功能多组学揭示了多发性骨髓瘤中表面CD38的遗传和药理调控。
Functional multiomics reveals genetic and pharmacologic regulation of surface CD38 in multiple myeloma.
作者信息
Choudhry Priya, Kasap Corynn, Patiño-Escobar Bonell, Gugliemini Olivia, Geng Huimin, Sarin Vishesh, Kang Amrik, Kishishita Audrey, Rampersaud Sham, Sarah Letitia, Lin Yu-Hsiu T, Paranjape Neha, Ramkumar Poornima, Patton Jonathan C, Marcoulis Makeba, Wang Donghui, Phojanakong Paul, Steri Veronica, Hann Byron, Barwick Benjamin G, Kampmann Martin, Wiita Arun P
机构信息
Department of Laboratory Medicine, University of California San Francisco, San Francisco, CA.
Division of Hematology/Oncology, Department of Medicine, University of California San Francisco, San Francisco, CA.
出版信息
Blood Neoplasia. 2024 Jun 10;1(3):100025. doi: 10.1016/j.bneo.2024.100025. eCollection 2024 Sep.
CD38 is a surface ectoenzyme expressed at high levels on myeloma plasma cells and is the target for the monoclonal antibodies (mAbs) daratumumab and isatuximab. Pretreatment CD38 density on tumor cells is an important determinant of mAb efficacy. Several small molecules have been found to increase tumor surface CD38, with the goal of boosting mAb efficacy in a cotreatment strategy. Numerous other CD38-targeting therapeutics are currently in preclinical or clinical development. Here, we sought to extend our currently limited insight into CD38 surface expression by using a multiomics approach. Genome-wide CRISPR interference screens integrated with patient-centered epigenetic analysis confirmed known regulators of , such as RARA, while revealing XBP1 and SPI1 as other key transcription factors governing surface CD38 levels. knockdown followed by cell surface proteomics demonstrated no significant remodeling of the myeloma "surfaceome" after genetically induced loss of this antigen. Integrated transcriptome and surface proteome data confirmed high specificity of all-trans retinoic acid in upregulating CD38, in contrast to the broader effects of azacytidine and panobinostat. Finally, unbiased phosphoproteomics identified inhibition of MAP kinase pathway signaling in tumor cells after daratumumab treatment. Our work provides a resource to design strategies to enhance efficacy of CD38-targeting immunotherapies in myeloma.
CD38是一种在骨髓瘤浆细胞上高水平表达的表面外切酶,是单克隆抗体(mAb)达雷妥尤单抗和isatuximab的靶点。肿瘤细胞上的预处理CD38密度是mAb疗效的重要决定因素。已发现几种小分子可增加肿瘤表面CD38,目的是在联合治疗策略中提高mAb疗效。目前有许多其他靶向CD38的疗法正处于临床前或临床开发阶段。在这里,我们试图通过多组学方法来扩展我们目前对CD38表面表达的有限认识。全基因组CRISPR干扰筛选与以患者为中心的表观遗传分析相结合,证实了已知的调节因子,如RARA,同时揭示XBP1和SPI1是控制表面CD38水平的其他关键转录因子。基因敲除后进行细胞表面蛋白质组学分析表明,在基因诱导该抗原缺失后,骨髓瘤“表面组”没有明显重塑。综合转录组和表面蛋白质组数据证实,与阿扎胞苷和帕比司他的更广泛作用相比,全反式维甲酸在上调CD38方面具有高度特异性。最后,非靶向磷酸化蛋白质组学确定了达雷妥尤单抗治疗后肿瘤细胞中MAP激酶途径信号传导受到抑制。我们的工作为设计提高骨髓瘤中靶向CD38免疫疗法疗效的策略提供了资源。