Department of Pathology, Albert Einstein College of Medicine, Bronx, NY, USA.
Department of Hematology-Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Leukemia. 2020 Jan;34(1):245-256. doi: 10.1038/s41375-019-0519-4. Epub 2019 Aug 22.
The canonical plasma cell marker CD138 (syndecan-1) is highly expressed on the myeloma cell surface, but its functional role in vivo is unclear, as well as the ontogeny of CD138-high and CD138-negative (neg) myeloma cells. In this study we used an in vivo murine Vk*MYC myeloma model where CD138 is heterogeneously expressed depending on tumor size. We find that in comparison to CD138-neg myeloma cells, the CD138-high subset of myeloma cells is highly proliferative, less apoptotic, and enhanced IL-6R signaling, which is known to promote survival. In addition CD138-high myeloma engrafts better than its CD138-neg counterpart. In contrast, CD138-neg cells are more motile both in vitro and in vivo, and more readily disseminate and spread to other bones in vivo than CD138-high subset. Neutralizing CD138 rapidly triggers migration of myeloma cells in vivo and leads to intravasation, which results in increased dissemination to other bones. Both murine and human myeloma cells can rapidly recycle CD138 surface expression through endocytic trafficking, in response to serum levels. Blocking CD138 enhances myeloma sensitivity to bortezomib chemotherapy and significantly reduces tumor size compared to bortezomib treatment alone. Thus, our data show that CD138 surface expression dynamically regulates a switch between growth vs. dissemination for myeloma, in response to nutrient conditions.
经典的浆细胞标志物 CD138(连接蛋白-1)高度表达于骨髓瘤细胞表面,但它在体内的功能作用尚不清楚,CD138 高表达和 CD138 阴性(neg)骨髓瘤细胞的发生也是如此。在这项研究中,我们使用了一种体内 Vk*MYC 骨髓瘤模型,其中 CD138 的表达根据肿瘤大小而呈异质性。我们发现,与 CD138-neg 骨髓瘤细胞相比,CD138 高表达的骨髓瘤细胞增殖能力更强,凋亡率更低,并且 IL-6R 信号增强,这已知可促进存活。此外,CD138 高表达的骨髓瘤细胞比其 CD138-neg 对应物更易植入。相比之下,CD138-neg 细胞在体外和体内都更具迁移能力,并且比 CD138 高表达的子集更容易在体内扩散并传播到其他骨骼。中和 CD138 可迅速触发骨髓瘤细胞在体内的迁移,并导致血管内渗透,从而增加向其他骨骼的扩散。无论是小鼠还是人类骨髓瘤细胞,都可以通过内吞作用快速循环 CD138 表面表达,以响应血清水平。与单独使用硼替佐米治疗相比,阻断 CD138 可增强骨髓瘤对硼替佐米化疗的敏感性,并显著减小肿瘤大小。因此,我们的数据表明,CD138 表面表达动态调节骨髓瘤在生长与扩散之间的转换,以响应营养状况。
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