Blood Disease Institute, Key Laboratory of Bone Marrow Stem Cell, Xuzhou Medical University, Xuzhou, China.
Department of Hematology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Blood Adv. 2024 Aug 13;8(15):4003-4016. doi: 10.1182/bloodadvances.2023012394.
Because multiple myeloma (MM) poses a formidable therapeutic challenge despite recent progress, exploring novel targets is crucial. Mucosa-associated lymphoid tissue lymphoma translocation protein 1 (MALT1) emerges as a promising paracaspase with druggable potential, especially unexplored in MM. Our study provided compelling evidence demonstrating a statistically significant elevation of MALT1 expression in human primary MM cells. Moreover, elevated MALT1 expression was associated with a poorer prognosis in MM. Genetic deletion of MALT1 reduced cell growth, colony formation, and tumor growth in vivo. Pharmacological inhibition with 1 μM of a small-molecular MALT1 inhibitor, Mi-2, effectively inhibited cell growth, inducing mitochondria-dependent apoptotic cell death. Mechanistically, MALT1 inhibition disrupted diverse signal transduction pathways, notably impeding nuclear factor κB (NF-κB). Significantly, the inhibition of MALT1 demonstrated a substantial suppression of NF-κB activation by elevating inhibitor of NF-κB, disrupting the nuclear localization of p65 and c-REL. This effect was observed in both the basal state and when stimulated by B-cell maturation antigen, highlighting the pivotal role of MALT1 inhibition in influencing MM cell survival. It was noteworthy that Mi-2 induces properties associated with immunogenic cell death (ICD), as evidenced by increased calreticulin, adenosine triphosphate release, and high-mobility group protein B1 upregulation, consequently triggering ICD-associated immune activation and enhancing CD8+ T-cell cytotoxicity in vitro. In conclusion, our research highlights MALT1 as a promising druggable target for therapeutic interventions in MM, providing insights into its molecular mechanisms in MM progression.
由于多发性骨髓瘤(MM)尽管取得了近期进展,但仍存在严峻的治疗挑战,因此探索新的靶点至关重要。黏膜相关淋巴组织淋巴瘤易位蛋白 1(MALT1)作为一种具有成药性的潜在半胱天冬酶备受关注,特别是在 MM 中尚未得到充分探索。我们的研究提供了令人信服的证据,表明人类原发性 MM 细胞中 MALT1 表达显著升高。此外,MALT1 表达升高与 MM 的预后较差相关。MALT1 的基因缺失可降低细胞生长、集落形成和体内肿瘤生长。用 1 μM 的小分子 MALT1 抑制剂 Mi-2 进行药理学抑制可有效抑制细胞生长,诱导线粒体依赖性细胞凋亡。在机制上,MALT1 抑制破坏了多种信号转导途径,特别是阻碍了核因子 κB(NF-κB)。重要的是,MALT1 抑制通过增加 NF-κB 抑制剂、破坏 p65 和 c-REL 的核定位来显著抑制 NF-κB 激活。这种效应在基础状态和 B 细胞成熟抗原刺激时都观察到,这突显了 MALT1 抑制在影响 MM 细胞存活方面的关键作用。值得注意的是,Mi-2 诱导与免疫原性细胞死亡(ICD)相关的特性,这表现在钙网蛋白、三磷酸腺苷释放和高迁移率族蛋白 B1 上调增加,从而引发 ICD 相关免疫激活并增强体外 CD8+T 细胞细胞毒性。总之,我们的研究强调 MALT1 是 MM 治疗干预的有前途的可成药靶点,为其在 MM 进展中的分子机制提供了新的见解。
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