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Yeast As a Chassis for Developing Functional Assays to Study Human P53
Published on: August 4, 2019
TP53 mutation drives unique transcriptional and functional vulnerabilities independent of del(17p) in multiple
Dimitrios Tsallos1, Nemo Ikonen1, Juho J Miettinen1
1Institute for Molecular Medicine Finland, Helsinki Institute of Life Science, University of Helsinki, iCAN Digital Precision Cancer Medicine Flagship, Helsinki, Finland.
Abstract:
TP53 abnormalities contribute to treatment resistance and poor prognosis in multiple myeloma (MM), yet their functional consequences remain unclear. Here, we integrate ex vivo drug sensitivity profiling, genomics, transcriptomics, and proteomics across 167 CD138+ bone marrow patient samples to characterize TP53-associated vulnerabilities. Genome-wide CRISPR-Cas9 and RNAi screening identify vulnerabilities in TP53-mutated MM, with or without del(17p), highlighting the dependency on spindle organization, mitotic regulation, DNA synthesis, and transcriptional and metabolic regulation, but independence from MDM2. CD138+ cells with TP53 mutation exhibit increased sensitivity to chemotherapeutics, HDAC, HSP90, IGF1R, and PI3K/AKT/mTOR inhibitors as well as RNA synthesis inhibitor plicamycin, with distinct drug response profiles of MM with del(17p) and WT TP53. Our study provides new insights into refining TP53 classification to optimize treatment strategies for high-risk MM.
Insights
TP53 mutations in multiple myeloma (MM) create vulnerabilities in cell division and metabolism, increasing sensitivity to certain therapies. Understanding these TP53-associated weaknesses can help optimize treatments for high-risk MM patients.
Area of Science:
- Oncology
- Genetics
- Pharmacology
Background:
- TP53 abnormalities are linked to treatment resistance and poor prognosis in multiple myeloma (MM).
- The functional consequences of TP53 alterations in MM remain incompletely understood.
- Targeting TP53-associated vulnerabilities could improve therapeutic strategies.
Purpose of the Study:
- To characterize TP53-associated vulnerabilities in multiple myeloma.
- To identify specific drug sensitivities in TP53-mutated MM.
- To refine TP53 classification for optimizing high-risk MM treatment.
Main Methods:
- Integrated analysis of ex vivo drug sensitivity profiling, genomics, transcriptomics, and proteomics.
- Utilized genome-wide CRISPR-Cas9 and RNAi screening in 167 CD138+ bone marrow patient samples.
- Compared drug response profiles across TP53-mutated, del(17p), and wild-type TP53 MM.
Main Results:
- TP53-mutated MM shows dependencies on spindle organization, mitotic regulation, DNA synthesis, and transcriptional/metabolic pathways.
- TP53-mutated MM cells are more sensitive to chemotherapeutics, HDAC, HSP90, IGF1R, PI3K/AKT/mTOR inhibitors, and plicamycin.
- Distinct drug response profiles were observed for MM with del(17p) and wild-type TP53.
Conclusions:
- TP53 mutations confer specific vulnerabilities in multiple myeloma.
- Identifying these vulnerabilities allows for tailored therapeutic approaches.
- Refined TP53 classification can optimize treatment strategies for high-risk MM.
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