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Disruption of IRE1? through its kinase domain attenuates multiple myeloma.


ABSTRACT: Multiple myeloma (MM) arises from malignant immunoglobulin (Ig)-secreting plasma cells and remains an incurable, often lethal disease despite therapeutic advances. The unfolded-protein response sensor IRE1? supports protein secretion by deploying a kinase-endoribonuclease module to activate the transcription factor XBP1s. MM cells may co-opt the IRE1?-XBP1s pathway; however, the validity of IRE1? as a potential MM therapeutic target is controversial. Genetic disruption of IRE1? or XBP1s, or pharmacologic IRE1? kinase inhibition, attenuated subcutaneous or orthometastatic growth of MM tumors in mice and augmented efficacy of two established frontline antimyeloma agents, bortezomib and lenalidomide. Mechanistically, IRE1? perturbation inhibited expression of key components of the endoplasmic reticulum-associated degradation machinery, as well as secretion of Ig light chains and of cytokines and chemokines known to promote MM growth. Selective IRE1? kinase inhibition reduced viability of CD138+ plasma cells while sparing CD138- cells derived from bone marrows of newly diagnosed or posttreatment-relapsed MM patients, in both US- and European Union-based cohorts. Effective IRE1? inhibition preserved glucose-induced insulin secretion by pancreatic microislets and viability of primary hepatocytes in vitro, as well as normal tissue homeostasis in mice. These results establish a strong rationale for developing kinase-directed inhibitors of IRE1? for MM therapy.

SUBMITTER: Harnoss JM 

PROVIDER: S-EPMC6697881 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

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Disruption of IRE1α through its kinase domain attenuates multiple myeloma.

Harnoss Jonathan M JM   Harnoss Jonathan M JM   Le Thomas Adrien A   Shemorry Anna A   Marsters Scot A SA   Lawrence David A DA   Lu Min M   Chen Yung-Chia Ariel YA   Qing Jing J   Totpal Klara K   Kan David D   Segal Ehud E   Merchant Mark M   Reichelt Mike M   Ackerly Wallweber Heidi H   Wang Weiru W   Clark Kevin K   Kaufman Susan S   Beresini Maureen H MH   Laing Steven T ST   Sandoval Wendy W   Lorenzo Maria M   Wu Jiansheng J   Ly Justin J   De Bruyn Tom T   Heidersbach Amy A   Haley Benjamin B   Gogineni Alvin A   Weimer Robby M RM   Lee Dong D   Braun Marie-Gabrielle MG   Rudolph Joachim J   VanWyngarden Michael J MJ   Sherbenou Daniel W DW   Gomez-Bougie Patricia P   Amiot Martine M   Acosta-Alvear Diego D   Walter Peter P   Ashkenazi Avi A  

Proceedings of the National Academy of Sciences of the United States of America 20190801 33


Multiple myeloma (MM) arises from malignant immunoglobulin (Ig)-secreting plasma cells and remains an incurable, often lethal disease despite therapeutic advances. The unfolded-protein response sensor IRE1α supports protein secretion by deploying a kinase-endoribonuclease module to activate the transcription factor XBP1s. MM cells may co-opt the IRE1α-XBP1s pathway; however, the validity of IRE1α as a potential MM therapeutic target is controversial. Genetic disruption of IRE1α or XBP1s, or phar  ...[more]

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