucidate the mechanism by which NEK2 confers drug resistance in multiple myeloma.
- To investigate the role of autophagy in NEK2-mediated drug resistance.
- To evaluate the therapeutic potential of combining autophagy inhibitors with chemotherapy.
Main Methods:
- Investigated the effect of NEK2 on autophagy in MM cells.
- Assessed the impact of NEK2 on Beclin-1 protein stability and ubiquitination.
- Utilized gene knockdown techniques for NEK2, Beclin-1, and USP7.
- Evaluated the efficacy of combining chloroquine (CQ) and bortezomib (BTZ) in vitro and in vivo.
Main Results:
- NEK2 enhances autophagy in MM cells.
- NEK2 binds and stabilizes Beclin-1 protein, decreasing its ubiquitination via interaction with USP7.
- Knockdown of Beclin-1 abrogates NEK2-induced autophagy and sensitizes MM cells to bortezomib.
- Combined CQ and BTZ treatment effectively overcomes NEK2-induced drug resistance.
Conclusions:
- A novel mechanism involving the NEK2/USP7/Beclin-1 complex activating autophagy in MM cells is identified.
- Targeting the autophagy signaling pathway presents a promising strategy to combat NEK2-driven drug resistance in MM.
- This study provides a rationale for combining autophagy inhibitors with standard chemotherapy for MM treatment.
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