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Updated: Aug 11, 2026

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Simultaneous Measurement of Mitochondrial Calcium and Mitochondrial Membrane Potential in Live Cells by Fluorescent Microscopy
Published on: January 24, 2017
DRP1-mediated mitochondrial fragmentation is a druggable vulnerability in multiple myeloma
Maria Eugenia Gallo Cantafio1, Noemi Puccio2, Roberta Torcasio3
1University Magna Graecia of Catanzaro, Catanzaro, Italy.
Blood
|August 4, 2026
Summary
Mitochondrial fission drives multiple myeloma (MM) progression and drug resistance. Inhibiting the DRP1 protein, encoded by DNM1L, halts MM growth and induces cell death, offering a new therapeutic strategy for resistant MM.
Area of Science:
- Cellular Biology
- Cancer Research
- Mitochondrial Biology
Background:
- Mitochondrial dynamics are crucial for cellular homeostasis and cancer progression.
- The role of mitochondrial remodeling in multiple myeloma (MM) remains unclear.
- MM cells exhibit a fragmented mitochondrial network, especially when resistant to treatment.
Purpose of the Study:
- To investigate the functional relevance of mitochondrial remodeling in multiple myeloma.
- To explore the therapeutic potential of targeting mitochondrial fission in MM.
Main Methods:
- Ultrastructural analysis of MM cells.
- Transcriptomic profiling of patient-derived datasets.
- Genetic targeting of DNM1L and pharmacologic inhibition of DRP1 (using Drpitor1a).
- In vitro and in vivo studies in bortezomib-resistant xenograft models.
Main Results:
- MM cells show increased mitochondrial fragmentation and DNM1L/DRP1 upregulation, linked to poor survival.
- DNM1L targeting or DRP1 inhibition caused mitochondrial dysfunction, impaired oxidative phosphorylation, and potent anti-myeloma activity.
- Combined apoptosis and ferroptosis were observed, with c-MYC regulating DNM1L expression.
- DRP1 inhibition in vivo reversed resistance in a bortezomib-resistant model.
Conclusions:
- Aberrant mitochondrial fission is a key feature of multiple myeloma.
- DRP1 inhibition demonstrates significant anti-myeloma activity, particularly in relapsed/refractory MM.
- Targeting DRP1 represents a promising therapeutic strategy for multiple myeloma.
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