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.

Molecular Oncology
|January 20, 2020
PubMed

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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