PMID- 34088671 OWN - NLM STAT- MEDLINE DCOM- 20220408 LR - 20220408 IS - 2375-2548 (Electronic) IS - 2375-2548 (Linking) VI - 7 IP - 23 DP - 2021 Jun TI - ERK signaling mediates resistance to immunomodulatory drugs in the bone marrow microenvironment. LID - 10.1126/sciadv.abg2697 [doi] LID - eabg2697 AB - Immunomodulatory drugs (IMiDs) have markedly improved patient outcome in multiple myeloma (MM); however, resistance to IMiDs commonly underlies relapse of disease. Here, we identify that tumor necrosis factor (TNF) receptor-associated factor 2 (TRAF2) knockdown (KD)/knockout (KO) in MM cells mediates IMiD resistance via activation of noncanonical nuclear factor kappaB (NF-kappaB) and extracellular signal-regulated kinase (ERK) signaling. Within MM bone marrow (BM) stromal cell supernatants, TNF-alpha induces proteasomal degradation of TRAF2, noncanonical NF-kappaB, and downstream ERK signaling in MM cells, whereas interleukin-6 directly triggers ERK activation. RNA sequencing of MM patient samples shows nearly universal ERK pathway activation at relapse on lenalidomide maintenance therapy, confirming its clinical relevance. Combination MEK inhibitor treatment restores IMiD sensitivity of TRAF2 KO cells both in vitro and in vivo. Our studies provide the framework for clinical trials of MEK inhibitors to overcome IMiD resistance in the BM microenvironment and improve patient outcome in MM. CI - Copyright (c) 2021 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. Distributed under a Creative Commons Attribution NonCommercial License 4.0 (CC BY-NC). FAU - Liu, Jiye AU - Liu J AUID- ORCID: 0000-0001-7970-7508 AD - Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02215, USA. FAU - Hideshima, Teru AU - Hideshima T AUID- ORCID: 0000-0003-2939-6224 AD - Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02215, USA. FAU - Xing, Lijie AU - Xing L AD - Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02215, USA. AD - Department of Hematology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong 250021, China. FAU - Wang, Su AU - Wang S AD - Department of Biomedical Informatics, Harvard Medical School, Boston, MA 02115, USA. FAU - Zhou, Wenrong AU - Zhou W AD - Oncology and Immunology Unit, Research Service Division, WuXi AppTec (Shanghai) Co., Ltd., Shanghai 200131, China. FAU - Samur, Mehmet K AU - Samur MK AUID- ORCID: 0000-0002-9978-5682 AD - Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02215, USA. AD - Department of Biostatistics and Computational Biology, Harvard T.H. Chan School of Public Health, Boston, 02115 MA, USA. FAU - Sewastianik, Tomasz AU - Sewastianik T AUID- ORCID: 0000-0003-4603-8517 AD - Department of Oncologic Pathology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02215, USA. AD - Department of Experimental Hematology, Institute of Hematology and Transfusion Medicine, Warsaw 02776, Poland. FAU - Ogiya, Daisuke AU - Ogiya D AD - Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02215, USA. FAU - An, Gang AU - An G AD - State Key Laboratory of Experimental Hematology, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Tianjin 300020, China. FAU - Gao, Shaobing AU - Gao S AUID- ORCID: 0000-0002-8307-9281 AD - The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, China. FAU - Yang, Li AU - Yang L AD - Multiple Myeloma Treatment Center and Bone Marrow Transplantation Center, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China. FAU - Ji, Tong AU - Ji T AD - Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310020, China. FAU - Bianchi, Giada AU - Bianchi G AD - Division of Hematology, Department of Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. FAU - Wen, Kenneth AU - Wen K AD - Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02215, USA. FAU - Tai, Yu-Tzu AU - Tai YT AUID- ORCID: 0000-0001-6199-3569 AD - Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02215, USA. FAU - Munshi, Nikhil AU - Munshi N AD - Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02215, USA. FAU - Richardson, Paul AU - Richardson P AUID- ORCID: 0000-0002-7426-8865 AD - Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02215, USA. FAU - Carrasco, Ruben AU - Carrasco R AD - Department of Oncologic Pathology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02215, USA. AD - Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. FAU - Cang, Yong AU - Cang Y AUID- ORCID: 0000-0002-1148-7008 AD - School of Life Science and Technology, ShanghaiTech University, Shanghai 201210, China. FAU - Anderson, Kenneth C AU - Anderson KC AUID- ORCID: 0000-0002-6418-0886 AD - Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02215, USA. kenneth_anderson@dfci.harvard.edu. LA - eng GR - P50 CA100707/CA/NCI NIH HHS/United States GR - R01 CA050947/CA/NCI NIH HHS/United States GR - R01 CA178264/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 - 20210604 PL - United States TA - Sci Adv JT - Science advances JID - 101653440 RN - 0 (Immunomodulating Agents) RN - 0 (NF-kappa B) RN - 0 (TNF Receptor-Associated Factor 2) RN - EC 2.7.11.24 (Extracellular Signal-Regulated MAP Kinases) RN - EC 2.7.12.2 (Mitogen-Activated Protein Kinase Kinases) SB - IM MH - Bone Marrow/pathology MH - Extracellular Signal-Regulated MAP Kinases/metabolism MH - Humans MH - *Immunomodulating Agents MH - Mitogen-Activated Protein Kinase Kinases/metabolism/therapeutic use MH - *Multiple Myeloma/drug therapy/genetics/metabolism MH - NF-kappa B/metabolism MH - Neoplasm Recurrence, Local MH - TNF Receptor-Associated Factor 2/metabolism MH - Tumor Microenvironment PMC - PMC8177702 EDAT- 2021/06/06 06:00 MHDA- 2022/04/09 06:00 PMCR- 2021/06/04 CRDT- 2021/06/05 05:34 PHST- 2020/12/21 00:00 [received] PHST- 2021/04/19 00:00 [accepted] PHST- 2021/06/05 05:34 [entrez] PHST- 2021/06/06 06:00 [pubmed] PHST- 2022/04/09 06:00 [medline] PHST- 2021/06/04 00:00 [pmc-release] AID - 7/23/eabg2697 [pii] AID - abg2697 [pii] AID - 10.1126/sciadv.abg2697 [doi] PST - epublish SO - Sci Adv. 2021 Jun 4;7(23):eabg2697. doi: 10.1126/sciadv.abg2697. Print 2021 Jun.