PMID- 35064934 OWN - NLM STAT- MEDLINE DCOM- 20220419 LR - 20220616 IS - 1523-4681 (Electronic) IS - 0884-0431 (Linking) VI - 37 IP - 4 DP - 2022 Apr TI - Estrogen-Responsive Gene MAST4 Regulates Myeloma Bone Disease. PG - 711-723 LID - 10.1002/jbmr.4507 [doi] AB - Our previous data showed that young female multiple myeloma (MM) patients had a low frequency of osteolytic lesions. Based on this clinical observation, we found that estrogen cell signaling played a regulatory role in MM bone disease (MMBD), and the estrogen-responsive gene microtubule-associated serine/threonine kinase family member 4 (MAST4) was a critical factor. The presence of estrogen in cell cultures promoted MAST4 expression in MM cells, while knocking down estrogen receptor 1 (ESR1) inhibited MAST4 expression. Chromatin immunoprecipitation assay suggested a binding site of ESR1 on the MAST4 promoter. Bisphosphonates, such as zoledronic acid (ZOL), which was widely used in MMBD control, could stimulate MAST4 expression in MM cells by promoting ESR1 expression. MAST4 interacted with phosphatase and tensin homolog (PTEN), therefore regulating the PI3K-Akt-mTOR pathway and the expression of downstream cytokines, such as CCL2/3/4. MAST4 knockdown (MAST4-KD) or ESR1 knockdown (ESR1-KD) MM cells had repressed PTEN activity, elevated PI3K-Akt-mTOR activity, and increased CCL2/3/4 expressions. Coculture of MAST4-KD or ESR1-KD MM cells with pre-osteoclasts (pre-OCs) stimulated OC formation in vitro, whereas neutralizing antibodies of CCL2/3/4 attenuated such stimulation. In mouse models, mice inoculated with MAST4-KD or ESR1-KD MM cells had severer MMBD than control knockdown (CTR-KD). The correlations between MAST4 and ESR1 expressions in MMBD, as well as related cell signaling pathways, were confirmed in analyses using gene expression profiles (GEPs) of patients' MM cells. The negative correlation of MAST4 expression and occurrence of MMBD was further validated by patients' immunohistochemical tissue array. Overall, our data suggested that estrogen cell signaling negatively regulated MMBD through MAST4. (c) 2022 American Society for Bone and Mineral Research (ASBMR). CI - (c) 2022 American Society for Bone and Mineral Research (ASBMR). FAU - Cui, Yushan AU - Cui Y AD - Department of Hematology, West China Hospital/State Key Laboratory of Biotherapy and Cancer Center, Sichuan University, Chengdu, China. FAU - Wang, Fangfang AU - Wang F AD - Department of Hematology, West China Hospital/State Key Laboratory of Biotherapy and Cancer Center, Sichuan University, Chengdu, China. FAU - Zhang, Danfeng AU - Zhang D AD - Department of Hematology, West China Hospital/State Key Laboratory of Biotherapy and Cancer Center, Sichuan University, Chengdu, China. AD - Department of Hematology, The First Affiliated Hospital, Zhengzhou University, Zhengzhou, China. FAU - Huang, Jingcao AU - Huang J AD - Department of Hematology, West China Hospital/State Key Laboratory of Biotherapy and Cancer Center, Sichuan University, Chengdu, China. FAU - Yang, Yan AU - Yang Y AD - Department of Hematology, West China Hospital/State Key Laboratory of Biotherapy and Cancer Center, Sichuan University, Chengdu, China. FAU - Xu, Juan AU - Xu J AD - Department of Hematology, West China Hospital/State Key Laboratory of Biotherapy and Cancer Center, Sichuan University, Chengdu, China. FAU - Gao, Yuhan AU - Gao Y AD - Department of Hematology, West China Hospital/State Key Laboratory of Biotherapy and Cancer Center, Sichuan University, Chengdu, China. FAU - Ding, Hong AU - Ding H AD - Department of Hematology, West China Hospital/State Key Laboratory of Biotherapy and Cancer Center, Sichuan University, Chengdu, China. FAU - Qu, Ying AU - Qu Y AD - Department of Hematology, West China Hospital/State Key Laboratory of Biotherapy and Cancer Center, Sichuan University, Chengdu, China. FAU - Zhang, Wenyan AU - Zhang W AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, China. FAU - Liu, Weiping AU - Liu W AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, China. FAU - Pan, Ling AU - Pan L AD - Department of Hematology, West China Hospital/State Key Laboratory of Biotherapy and Cancer Center, Sichuan University, Chengdu, China. FAU - Zhang, Li AU - Zhang L AD - Department of Hematology, West China Hospital/State Key Laboratory of Biotherapy and Cancer Center, Sichuan University, Chengdu, China. FAU - Liu, Zhigang AU - Liu Z AD - Department of Hematology, West China Hospital/State Key Laboratory of Biotherapy and Cancer Center, Sichuan University, Chengdu, China. FAU - Niu, Ting AU - Niu T AD - Department of Hematology, West China Hospital/State Key Laboratory of Biotherapy and Cancer Center, Sichuan University, Chengdu, China. FAU - Liu, Ting AU - Liu T AD - Department of Hematology, West China Hospital/State Key Laboratory of Biotherapy and Cancer Center, Sichuan University, Chengdu, China. FAU - Zheng, Yuhuan AU - Zheng Y AUID- ORCID: 0000-0002-5855-4343 AD - Department of Hematology, West China Hospital/State Key Laboratory of Biotherapy and Cancer Center, Sichuan University, Chengdu, China. LA - eng GR - ZYJC21007/1.3.5 Project for Disciplines of Excellence, West China Hospital, Sichuan University/ GR - 18PJ357/Health and Family Planning Commission of Sichuan Province/ GR - 81870157/National Natural Science Foundation of China/ GR - 82070219/National Natural Science Foundation of China/ GR - 81800207/National Natural Science Foundation of China/ GR - 2021WWB03/Translational Research Grant of NCRCH/ PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220211 PL - England TA - J Bone Miner Res JT - Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research JID - 8610640 RN - 0 (Estrogens) RN - 0 (Microtubule-Associated Proteins) RN - EC 2.7.1.37. - (MAST4 protein, human) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Estrogens MH - Female MH - Humans MH - Mice MH - Microtubule-Associated Proteins/metabolism MH - *Multiple Myeloma/genetics MH - *Osteolysis MH - Phosphatidylinositol 3-Kinases/metabolism MH - Protein Serine-Threonine Kinases MH - Proto-Oncogene Proteins c-akt/metabolism MH - TOR Serine-Threonine Kinases OTO - NOTNLM OT - BONE DISEASE OT - ESTROGEN OT - MAST4 OT - MULTIPLE MYELOMA OT - ZOLEDRONIC ACID EDAT- 2022/01/23 06:00 MHDA- 2022/04/20 06:00 CRDT- 2022/01/22 12:06 PHST- 2022/01/04 00:00 [revised] PHST- 2021/03/23 00:00 [received] PHST- 2022/01/12 00:00 [accepted] PHST- 2022/01/23 06:00 [pubmed] PHST- 2022/04/20 06:00 [medline] PHST- 2022/01/22 12:06 [entrez] AID - 10.1002/jbmr.4507 [doi] PST - ppublish SO - J Bone Miner Res. 2022 Apr;37(4):711-723. doi: 10.1002/jbmr.4507. Epub 2022 Feb 11.