PMID- 26323098 OWN - NLM STAT- MEDLINE DCOM- 20160815 LR - 20220331 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 6 IP - 29 DP - 2015 Sep 29 TI - Carfilzomib enhances natural killer cell-mediated lysis of myeloma linked with decreasing expression of HLA class I. PG - 26982-94 LID - 10.18632/oncotarget.4831 [doi] AB - Natural killer (NK) cell-based treatments are promising therapies for multiple myeloma (MM). Carfilzomib (CFZ), is a second-generation proteasome inhibitor, used to treat relapsed and refractory MM. In this study, we determined that CFZ treatment enhanced the sensitivity of MM cells to NK cell-mediated lysis. Here, we report that CFZ decreased the expression of human leukocyte antigen (HLA) class I in a time- and dose-dependent manner. CFZ also down-regulated the expression of newly formed HLA class I on MM cells. Treatment of MM with CFZ enhanced NK cell degranulation and significantly sensitized patients' MM cells to NK cell-mediated lysis. Furthermore, the enhancement of NK cell-mediated lysis was linked with the decreased expression of HLA class I. Our findings show a novel activity of CFZ as an immunomodulating agent and suggest a possible approach to therapeutically augment NK cell function in MM patients. FAU - Yang, Guang AU - Yang G AD - Department of Hematology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Gao, Minjie AU - Gao M AD - Department of Hematology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Zhang, Yiwen AU - Zhang Y AD - Department of Hematology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Kong, Yuanyuan AU - Kong Y AD - Department of Hematology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Gao, Lu AU - Gao L AD - Department of Hematology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Tao, Yi AU - Tao Y AD - Department of Hematology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Han, Ying AU - Han Y AD - Department of Hematology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Wu, Huiqun AU - Wu H AD - Department of Hematology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Meng, Xiuqin AU - Meng X AD - Department of Hematology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Xu, Hongwei AU - Xu H AD - Department of Internal Medicine, University of Iowa, Carver College of Medicine, Iowa City, Iowa, USA. FAU - Zhan, Fenghuang AU - Zhan F AD - Department of Internal Medicine, University of Iowa, Carver College of Medicine, Iowa City, Iowa, USA. FAU - Wu, Xiaosong AU - Wu X AD - Department of Hematology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Shi, Jumei AU - Shi J AD - Department of Hematology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (Antineoplastic Agents) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Immunologic Factors) RN - 0 (Ligands) RN - 0 (Oligopeptides) RN - 0 (Proteasome Inhibitors) RN - 72X6E3J5AR (carfilzomib) SB - IM MH - Antineoplastic Agents/chemistry MH - Cell Line, Tumor MH - Cytotoxicity, Immunologic/drug effects/immunology MH - Dose-Response Relationship, Drug MH - Down-Regulation MH - Flow Cytometry MH - Histocompatibility Antigens Class I/*metabolism MH - Humans MH - Immunologic Factors/chemistry MH - K562 Cells MH - Killer Cells, Natural/drug effects/*immunology MH - Ligands MH - Microscopy, Fluorescence MH - Multiple Myeloma/*drug therapy/*immunology/metabolism MH - Oligopeptides/*chemistry MH - Proteasome Inhibitors/chemistry PMC - PMC4694968 OTO - NOTNLM OT - carfilzomib OT - histocompatibility antigens class I OT - multiple myeloma OT - natural killer cell OT - proteasome inhibitor COIS- CONFLICTS OF INTERESTS The authors disclose no potential conflicts of interest. EDAT- 2015/09/01 06:00 MHDA- 2016/08/16 06:00 PMCR- 2015/09/29 CRDT- 2015/09/01 06:00 PHST- 2015/04/19 00:00 [received] PHST- 2015/08/07 00:00 [accepted] PHST- 2015/09/01 06:00 [entrez] PHST- 2015/09/01 06:00 [pubmed] PHST- 2016/08/16 06:00 [medline] PHST- 2015/09/29 00:00 [pmc-release] AID - 4831 [pii] AID - 10.18632/oncotarget.4831 [doi] PST - ppublish SO - Oncotarget. 2015 Sep 29;6(29):26982-94. doi: 10.18632/oncotarget.4831.