PMID- 18850009 OWN - NLM STAT- MEDLINE DCOM- 20090507 LR - 20151119 IS - 1476-5594 (Electronic) IS - 0950-9232 (Linking) VI - 28 IP - 2 DP - 2009 Jan 15 TI - Bortezomib overcomes cell-adhesion-mediated drug resistance through downregulation of VLA-4 expression in multiple myeloma. PG - 231-42 LID - 10.1038/onc.2008.385 [doi] AB - Multiple myeloma (MM) is incurable, mainly because of cell adhesion-mediated drug resistance (CAM-DR). In this study, we performed functional screening using short hairpin RNA (shRNA) to define the molecule(s) responsible for CAM-DR of MM. Using four bona fide myeloma cell lines (KHM-1B, KMS12-BM, RPMI8226 and U266) and primary myeloma cells, we identified CD29 (beta1-integrin), CD44, CD49d (alpha4-integrin, a subunit of VLA-4), CD54 (intercellular adhesion molecule-1 (ICAM-1)), CD138 (syndecan-1) and CD184 (CXC chemokine receptor-4 (CXCR4)) as major adhesion molecules expressed on MM. shRNA-mediated knockdown of CD49d but not CD44, CD54, CD138 and CD184 significantly reversed CAM-DR of myeloma cells to bortezomib, vincristine, doxorubicin and dexamethasone. Experiments using blocking antibodies yielded almost identical results. Bortezomib was relatively resistant to CAM-DR because of its ability to specifically downregulate CD49d expression. This property was unique to bortezomib and was not observed in other anti-myeloma drugs. Pretreatment with bortezomib was able to ameliorate CAM-DR of myeloma cells to vincristine and dexamethasone. These results suggest that VLA-4 plays a critical role in CAM-DR of MM cells. The combination of bortezomib with conventional anti-myeloma drugs may be effective in overcoming CAM-DR of MM. FAU - Noborio-Hatano, K AU - Noborio-Hatano K AD - Division of Hematology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan. FAU - Kikuchi, J AU - Kikuchi J FAU - Takatoku, M AU - Takatoku M FAU - Shimizu, R AU - Shimizu R FAU - Wada, T AU - Wada T FAU - Ueda, M AU - Ueda M FAU - Nobuyoshi, M AU - Nobuyoshi M FAU - Oh, I AU - Oh I FAU - Sato, K AU - Sato K FAU - Suzuki, T AU - Suzuki T FAU - Ozaki, K AU - Ozaki K FAU - Mori, M AU - Mori M FAU - Nagai, T AU - Nagai T FAU - Muroi, K AU - Muroi K FAU - Kano, Y AU - Kano Y FAU - Furukawa, Y AU - Furukawa Y FAU - Ozawa, K AU - Ozawa K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20081013 PL - England TA - Oncogene JT - Oncogene JID - 8711562 RN - 0 (Antibodies) RN - 0 (Antineoplastic Agents) RN - 0 (Boronic Acids) RN - 0 (CDw49d) RN - 0 (Cell Adhesion Molecules) RN - 0 (Integrin alpha Chains) RN - 0 (Integrin alpha4beta1) RN - 0 (Neoplasm Proteins) RN - 0 (Pyrazines) RN - 143198-26-9 (Integrin alpha4) RN - 5J49Q6B70F (Vincristine) RN - 69G8BD63PP (Bortezomib) RN - 7S5I7G3JQL (Dexamethasone) RN - 80168379AG (Doxorubicin) SB - IM MH - Antibodies/pharmacology MH - Antineoplastic Agents/pharmacology MH - Apoptosis/drug effects MH - Boronic Acids/*pharmacology MH - Bortezomib MH - Cell Adhesion/*physiology MH - Cell Adhesion Molecules/physiology MH - Cell Line, Tumor/metabolism MH - Dexamethasone/pharmacology MH - Down-Regulation MH - Doxorubicin/pharmacology MH - Drug Resistance, Neoplasm/*drug effects/physiology MH - Gene Expression Regulation, Neoplastic/drug effects MH - Gene Knockdown Techniques MH - Humans MH - Integrin alpha Chains/biosynthesis/genetics/*physiology MH - Integrin alpha4/biosynthesis/genetics/*physiology MH - Integrin alpha4beta1/*physiology MH - Multiple Myeloma/drug therapy/*metabolism MH - Neoplasm Proteins/biosynthesis/genetics/*physiology MH - Pyrazines/*pharmacology MH - Vincristine/pharmacology EDAT- 2008/10/14 09:00 MHDA- 2009/05/08 09:00 CRDT- 2008/10/14 09:00 PHST- 2008/10/14 09:00 [pubmed] PHST- 2009/05/08 09:00 [medline] PHST- 2008/10/14 09:00 [entrez] AID - onc2008385 [pii] AID - 10.1038/onc.2008.385 [doi] PST - ppublish SO - Oncogene. 2009 Jan 15;28(2):231-42. doi: 10.1038/onc.2008.385. Epub 2008 Oct 13.