PMID- 34571936 OWN - NLM STAT- MEDLINE DCOM- 20211115 LR - 20211115 IS - 2073-4409 (Electronic) IS - 2073-4409 (Linking) VI - 10 IP - 9 DP - 2021 Sep 2 TI - Omega-3 Fatty Acids DHA and EPA Reduce Bortezomib Resistance in Multiple Myeloma Cells by Promoting Glutathione Degradation. LID - 10.3390/cells10092287 [doi] LID - 2287 AB - Multiple myeloma (MM) is a hematological malignancy that exhibits aberrantly high levels of proteasome activity. While treatment with the proteasome inhibitor bortezomib substantially increases overall survival of MM patients, acquired drug resistance remains the main challenge for MM treatment. Using a combination treatment of docosahexaenoic acid (DHA) or eicosapentaenoic acid (EPA) and bortezomib, it was demonstrated previously that pretreatment with DHA/EPA significantly increased bortezomib chemosensitivity in MM cells. In the current study, both transcriptome and metabolome analysis were performed to comprehensively evaluate the underlying mechanism. It was demonstrated that pretreating MM cells with DHA/EPA before bortezomib potently decreased the cellular glutathione (GSH) level and altered the expression of the related metabolites and key enzymes in GSH metabolism, whereas simultaneous treatment only showed minor effects on these factors, thereby suggesting the critical role of GSH degradation in overcoming bortezomib resistance in MM cells. Moreover, RNA-seq results revealed that the nuclear factor erythroid 2-related factor 2 (NRF2)-activating transcription factor 3/4 (ATF3/4)-ChaC glutathione specific gamma-glutamylcyclotransferase 1 (CHAC1) signaling pathway may be implicated as the central player in the GSH degradation. Pathways of necroptosis, ferroptosis, p53, NRF2, ATF4, WNT, MAPK, NF-kappaB, EGFR, and ERK may be connected to the tumor suppressive effect caused by pretreatment of DHA/EPA prior to bortezomib. Collectively, this work implicates GSH degradation as a potential therapeutic target in MM and provides novel mechanistic insights into its significant role in combating bortezomib resistance. FAU - Chen, Jing AU - Chen J AD - Division of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, 3508 TB Utrecht, The Netherlands. FAU - Zaal, Esther A AU - Zaal EA AD - Biomolecular Mass Spectrometry and Proteomics, Bijvoet Center for Biomolecular Research, Utrecht Institute of Pharmaceutical Sciences, Utrecht University, 3508 TB Utrecht, The Netherlands. AD - Division of Cell Biology, Cancer & Metabolism, Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, 3508 TD Utrecht, The Netherlands. FAU - Berkers, Celia R AU - Berkers CR AD - Biomolecular Mass Spectrometry and Proteomics, Bijvoet Center for Biomolecular Research, Utrecht Institute of Pharmaceutical Sciences, Utrecht University, 3508 TB Utrecht, The Netherlands. AD - Division of Cell Biology, Cancer & Metabolism, Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, 3508 TD Utrecht, The Netherlands. FAU - Ruijtenbeek, Rob AU - Ruijtenbeek R AD - Pamgene International, 5200 BJ 's-Hertogenbosch, The Netherlands. FAU - Garssen, Johan AU - Garssen J AUID- ORCID: 0000-0002-8678-9182 AD - Division of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, 3508 TB Utrecht, The Netherlands. AD - Nutricia Research, 3508 TC Utrecht, The Netherlands. FAU - Redegeld, Frank A AU - Redegeld FA AUID- ORCID: 0000-0001-8830-7960 AD - Division of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, 3508 TB Utrecht, The Netherlands. LA - eng GR - 201506180025/Chinese Scholarship Council/ PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210902 PL - Switzerland TA - Cells JT - Cells JID - 101600052 RN - 0 (Antineoplastic Agents) RN - 0 (Biomarkers, Tumor) RN - 25167-62-8 (Docosahexaenoic Acids) RN - 69G8BD63PP (Bortezomib) RN - AAN7QOV9EA (Eicosapentaenoic Acid) RN - GAN16C9B8O (Glutathione) SB - IM MH - Antineoplastic Agents/pharmacology MH - Biomarkers, Tumor/genetics/*metabolism MH - Bortezomib/*pharmacology MH - Docosahexaenoic Acids/*pharmacology MH - Eicosapentaenoic Acid/*pharmacology MH - Gene Expression Regulation, Neoplastic/*drug effects MH - Glutathione/*metabolism MH - Humans MH - Multiple Myeloma/*drug therapy/metabolism/pathology MH - Signal Transduction MH - Tumor Cells, Cultured PMC - PMC8465636 OTO - NOTNLM OT - DHA OT - EPA OT - bortezomib OT - drug resistance OT - metabolome OT - multiple myeloma OT - omega-3 fatty acids OT - transcriptome COIS- The authors declare that no conflicts of interest. EDAT- 2021/09/29 06:00 MHDA- 2021/11/16 06:00 PMCR- 2021/09/02 CRDT- 2021/09/28 01:04 PHST- 2021/07/16 00:00 [received] PHST- 2021/08/26 00:00 [revised] PHST- 2021/08/31 00:00 [accepted] PHST- 2021/09/28 01:04 [entrez] PHST- 2021/09/29 06:00 [pubmed] PHST- 2021/11/16 06:00 [medline] PHST- 2021/09/02 00:00 [pmc-release] AID - cells10092287 [pii] AID - cells-10-02287 [pii] AID - 10.3390/cells10092287 [doi] PST - epublish SO - Cells. 2021 Sep 2;10(9):2287. doi: 10.3390/cells10092287.