The Prognostic Value of Whole-Blood PSMB5, CXCR4, POMP, and RPL5 mRNA Expression in Patients with Multiple Myeloma Treated with Bortezomib

Proteasome inhibitors, like bortezomib, play a key role in the treatment of multiple myeloma (MM); however, most patients eventually relapse and eventually show multiple drug resistance, and the molecular mechanisms of this resistance remain unclear. The aim of our study is to assess the expression...

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Main Authors: Pawel Robak, Dariusz Jarych, Damian Mikulski, Izabela Dróżdż, Edyta Węgłowska, Aleksandra Kotkowska, Małgorzata Misiewicz, Piotr Smolewski, Konrad Stawiski, Wojciech Fendler, Janusz Szemraj, Tadeusz Robak
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Cancers
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Online Access:https://www.mdpi.com/2072-6694/13/5/951
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author Pawel Robak
Dariusz Jarych
Damian Mikulski
Izabela Dróżdż
Edyta Węgłowska
Aleksandra Kotkowska
Małgorzata Misiewicz
Piotr Smolewski
Konrad Stawiski
Wojciech Fendler
Janusz Szemraj
Tadeusz Robak
author_facet Pawel Robak
Dariusz Jarych
Damian Mikulski
Izabela Dróżdż
Edyta Węgłowska
Aleksandra Kotkowska
Małgorzata Misiewicz
Piotr Smolewski
Konrad Stawiski
Wojciech Fendler
Janusz Szemraj
Tadeusz Robak
author_sort Pawel Robak
collection DOAJ
description Proteasome inhibitors, like bortezomib, play a key role in the treatment of multiple myeloma (MM); however, most patients eventually relapse and eventually show multiple drug resistance, and the molecular mechanisms of this resistance remain unclear. The aim of our study is to assess the expression of previously described genes that may influence the resistance to bortezomib treatment at the mRNA level (<i>ABCB1</i>, <i>CXCR4</i>, <i>MAF</i>, <i>MARCKS</i>, <i>POMP</i>, <i>PSMB5</i>, <i>RPL5</i>, <i>TXN,</i> and <i>XBP1</i>) and prognosis of MM patients. mRNA expression was determined in 73 MM patients treated with bortezomib-based regimens (30 bortzomib-sensitive and 43 bortezomib-refractory patients) and 11 healthy controls. <i>RPL5</i> was significantly down-regulated in multiple myeloma patients as compared with healthy controls. Moreover, POMP was significantly up-regulated in MM patients refractory to bortezomib-based treatment. In multivariate analysis, high expression of <i>PSMB5</i> and <i>CXCR</i> and autologous stem cell transplantation were independent predictors of progression-free survival, and high expression of <i>POMP</i> and <i>RPL5</i> was associated with shorter overall survival.
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spelling doaj.art-08763897c2944183bfce005e02ef0e1e2023-12-11T18:20:17ZengMDPI AGCancers2072-66942021-02-0113595110.3390/cancers13050951The Prognostic Value of Whole-Blood PSMB5, CXCR4, POMP, and RPL5 mRNA Expression in Patients with Multiple Myeloma Treated with BortezomibPawel Robak0Dariusz Jarych1Damian Mikulski2Izabela Dróżdż3Edyta Węgłowska4Aleksandra Kotkowska5Małgorzata Misiewicz6Piotr Smolewski7Konrad Stawiski8Wojciech Fendler9Janusz Szemraj10Tadeusz Robak11Department of Experimental Hematology, Medical University of Lodz, 93-510 Lodz, PolandLaboratory of Personalized Medicine, Bionanopark, 93-465 Lodz, PolandDepartment of Biostatistics and Translational Medicine, Medical University of Lodz, 92-215 Lodz, PolandDepartment of Clinical Genetics, Medical University of Lodz, 92-213 Lodz, PolandLaboratory of Personalized Medicine, Bionanopark, 93-465 Lodz, PolandDepartment of Hematology, Medical University of Lodz, 93-510 Lodz, PolandDepartment of Hematology, Medical University of Lodz, 93-510 Lodz, PolandDepartment of Experimental Hematology, Medical University of Lodz, 93-510 Lodz, PolandDepartment of Biostatistics and Translational Medicine, Medical University of Lodz, 92-215 Lodz, PolandDepartment of Biostatistics and Translational Medicine, Medical University of Lodz, 92-215 Lodz, PolandDepartment of Medical Biochemistry, Medical University of Lodz, 92-215 Lodz, PolandDepartment of Hematology, Medical University of Lodz, 93-510 Lodz, PolandProteasome inhibitors, like bortezomib, play a key role in the treatment of multiple myeloma (MM); however, most patients eventually relapse and eventually show multiple drug resistance, and the molecular mechanisms of this resistance remain unclear. The aim of our study is to assess the expression of previously described genes that may influence the resistance to bortezomib treatment at the mRNA level (<i>ABCB1</i>, <i>CXCR4</i>, <i>MAF</i>, <i>MARCKS</i>, <i>POMP</i>, <i>PSMB5</i>, <i>RPL5</i>, <i>TXN,</i> and <i>XBP1</i>) and prognosis of MM patients. mRNA expression was determined in 73 MM patients treated with bortezomib-based regimens (30 bortzomib-sensitive and 43 bortezomib-refractory patients) and 11 healthy controls. <i>RPL5</i> was significantly down-regulated in multiple myeloma patients as compared with healthy controls. Moreover, POMP was significantly up-regulated in MM patients refractory to bortezomib-based treatment. In multivariate analysis, high expression of <i>PSMB5</i> and <i>CXCR</i> and autologous stem cell transplantation were independent predictors of progression-free survival, and high expression of <i>POMP</i> and <i>RPL5</i> was associated with shorter overall survival.https://www.mdpi.com/2072-6694/13/5/951bortezomibCXCR4gene expressionmultiple myelomaPOMPPSMB5
spellingShingle Pawel Robak
Dariusz Jarych
Damian Mikulski
Izabela Dróżdż
Edyta Węgłowska
Aleksandra Kotkowska
Małgorzata Misiewicz
Piotr Smolewski
Konrad Stawiski
Wojciech Fendler
Janusz Szemraj
Tadeusz Robak
The Prognostic Value of Whole-Blood PSMB5, CXCR4, POMP, and RPL5 mRNA Expression in Patients with Multiple Myeloma Treated with Bortezomib
Cancers
bortezomib
CXCR4
gene expression
multiple myeloma
POMP
PSMB5
title The Prognostic Value of Whole-Blood PSMB5, CXCR4, POMP, and RPL5 mRNA Expression in Patients with Multiple Myeloma Treated with Bortezomib
title_full The Prognostic Value of Whole-Blood PSMB5, CXCR4, POMP, and RPL5 mRNA Expression in Patients with Multiple Myeloma Treated with Bortezomib
title_fullStr The Prognostic Value of Whole-Blood PSMB5, CXCR4, POMP, and RPL5 mRNA Expression in Patients with Multiple Myeloma Treated with Bortezomib
title_full_unstemmed The Prognostic Value of Whole-Blood PSMB5, CXCR4, POMP, and RPL5 mRNA Expression in Patients with Multiple Myeloma Treated with Bortezomib
title_short The Prognostic Value of Whole-Blood PSMB5, CXCR4, POMP, and RPL5 mRNA Expression in Patients with Multiple Myeloma Treated with Bortezomib
title_sort prognostic value of whole blood psmb5 cxcr4 pomp and rpl5 mrna expression in patients with multiple myeloma treated with bortezomib
topic bortezomib
CXCR4
gene expression
multiple myeloma
POMP
PSMB5
url https://www.mdpi.com/2072-6694/13/5/951
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