Department of Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong Province, China.
Department of Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong Province, China.
Cancer Lett. 2024 Apr 28;588:216802. doi: 10.1016/j.canlet.2024.216802. Epub 2024 Mar 11.
Multiple myeloma (MM) is a hematological malignancy that remains incurable, primarily due to the high likelihood of relapse or development of resistance to current treatments. To explore and discover new medications capable of overcoming drug resistance in MM, we conducted cell viability inhibition screens of 1504 FDA-approved drugs. Lomitapide, a cholesterol-lowering agent, was found to exhibit effective inhibition on bortezomib-resistant MM cells in vitro and in vivo. Our data also indicated that lomitapide decreases the permeability of the mitochondrial outer membrane and induces mitochondrial dysfunction in MM cells. Next, lomitapide treatment upregulated DRP1 and PINK1 expression levels, coupled with the mitochondrial translocation of Parkin, leading to MM cell mitophagy. Excessive mitophagy caused mitochondrial damage and dysfunction induced by lomitapide. Meanwhile, PARP14 was identified as a direct target of lomitapide by SPR-HPLC-MS, and we showed that DRP1-induced mitophagy was crucial in the anti-MM activity mediated by PARP14. Furthermore, PARP14 is overexpressed in MM patients, implying that it is a novel therapeutic target in MM. Collectively, our results demonstrate that DRP1-mediated mitophagy induced by PARP14 may be the cause for mitochondrial dysfunction and damage in response to lomitapide treatment.
多发性骨髓瘤(MM)是一种血液恶性肿瘤,目前仍然无法治愈,主要是因为复发或对现有治疗产生耐药的可能性很高。为了探索和发现能够克服 MM 药物耐药性的新药,我们对 1504 种 FDA 批准的药物进行了细胞活力抑制筛选。洛美他派,一种降胆固醇药物,被发现能够在体外和体内有效抑制硼替佐米耐药的 MM 细胞。我们的数据还表明,洛美他派降低了线粒体外膜的通透性,并诱导 MM 细胞线粒体功能障碍。接下来,洛美他派治疗上调了 DRP1 和 PINK1 的表达水平,同时伴随着 Parkin 的线粒体易位,导致 MM 细胞的线粒体自噬。过量的线粒体自噬导致洛美他派引起的线粒体损伤和功能障碍。同时,SPR-HPLC-MS 鉴定出 PARP14 是洛美他派的直接靶标,我们表明 DRP1 诱导的线粒体自噬在 PARP14 介导的抗 MM 活性中至关重要。此外,PARP14 在 MM 患者中过表达,表明它是 MM 中的一个新的治疗靶点。总之,我们的结果表明,PARP14 诱导的 DRP1 介导的线粒体自噬可能是洛美他派治疗引起线粒体功能障碍和损伤的原因。
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