Cancer Science Institute of Singapore, National University of Singapore, Singapore.
Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Cancer Res. 2019 Sep 15;79(18):4679-4688. doi: 10.1158/0008-5472.CAN-19-0343. Epub 2019 Jul 23.
Overexpression of PRL-3, an oncogenic phosphatase, was identified as a novel cluster in patients with newly diagnosed multiple myeloma. However, the regulation and oncogenic activities of PRL-3 in multiple myeloma warrant further investigation. Here, we report that IL6 activates STAT3, which acts as a direct transcriptional regulator of PRL-3. Upregulation of PRL-3 increased myeloma cell viability and rephosphorylated STAT3 in a biphasic manner through direct interaction and deactivation of SHP2, thus blocking the gp130 (Y759)-mediated repression of STAT3 activity. Abrogation of PRL-3 reduced myeloma cell survival, clonogenicity, and tumorigenesis, and detailed mechanistic studies revealed "deactivation" of effector proteins such as Akt, Erk1/2, Src, STAT1, and STAT3. Furthermore, loss of PRL-3 efficiently abolished nuclear localization of STAT3 and reduced its occupancy on the promoter of target genes c-Myc and Mcl-1, and antiapoptotic genes Bcl2 and Bcl-xL. PRL-3 also played a role in the acquired resistance of myeloma cells to bortezomib, which could be overcome by PRL-3 silencing. Of clinical relevance, STAT3 and PRL-3 expression was positively correlated in five independent cohorts, and the STAT3 activation signature was significantly enriched in patients with high PRL-3 expression. Furthermore, PRL-3 could be used as a biomarker to identify high-risk patients with multiple myeloma that exhibited poor prognosis and inferior outcome even when treated with novel combinational therapeutics (proteasome inhibitors and immunomodulatory imide drugs). Conclusively, our results support a feedforward mechanism between STAT3 and PRL-3 that prolongs prosurvival signaling in multiple myeloma, and suggest targeting PRL-3 as a valid therapeutic opportunity in multiple myeloma. SIGNIFICANCE: IL6 promotes STAT3-dependent transcriptional upregulation of PRL-3, which in turn re-phosphorylates STAT3 and aberrantly activates STAT3 target genes, leading to bortezomib resistance in multiple myeloma.
PRL-3 是一种致癌磷酸酶,其过表达被鉴定为新诊断多发性骨髓瘤患者的一个新簇。然而,PRL-3 在多发性骨髓瘤中的调节和致癌活性需要进一步研究。在这里,我们报告说 IL6 激活了 STAT3,后者作为 PRL-3 的直接转录调节因子。PRL-3 的上调以双相方式增加骨髓瘤细胞活力并重新磷酸化 STAT3,通过直接相互作用和失活 SHP2,从而阻断 gp130(Y759)介导的 STAT3 活性抑制。PRL-3 的缺失减少了骨髓瘤细胞的存活、集落形成和致瘤性,详细的机制研究揭示了效应蛋白如 Akt、Erk1/2、Src、STAT1 和 STAT3 的“失活”。此外,PRL-3 的缺失有效地消除了 STAT3 的核定位,并减少了其在靶基因 c-Myc 和 Mcl-1 以及抗凋亡基因 Bcl2 和 Bcl-xL 启动子上的占据。PRL-3 还在骨髓瘤细胞对硼替佐米的获得性耐药中发挥作用,而 PRL-3 沉默可以克服这种耐药性。与临床相关的是,STAT3 和 PRL-3 的表达在五个独立队列中呈正相关,并且在高 PRL-3 表达的患者中,STAT3 激活特征显著富集。此外,PRL-3 可用作生物标志物来识别多发性骨髓瘤的高危患者,即使接受新型联合治疗(蛋白酶体抑制剂和免疫调节亚胺药物),这些患者预后较差且结局不佳。总之,我们的研究结果支持 STAT3 和 PRL-3 之间的正反馈机制,该机制延长了多发性骨髓瘤中的生存信号,表明靶向 PRL-3 是多发性骨髓瘤的有效治疗机会。意义:IL6 促进了 PRL-3 的 STAT3 依赖性转录上调,这反过来又重新磷酸化 STAT3 并异常激活 STAT3 靶基因,导致多发性骨髓瘤对硼替佐米耐药。