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IL6 促进多发性骨髓瘤中通过 SHP2 抑制的 STAT3-PRL3 正反馈环。

IL6 Promotes a STAT3-PRL3 Feedforward Loop via SHP2 Repression in Multiple Myeloma.

机构信息

Cancer Science Institute of Singapore, National University of Singapore, Singapore.

Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

出版信息

Cancer Res. 2019 Sep 15;79(18):4679-4688. doi: 10.1158/0008-5472.CAN-19-0343. Epub 2019 Jul 23.

Abstract

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.

摘要

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。

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