LAMP5 modulates IRF4 stability and nuclear transport: a critical mechanism in myeloma progression and therapy

Zou Li1, Rui Liu1, Zhihong Fang2,3

  • 1Cancer Research Center, School of Medicine, Shenzhen Research Institute of Xiamen University, Xiamen University, Xiamen, Fujian, China.

Oncogene
|July 28, 2025
PubMed

Insights

Lysosomal-associated membrane protein 5 (LAMP5) stabilizes Interferon regulatory factor 4 (IRF4) in multiple myeloma, promoting cancer growth. Pyrazofurin disrupts this interaction, offering a potential new treatment for this blood cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Hematology

Background:

  • Multiple myeloma pathogenesis involves unclear molecular mechanisms and limited targeted therapies.
  • Interferon regulatory factor 4 (IRF4) is crucial in myeloma progression, but its protein homeostasis is poorly understood.

Purpose of the Study:

  • To elucidate the molecular mechanisms regulating IRF4 protein homeostasis in multiple myeloma.
  • To identify novel therapeutic targets and strategies for multiple myeloma treatment.

Main Methods:

  • Investigated the interaction between lysosomal-associated membrane protein 5 (LAMP5) and IRF4.
  • Utilized techniques to assess protein degradation pathways (autophagy-lysosome).
  • Examined nuclear transport mechanisms involving karyopherin α2 (KPNA2).
  • Performed high-throughput drug screening to identify inhibitors of the LAMP5-IRF4 interaction.

Main Results:

  • LAMP5 interacts with IRF4, inhibiting its autophagy-lysosome degradation and promoting myeloma progression.
  • LAMP5 enhances IRF4 nuclear transport via KPNA2, preventing cytoplasmic degradation.
  • A positive feedback loop between nuclear IRF4 and c-MYC activates LAMP5 transcription, driving myeloma.
  • Pyrazofurin was identified as an inhibitor disrupting the LAMP5-IRF4 interaction, leading to IRF4 degradation and myeloma inhibition.

Conclusions:

  • LAMP5 plays a critical role in maintaining IRF4 stability and promoting multiple myeloma.
  • The identified IRF4-LAMP5-c-MYC regulatory loop is a key driver of myeloma progression.
  • Pyrazofurin represents a promising therapeutic agent targeting the LAMP5-IRF4 interaction for myeloma treatment.

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