XBP1s levels are implicated in the biology and outcome of myeloma mediating different clinical outcomes to thalidomide-based treatments

被引:91
作者
Bagratuni, Tina [1 ]
Wu, Ping [1 ]
de Castro, David Gonzalez [1 ]
Davenport, Emma L. [1 ]
Dickens, Nicholas J. [1 ]
Walker, Brian A. [1 ]
Boyd, Kevin [1 ]
Johnson, David C. [1 ]
Gregory, Walter [2 ]
Morgan, Gareth J. [1 ]
Davies, Faith E. [1 ]
机构
[1] Inst Canc Res, Sect Haematooncol, Sutton SM2 5NG, Surrey, England
[2] Univ Leeds, Clin Trials & Res Unit, Leeds, W Yorkshire, England
关键词
UNFOLDED PROTEIN RESPONSE; B-CELL;
D O I
10.1182/blood-2010-01-263236
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Immunoglobulin production by myeloma plasma cells depends on the unfolded protein response for protein production and folding. Recent studies have highlighted the importance of IRE1 alpha and X box binding protein 1 (XBP1), key members of this pathway, in normal B-plasma cell development. We have determined the gene expression levels of IRE1 alpha, XBP1, XBP1UNSPLICED (XBP1u), and XBP1SPLICED (XBP1s) in a series of patients with myeloma and correlated findings with clinical outcome. We show that IRE1 alpha and XBP1 are highly expressed and that patients with low XBP1s/u ratios have a significantly better overall survival. XBP1s is an independent prognostic marker and can be used with beta 2 microglobulin and t(4;14) to identify a group of patients with a poor outcome. Further-more, we show the beneficial therapeutic effects of thalidomide in patients with low XBP1s/u ratios. This study highlights the importance of XBP1 in myeloma and its significance as an independent prognostic marker and as a predictor of thalidomide response. This trial was registered at www.controlled-trials.com/ISRCTN68454111/68454111 as #ISRCTN684541111. (Blood. 2010; 116(2): 250-253)
引用
收藏
页码:250 / 253
页数:4
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