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Published on: January 20, 2019
Abnormal PTBP1 Expression Sustains the Disease Progression of Multiple Myeloma
1Department of Hematology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, China.
Abstract:
Multiple myeloma (MM) is a hematopoietic malignancy characterized by heterogeneity, which corresponds to alternative splicing (AS) profiles and disadjust gene expression. Bioinformatics analysis of AS factors possibly related to MM progression identified the polypyrimidine tract binding protein (PTBP1) as candidate. The purpose of this study was to confirm the incidence and prognostic value of PTBP1 in MM patients. Several cohorts of 2971 patients presenting newly diagnosed and relapsed MM were enrolled. Correlations between PTBP1 expression and clinicopathological characteristics, proliferative activity, and response to therapy of myeloma cells were analyzed. Moreover, the effect of PTBP1 on the AS pattern of specific aerobic glycolysis-related genes was explored in MM patients. Clinically, PTBP1 expression was present at all stages; it increased with disease progression and poor prognosis, which was even stronger elevated in patients with high tumor burden and drug resistance. Mechanistically, PTBP1 modulated AS of PKM2 and aerobic glycolysis-related genes in MM patients, which play synergistic or additive effects in clinical outcome. PTBP1 may be a novel marker for prognostic prediction and a promising therapeutic target for the development of anti-MM treatments.
Insights
Polypyrimidine tract binding protein (PTBP1) expression correlates with multiple myeloma (MM) progression and poor prognosis. PTBP1 influences alternative splicing of key genes, suggesting it as a potential prognostic marker and therapeutic target for MM.
Area of Science:
- Hematology
- Molecular Biology
- Oncology
Background:
- Multiple myeloma (MM) is a heterogeneous hematopoietic malignancy with variable alternative splicing (AS) profiles.
- Bioinformatics analysis identified polypyrimidine tract binding protein (PTBP1) as a potential factor in MM progression.
Purpose of the Study:
- To validate the incidence and prognostic significance of PTBP1 in multiple myeloma patients.
- To investigate the mechanistic role of PTBP1 in MM progression and therapeutic response.
Main Methods:
- Analysis of PTBP1 expression across multiple cohorts (n=2971) of newly diagnosed and relapsed MM patients.
- Correlation analysis of PTBP1 expression with clinicopathological features, cellular proliferation, and treatment response.
- Exploration of PTBP1's impact on the alternative splicing of aerobic glycolysis-related genes in MM.
Main Results:
- PTBP1 expression is present at all MM stages and increases with disease progression.
- Elevated PTBP1 levels are associated with poor prognosis, high tumor burden, and drug resistance.
- PTBP1 modulates the alternative splicing of PKM2 and other aerobic glycolysis genes, impacting clinical outcomes.
Conclusions:
- PTBP1 expression is a significant indicator of poor prognosis in multiple myeloma.
- PTBP1's role in modulating alternative splicing and aerobic glycolysis presents it as a potential therapeutic target for MM.
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