MMSA-1 is regulated by Wnt/TCF4 and involved in multiple myeloma progression and invasion via RAS/RAF signaling

Shan Meng1, Hailing Liu2, Liufang Gu2

  • 1Department of Hematology, the Second Affiliated Hospital of Xi'an Jiaotong University, West Five Road, NO. 157, Xi'an, Shaanxi Province, 710004, P.R. China. 101xyz2@163.com.

Annals of Hematology
|January 14, 2026
PubMed

Insights

Transcription factor 4 (TCF4) regulates the MMSA-1 gene in multiple myeloma (MM). Overexpression of MMSA-1 promotes MM cell survival and invasion by activating RAS signaling and altering the bone marrow microenvironment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cell Biology

Background:

  • Multiple myeloma (MM) is a hematological malignancy with complex molecular underpinnings.
  • The role of the novel MMSA-1 gene in MM progression remains largely unknown.
  • Understanding the regulatory mechanisms of MMSA-1 is crucial for developing targeted therapies.

Purpose of the Study:

  • To elucidate the molecular mechanism of MMSA-1 gene regulation in MM.
  • To investigate the impact of TCF4 on MMSA-1 expression.
  • To explore the downstream effects of MMSA-1 overexpression on MM cell behavior and the bone marrow microenvironment.

Main Methods:

  • Construction of stable U266 cell lines with overexpressed/downexpressed Transcription factor 4 (TCF4) and MMSA-1 using lentivirus transfection.
  • Analysis of TCF4's binding to the MMSA-1 promoter.
  • Western blot analysis to assess protein interactions (MMSA-1, RAS), signaling pathway activation (RAF/MEK/ERK, RAF/PI3K/AKT), and expression of adhesion molecules and angiogenesis factors (HIF-1α, E-cadherin, CXCR4, VEGF, Ang-1, Ang-2).

Main Results:

  • TCF4 binds to the MMSA-1 promoter, significantly upregulating MMSA-1 expression.
  • Overexpressed MMSA-1 enhances RAS protein interaction and downstream signaling (RAF/MEK/ERK, RAF/PI3K/AKT), promoting cell clonogenicity and survival.
  • MMSA-1 overexpression alters the bone marrow microenvironment by reducing adhesion molecules (HIF-1α, E-cadherin, CXCR4) and modulating angiogenesis factors (VEGF, Ang-2, Ang-1).

Conclusions:

  • MMSA-1 is overexpressed in MM cells, regulated by the Wnt/β-catenin/TCF4 signaling pathway.
  • Hyperactivation of the RAS/RAF signaling pathway by MMSA-1 promotes MM cell survival and invasion.
  • MMSA-1 plays a significant role in MM progression by influencing both cancer cell intrinsic pathways and the tumor microenvironment.

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