蛋白酶体抑制剂诱导的调节揭示剪接体是多发性骨髓瘤的一个特异性治疗弱点。
Proteasome inhibitor-induced modulation reveals the spliceosome as a specific therapeutic vulnerability in multiple myeloma.
机构信息
Department of Laboratory Medicine, University of California, San Francisco, CA, USA.
Department of Biomolecular Engineering, University of California, Santa Cruz, CA, USA.
出版信息
Nat Commun. 2020 Apr 22;11(1):1931. doi: 10.1038/s41467-020-15521-4.
Enhancing the efficacy of proteasome inhibitors (PI) is a central goal in myeloma therapy. We proposed that signaling-level responses after PI may reveal new mechanisms of action that can be therapeutically exploited. Unbiased phosphoproteomics after treatment with the PI carfilzomib surprisingly demonstrates the most prominent phosphorylation changes on splicing related proteins. Spliceosome modulation is invisible to RNA or protein abundance alone. Transcriptome analysis after PI demonstrates broad-scale intron retention, suggestive of spliceosome interference, as well as specific alternative splicing of protein homeostasis machinery components. These findings lead us to evaluate direct spliceosome inhibition in myeloma, which synergizes with carfilzomib and shows potent anti-tumor activity. Functional genomics and exome sequencing further support the spliceosome as a specific vulnerability in myeloma. Our results propose splicing interference as an unrecognized modality of PI mechanism, reveal additional modes of spliceosome modulation, and suggest spliceosome targeting as a promising therapeutic strategy in myeloma.
增强蛋白酶体抑制剂(PI)的疗效是骨髓瘤治疗的核心目标。我们提出,PI 治疗后的信号级反应可能揭示新的作用机制,从而可以进行治疗性利用。用 PI 卡非佐米治疗后进行的无偏磷酸蛋白质组学研究出人意料地表明,剪接相关蛋白的磷酸化变化最为显著。剪接体的调节单凭 RNA 或蛋白质丰度是看不出来的。PI 后的转录组分析表明广泛的内含子保留,提示剪接体干扰,以及蛋白质稳态机制成分的特定选择性剪接。这些发现促使我们评估骨髓瘤中的直接剪接体抑制,它与卡非佐米协同作用,并表现出强大的抗肿瘤活性。功能基因组学和外显子测序进一步支持剪接体是骨髓瘤的一个特异性弱点。我们的结果提出剪接干扰作为 PI 机制的一种未被认识的方式,揭示了剪接体调节的其他方式,并提示剪接体靶向作为骨髓瘤有前途的治疗策略。