Frontiers in Oncology (Nov 2022)

Mutational analysis and protein profiling predict drug sensitivity in multiple myeloma cell lines

  • Mariaserena Giliberto,
  • Mariaserena Giliberto,
  • Leonardo Miranda Santana,
  • Leonardo Miranda Santana,
  • Leonardo Miranda Santana,
  • Toril Holien,
  • Toril Holien,
  • Toril Holien,
  • Kristine Misund,
  • Sigve Nakken,
  • Sigve Nakken,
  • Sigve Nakken,
  • Daniel Vodak,
  • Daniel Vodak,
  • Daniel Vodak,
  • Eivind Hovig,
  • Eivind Hovig,
  • Eivind Hovig,
  • Leonardo A. Meza-Zepeda,
  • Leonardo A. Meza-Zepeda,
  • Leonardo A. Meza-Zepeda,
  • Eivind Coward,
  • Eivind Coward,
  • Anders Waage,
  • Anders Waage,
  • Anders Waage,
  • Kjetil Taskén,
  • Kjetil Taskén,
  • Sigrid S. Skånland,
  • Sigrid S. Skånland

DOI
https://doi.org/10.3389/fonc.2022.1040730
Journal volume & issue
Vol. 12

Abstract

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IntroductionMultiple myeloma (MM) is a heterogeneous disease where cancer-driver mutations and aberrant signaling may lead to disease progression and drug resistance. Drug responses vary greatly, and there is an unmet need for biomarkers that can guide precision cancer medicine in this disease.MethodsTo identify potential predictors of drug sensitivity, we applied integrated data from drug sensitivity screening, mutational analysis and functional signaling pathway profiling in 9 cell line models of MM. We studied the sensitivity to 33 targeted drugs and their association with the mutational status of cancer-driver genes and activity level of signaling proteins.ResultsWe found that sensitivity to mitogen-activated protein kinase kinase 1 (MEK1) and phosphatidylinositol-3 kinase (PI3K) inhibitors correlated with mutations in NRAS/KRAS, and PI3K family genes, respectively. Phosphorylation status of MEK1 and protein kinase B (AKT) correlated with sensitivity to MEK and PI3K inhibition, respectively. In addition, we found that enhanced phosphorylation of proteins, including Tank-binding kinase 1 (TBK1), as well as high expression of B cell lymphoma 2 (Bcl-2), correlated with low sensitivity to MEK inhibitors.DiscussionTaken together, this study shows that mutational status and signaling protein profiling might be used in further studies to predict drug sensitivities and identify resistance markers in MM.

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