Macrophages promote aberrant DNA repair in multiple myeloma via the CXCL5/8-CXCR2 axis

Mengmeng Dong1, Donghua He2, Jinna Zhang1

  • 1Bone Marrow Transplantation Center, The First Affiliated Hospital, School of Medicine, Zhejiang University, No.79 Qingchun Rd, Hangzhou! Zhejiang, 310003, China; Institute of Translational Medicine, Zhejiang University School of Medicine and Zhejiang University Cancer Center, Hangzhou, Zhejiang 310029.

Haematologica
|June 26, 2025
PubMed

Insights

Myeloma associated macrophages (MΦs) promote DNA repair in multiple myeloma (MM) cells, increasing chromosomal translocations. Targeting the CXCL5/8-CXCR2 axis offers a new strategy against MM progression.

Area of Science:

  • Oncology
  • Immunology
  • Genetics

Background:

  • Multiple myeloma (MM) exhibits abnormal DNA repair and genome instability.
  • Myeloma associated macrophages (MΦs) in the bone marrow microenvironment are crucial for MM progression.
  • The specific role of MΦs in MM DNA repair remains poorly understood.

Purpose of the Study:

  • To investigate the mechanism by which MΦs influence DNA repair in multiple myeloma cells.
  • To identify the molecular pathways involved in MΦ-mediated DNA repair regulation in MM.
  • To explore MΦs as a potential therapeutic target for MM.

Main Methods:

  • Analysis of the CXCL5/8-CXCR2 signaling axis in MM cells and MΦs.
  • Assessment of DNA repair pathway preference (non-homologous end joining vs. homology-directed repair) in MM cells co-cultured with MΦs.
  • Evaluation of chromosomal translocations in MM cells.
  • Correlation of MΦ presence with genetic variations in primary MM patient cells.

Main Results:

  • MΦs regulate DNA repair in MM cells via the CXCL5/8-CXCR2 axis.
  • MΦs promote non-homologous end joining over homology-directed repair in MM cells.
  • This shift in DNA repair increases the likelihood of chromosomal translocations in MM cells.
  • Clinical data show a correlation between MΦs and increased genetic variations in MM patients.

Conclusions:

  • MΦs play a significant role in regulating DNA repair and genomic instability in the MM microenvironment.
  • The CXCL5/8-CXCR2 axis is a key mediator of MΦ-driven DNA repair in MM.
  • Targeting MΦs or this axis presents a novel therapeutic strategy for multiple myeloma.

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