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DEK facilitates bortezomib resistance of multiple myeloma by modulating ferroptosis
Huiquan Wang1, Jiafeng Zhang1, Lei Chen1
1Department of Laboratory Medicine, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, China.
Abstract:
Multiple myeloma (MM) ranks as the second most prevalent blood cancer. In the treatment of MM, resistance to proteasome inhibitors like bortezomib (BTZ) is a significant issue, and the primary regulators and mechanisms are still not completely explored. As a result, this investigation aimed to uncover essential genes and mechanisms contributing to BTZ resistance in MM. Out of 359 differentially expressed genes, DEK oncogene (DEK) was pinpointed as the key drug-resistance gene in MM through bioinformatic analysis and was found to be overexpressed in MM patients. DEK was overexpressed in BTZ-resistant cell lines, enhancing the resistance of MM cells to bortezomib. Also, the depletion of DEK mitigated bortezomib resistance in MM cells by initiating ferroptosis. The findings indicated a novel role of DEK in the resistance of MM to bortezomib, which could inform new treatment strategies for BTZ-resistant MM.
Insights
DEK oncogene (DEK) drives bortezomib resistance in multiple myeloma (MM) by promoting cancer cell survival. Depleting DEK sensitizes MM cells to bortezomib by inducing ferroptosis, offering new therapeutic targets.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Multiple myeloma (MM) is a prevalent blood cancer.
- Resistance to proteasome inhibitors like bortezomib (BTZ) is a major challenge in MM treatment.
- The underlying mechanisms of BTZ resistance are not fully understood.
Purpose of the Study:
- To identify key genes and mechanisms contributing to BTZ resistance in MM.
- To investigate the role of the DEK oncogene (DEK) in MM drug resistance.
Main Methods:
- Bioinformatic analysis of differentially expressed genes in MM.
- Experimental validation in BTZ-resistant MM cell lines.
- Gene depletion studies and ferroptosis induction assays.
Main Results:
- DEK was identified as a critical gene associated with BTZ resistance in MM.
- DEK was overexpressed in MM patients and BTZ-resistant cell lines.
- DEK depletion sensitized MM cells to bortezomib by inducing ferroptosis.
Conclusions:
- DEK plays a significant role in mediating bortezomib resistance in multiple myeloma.
- Targeting DEK may represent a novel therapeutic strategy for overcoming BTZ resistance in MM.
- The induction of ferroptosis by DEK depletion offers a new mechanism for MM treatment.
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