title: Identification of genes modulated in multiple myeloma using genetically identical twin samples.
abstract: Genetic heterogeneity between individuals confounds the comparison of gene profiling of multiple myeloma (MM) cells versus normal plasma cells (PCs). To overcome this barrier, we compared the gene expression profile of CD138+ MM cells from a patient bone marrow (BM) sample with CD138+ PCs from a genetically identical twin BM sample using microarray profiling. Two hundred and ninety-six genes were up-regulated and 103 genes were down-regulated at least 2-fold in MM cells versus normal twin PCs. Highly expressed genes in MM cells included cell survival pathway genes such as mcl-1, dad-1, caspase 8, and FADD-like apoptosis regulator (FLIP); oncogenes/transcriptional factors such as Jun-D, Xbp-1, calmodulin, Calnexin, and FGFR-3; stress response and ubiquitin/proteasome pathway-related genes and various ribosomal genes reflecting increased metabolic and translational activity. Genes that were down-regulated in MM cells versus healthy twin PCs included RAD51, killer cell immunoglobulin-like receptor protein, and apoptotic protease activating factor. Microarray results were further confirmed by Western blot analyses, immunohistochemistry, fluorescent in situ hybridization (FISH), and functional assays of telomerase activity and bone marrow angiogenesis. This molecular profiling provides potential insights into mechanisms of malignant transformation in MM. For example, FGFR3, xbp-1, and both mcl-1 and dad-1 may mediate transformation, differentiation, and survival, respectively, and may have clinical implications. By identifying genes uniquely altered in MM cells compared with normal PCs in an identical genotypic background, the current study provides the framework to identify novel therapeutic targets.
authors.affiliation: Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Boston MA 02115, USA. nikhil_munshi@dfci.harvard.edu
authors.forename: Nikhil C
authors.initials: NC
authors.lastname: Munshi
authors.forename: Teru
authors.initials: T
authors.lastname: Hideshima
authors.forename: Daniel
authors.initials: D
authors.lastname: Carrasco
authors.forename: Masood
authors.initials: M
authors.lastname: Shammas
authors.forename: Daniel
authors.initials: D
authors.lastname: Auclair
authors.forename: Faith
authors.initials: F
authors.lastname: Davies
authors.forename: Nicholas
authors.initials: N
authors.lastname: Mitsiades
authors.forename: Constantine
authors.initials: C
authors.lastname: Mitsiades
authors.forename: Ryung Suk
authors.initials: RS
authors.lastname: Kim
authors.forename: Cheng
authors.initials: C
authors.lastname: Li
authors.forename: S Vincent
authors.initials: SV
authors.lastname: Rajkumar
authors.forename: Rafael
authors.initials: R
authors.lastname: Fonseca
authors.forename: Lief
authors.initials: L
authors.lastname: Bergsagel
authors.forename: Dharminder
authors.initials: D
authors.lastname: Chauhan
authors.forename: Kenneth C
authors.initials: KC
authors.lastname: Anderson
mesh_terms: D000328:Adult; D018952:Antigens, CD34 / Q000096:biosynthesis; D015153:Blotting, Western; D001854:Bone Marrow Cells / Q000166:cytology / Q000378:metabolism*; D003546:Cysteine Endopeptidases / Q000378:metabolism; D004200:Diseases in Twins; D015536:Down-Regulation; D005260:Female; D005786:Gene Expression Regulation; D005838:Genotype; D006801:Humans; D007150:Immunohistochemistry; D017404:In Situ Hybridization, Fluorescence; D008562:Membrane Glycoproteins / Q000096:biosynthesis*; D008954:Models, Biological; D009097:Multienzyme Complexes / Q000378:metabolism; D009101:Multiple Myeloma / Q000235:genetics*; D009389:Neovascularization, Pathologic; D020411:Oligonucleotide Array Sequence Analysis; D046988:Proteasome Endopeptidase Complex; D011509:Proteoglycans / Q000096:biosynthesis*; D053668:Syndecan-1; D053667:Syndecans; D019098:Telomerase / Q000378:metabolism; D014430:Twins, Monozygotic; D015854:Up-Regulation
chemical_list: D018952:Antigens, CD34; D008562:Membrane Glycoproteins; D009097:Multienzyme Complexes; D011509:Proteoglycans; C508241:SDC1 protein, human; D053668:Syndecan-1; D053667:Syndecans; D019098:Telomerase; D003546:Cysteine Endopeptidases; D046988:Proteasome Endopeptidase Complex