[Effect of Celastrol Based on IRAK4/ERK/p38 Signaling Pathway on Proliferation and Apoptosis of Multiple Myeloma

Xiao-Meng Xu1, Di Kang2, Xin-Yu Zhu1

  • 1Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine; Nanjing 210029, Jiangsu Province, China,First Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing 210029, Jiangsu Province, China.

Abstract

Insights

Celastrol inhibits multiple myeloma cell growth and promotes apoptosis by affecting the IRAK4/ERK/p38 pathway. Combining celastrol with bortezomib shows a synergistic effect, enhancing anti-myeloma activity.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Multiple myeloma (MM) is a hematological malignancy characterized by uncontrolled proliferation of plasma cells.
  • Investigating novel therapeutic agents and their mechanisms of action is crucial for improving MM treatment outcomes.

Purpose of the Study:

  • To evaluate the anti-proliferative and pro-apoptotic effects of celastrol on human multiple myeloma cell lines (H929 and ARP-1).
  • To elucidate the role of the IRAK4/ERK/p38 signaling pathway in celastrol-mediated effects.
  • To determine the synergistic potential of combining celastrol with bortezomib in MM treatment.

Main Methods:

  • Cell viability was assessed using the CCK-8 assay.
  • Apoptosis and necrosis rates were determined by Annexin V/PI staining.
  • Protein expression levels of key signaling molecules were analyzed via Western blot.

Main Results:

  • Celastrol significantly inhibited H929 and ARP-1 cell proliferation and induced apoptosis in a time-dependent manner.
  • Celastrol treatment led to increased PARP and cleaved caspase-3 expression, while decreasing phosphorylation of IRAK4, ERK, and p38.
  • The combination of celastrol and bortezomib demonstrated a synergistic effect, resulting in reduced cell survival and elevated apoptosis rates compared to monotherapy.

Conclusions:

  • Celastrol exhibits anti-myeloma activity by inhibiting cell proliferation and inducing apoptosis, potentially through the IRAK4/ERK/p38 signaling pathway.
  • The combination of celastrol and bortezomib offers a synergistic therapeutic strategy for multiple myeloma, enhancing efficacy in inhibiting cell growth and inducing apoptosis.

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