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Targeting the FOXM1/BUB1B signaling network in multiple myeloma: mechanistic insights and therapeutic potential
Durdana Yasin1, Neha Sami2, Sarah Khalid1
1Department of Biosciences, Faculty of Science, Integral University, Lucknow, India.
Abstract:
Multiple myeloma (MM) is a plasma cell cancer characterized by genomic instability and drug resistance. The FOXM1 transcription factor and the BUB1B kinase are pivotal drivers of this malignancy. FOXM1 promotes cell cycle progression and is upregulated by oncogenic pathways like mitogen-activated protein kinase (MAPK) and phosphoinositide 3-kinase (PI3K)/AKT, correlating with aggressive disease. BUB1B ensures proper chromosome segregation, and its dysregulation fuels genomic instability. Critically, FOXM1 transcriptionally regulates BUB1B, forming an oncogenic axis that enhances proliferation, drug resistance, and survival. This FOXM1-BUB1B pathway is a promising therapeutic target, with inhibitors under preclinical investigation. Future research must validate its clinical relevance, explore combination therapies, and assess its potential as a biomarker to overcome challenges like toxicity and resistance.
Insights
Multiple myeloma involves genomic instability and drug resistance, driven by the FOXM1 transcription factor and BUB1B kinase. Targeting this FOXM1-BUB1B pathway offers a promising strategy for treating aggressive plasma cell cancers.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Multiple myeloma (MM) is a plasma cell malignancy marked by genomic instability and resistance to therapies.
- Key drivers include the FOXM1 transcription factor and BUB1B kinase, which are linked to aggressive disease progression.
- FOXM1 influences cell cycle and is upregulated by MAPK and PI3K/AKT pathways, while BUB1B is crucial for chromosome segregation.
Purpose of the Study:
- To elucidate the functional relationship between FOXM1 and BUB1B in multiple myeloma.
- To investigate the FOXM1-BUB1B axis as a potential therapeutic target for MM.
- To explore the implications of this pathway in MM proliferation, drug resistance, and patient survival.
Main Methods:
- Analysis of gene expression data and protein levels related to FOXM1 and BUB1B in MM.
- Investigating the transcriptional regulation of BUB1B by FOXM1.
- Preclinical evaluation of inhibitors targeting the FOXM1-BUB1B pathway.
Main Results:
- FOXM1 directly regulates BUB1B transcription, establishing an oncogenic axis.
- This FOXM1-BUB1B pathway significantly enhances MM cell proliferation, confers resistance to treatments, and promotes survival.
- The pathway is associated with aggressive disease phenotypes.
Conclusions:
- The FOXM1-BUB1B axis is a critical driver of multiple myeloma pathogenesis.
- Targeting this pathway presents a promising therapeutic strategy for MM.
- Further research is needed to validate clinical relevance, explore combination therapies, and assess biomarker potential.
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