Phosphoproteomic Profiling of Multiple Myeloma Based on Ex Vivo Drug Sensitivity Resistance Testing Identifies

Katie Dunphy1, Ellen Purcell1,2, Caroline A Heckman3

  • 1Department of Biology, Maynooth University, W23 V5XH Kildare, Ireland.

Biomolecules
|February 27, 2026
PubMed

Insights

This study reveals distinct phosphorylation patterns in multiple myeloma (MM) cells linked to drug sensitivity. Identifying these signatures may lead to new biomarkers for personalized MM therapy and overcoming drug resistance.

Area of Science:

  • Oncology
  • Proteomics
  • Molecular Biology

Background:

  • Multiple myeloma (MM) is a plasma cell malignancy with high relapse rates and acquired drug resistance.
  • Personalized therapy requires understanding resistance mechanisms and identifying predictive biomarkers.
  • Phosphoproteomics enables quantitative analysis of signaling pathway activation.

Purpose of the Study:

  • To identify phosphorylation signatures associated with ex vivo drug response in multiple myeloma patient cells.
  • To correlate specific phosphorylation patterns with sensitivity or resistance to Bortezomib and Lenalidomide.
  • To establish a phosphoproteomic dataset for discovering biomarkers of therapeutic response in MM.

Main Methods:

  • Phosphoproteomic analysis of 20 MM patient cell lysates.
  • Stratification of patients based on ex vivo drug response to Bortezomib and Lenalidomide.
  • High-resolution mass spectrometry for quantitation of site-specific phosphorylation events.

Main Results:

  • Highly sensitive MM patients showed increased phosphorylation in translation, RNA processing, spliceosome, RNA transport, and RNA binding pathways.
  • Highly resistant MM patients exhibited increased phosphorylation in tight junctions, Rap1 signaling, and phosphatidylinositol signaling pathways.
  • Unique phosphorylation signatures were identified correlating with drug sensitivity and resistance in MM patient plasma cells.

Conclusions:

  • Phosphorylation signatures are associated with differential drug sensitivity in multiple myeloma.
  • These findings provide a foundation for exploring novel biomarkers and therapeutic targets to overcome drug resistance in MM.
  • Further research into identified signaling pathways may enhance personalized treatment strategies for MM patients.