RAL GTPases mediate multiple myeloma cell survival and are activated independently of oncogenic RAS

Marcel Seibold1, Thorsten Stühmer2, Nadine Kremer2

  • 1Department of Medicine II, University Hospital of Würzburg, Germany.

Haematologica
|October 15, 2020
PubMed

Insights

RAL is a critical survival mediator in multiple myeloma, independent of oncogenic RAS. Targeting RAL shows promise for new multiple myeloma therapies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Signaling

Background:

  • Oncogenic RAS mutations are common in multiple myeloma, driving cancer cell survival.
  • RAS proteins are historically difficult to target therapeutically.
  • RAL, a RAS superfamily GTPase, is a potential mediator of RAS signaling.

Purpose of the Study:

  • To investigate the role of RAL in multiple myeloma pathogenesis.
  • To determine if RAL is a viable therapeutic target in multiple myeloma.

Main Methods:

  • Quantitative analysis of RAL expression in multiple myeloma patient samples.
  • RNA interference (RNAi)-mediated knockdown of RAL in myeloma cell lines.
  • Assessment of cell death pathways (MAPK, Akt) following RAL abrogation.
  • Transcriptome analysis to identify gene expression changes.
  • Combination therapy studies with RAL depletion and existing anti-myeloma agents.

Main Results:

  • RAL is significantly overexpressed in multiple myeloma compared to normal plasma cells.
  • RAL knockdown induces rapid myeloma cell death, partially dependent on Akt signaling.
  • RAL activation is independent of RAS mutations and RAS knockdown.
  • RAL depletion enhances the efficacy of standard anti-myeloma treatments.
  • Distinct gene expression profiles observed after RAS versus RAL knockdown.

Conclusions:

  • RAL is a critical driver of multiple myeloma cell survival, operating independently of oncogenic RAS.
  • The RAL pathway represents a novel and promising therapeutic target for multiple myeloma treatment.

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