PMID- 32724061 OWN - NLM STAT- MEDLINE DCOM- 20210322 LR - 20210322 IS - 2044-5385 (Electronic) IS - 2044-5385 (Linking) VI - 10 IP - 7 DP - 2020 Jul 28 TI - In vitro and ex vivo gene expression profiling reveals differential kinetic response of HSPs and UPR genes is associated with PI resistance in multiple myeloma. PG - 78 LID - 10.1038/s41408-020-00344-9 [doi] LID - 78 AB - Extensive inter-individual variation in response to chemotherapy (sensitive vs resistant tumors) is a serious cause of concern in the treatment of multiple myeloma (MM). In this study, we used human myeloma cell lines (HMCLs), and patient-derived CD138+ cells to compare kinetic changes in gene expression patterns between innate proteasome inhibitor (PI)-sensitive and PI-resistant HMCLs following test dosing with the second-generation PI Ixazomib. We found 1553 genes that changed significantly post treatment in PI-sensitive HMCLs compared with only seven in PI-resistant HMCLs (p < 0.05). Genes that were uniquely regulated in PI-resistant lines were RICTOR (activated), HNF4A, miR-16-5p (activated), MYCN (inhibited), and MYC (inhibited). Ingenuity pathway analysis (IPA) using top kinetic response genes identified the proteasome ubiquitination pathway (PUP), and nuclear factor erythroid 2-related factor 2 (NRF2)-mediated oxidative stress response as top canonical pathways in Ix-sensitive cell lines and patient-derived cells, whereas EIF2 signaling and mTOR signaling pathways were unique to PI resistance. Further, 10 genes were common between our in vitro and ex vivo post-treatment kinetic PI response profiles and Shaughnessy's GEP80-postBz gene expression signature, including the high-risk PUP gene PSMD4. Notably, we found that heat shock proteins and PUP pathway genes showed significant higher upregulation in Ix-sensitive lines compared with the fold-change in Ix-resistant myelomas. FAU - Mitra, Amit Kumar AU - Mitra AK AUID- ORCID: 0000-0003-4046-7070 AD - Department of Drug Discovery and Development, Harrison School of Pharmacy, Auburn University, Auburn, AL, USA. AD - Department of Genetics, Cell Biology & Development, University of Minnesota, Minneapolis, MN, USA. AD - Center for Pharmacogenomics and Single-Cell Omics initiative (AUPharmGx), Harrison School of Pharmacy, Auburn University, Auburn, AL, USA. FAU - Kumar, Harish AU - Kumar H AD - Department of Drug Discovery and Development, Harrison School of Pharmacy, Auburn University, Auburn, AL, USA. FAU - Ramakrishnan, Vijay AU - Ramakrishnan V AD - Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA. FAU - Chen, Li AU - Chen L AUID- ORCID: 0000-0001-9372-5606 AD - Division of Hematology/Oncology, School of Medicine, Indiana University, Indianapolis, IN, USA. FAU - Baughn, Linda AU - Baughn L AD - Division of Laboratory Genetics, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA. FAU - Kumar, Shaji AU - Kumar S AUID- ORCID: 0000-0001-5392-9284 AD - Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA. FAU - Rajkumar, S Vincent AU - Rajkumar SV AUID- ORCID: 0000-0002-5862-1833 AD - Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA. FAU - Van Ness, Brian G AU - Van Ness BG AUID- ORCID: 0000-0003-4985-2274 AD - Department of Genetics, Cell Biology & Development, University of Minnesota, Minneapolis, MN, USA. vanne001@umn.edu. LA - eng GR - P50 CA186781/CA/NCI NIH HHS/United States GR - U54 CA224018/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20200728 PL - United States TA - Blood Cancer J JT - Blood cancer journal JID - 101568469 RN - 0 (Antineoplastic Agents) RN - 0 (Biomarkers, Tumor) RN - 0 (Heat-Shock Proteins) RN - 0 (Proteasome Inhibitors) SB - IM MH - Antineoplastic Agents/*pharmacology/therapeutic use MH - Biomarkers, Tumor MH - Computational Biology MH - Drug Resistance, Neoplasm/*genetics MH - *Gene Expression Profiling MH - Gene Expression Regulation, Neoplastic MH - Heat-Shock Proteins/*genetics MH - Humans MH - Multiple Myeloma/drug therapy/*genetics/pathology MH - Prognosis MH - Proteasome Inhibitors/*pharmacology/therapeutic use MH - Transcriptome MH - Unfolded Protein Response/*genetics PMC - PMC7387444 COIS- The authors declare that they have no conflict of interest. EDAT- 2020/07/30 06:00 MHDA- 2021/03/23 06:00 PMCR- 2020/07/28 CRDT- 2020/07/30 06:00 PHST- 2020/04/08 00:00 [received] PHST- 2020/05/21 00:00 [accepted] PHST- 2020/05/16 00:00 [revised] PHST- 2020/07/30 06:00 [entrez] PHST- 2020/07/30 06:00 [pubmed] PHST- 2021/03/23 06:00 [medline] PHST- 2020/07/28 00:00 [pmc-release] AID - 10.1038/s41408-020-00344-9 [pii] AID - 344 [pii] AID - 10.1038/s41408-020-00344-9 [doi] PST - epublish SO - Blood Cancer J. 2020 Jul 28;10(7):78. doi: 10.1038/s41408-020-00344-9.