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Blood, 1 June 2007, Vol. 109, No. 11, pp. 4914-4923.
Prepublished online as a Blood First Edition Paper on March 5, 2007; DOI 10.1182/blood-2006-08-043232.
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NEOPLASIA
Heparanase influences expression and shedding of syndecan-1, and its expression by the bone marrow environment is a bad prognostic factor in multiple myeloma
Karène Mahtouk1,2,
Dirk Hose3,
Pierre Raynaud1,2,
Michael Hundemer3,
Michel Jourdan2,
Eric Jourdan5,
Veronique Pantesco2,
Marion Baudard5,
John De Vos1,2,4,
Marion Larroque2,
Thomas Moehler3,
Jean-Francois Rossi4,5,
Thierry Rème1,2,
Hartmut Goldschmidt3,6, and
Bernard Klein1,2,4
1 Centre Hospitalier Universitaire (CHU) Montpellier, Institute of Research in Biotherapy, Montpellier, France;
2 Institut National de la Santé et de la Recherche Médicale (INSERM), U847, Montpellier, France;
3 Medizinische Klinik und Poliklinik V, Universitätsklinikum Heidelberg, Germany;
4 Université Montpellier1, France;
5 CHU Montpellier, Department of Hematology and Clinical Oncology, Montpellier, France;
6 Nationales Centrum für Tumorerkrankungen, Heidelberg, Germany
The heparan sulfate (HS) proteoglycan, syndecan-1, plays a major role in multiple myeloma (MM) by concentrating heparin-binding growth factors on the surface of MM cells (MMCs). Using Affymetrix microarrays and real-time reverse transcriptase–polymerase chain reaction (RT-PCR), we show that the gene encoding heparanase (HPSE), an enzyme that cleaves HS chains, is expressed by 11 of 19 myeloma cell lines (HMCLs). In HSPEpos HMCLs, syndecan-1 gene expression and production of soluble syndecan-1, unlike expression of membrane syndecan-1, were significantly increased. Knockdown of HPSE by siRNA resulted in a decrease of syndecan-1 gene expression and soluble syndecan-1 production without affecting membrane syndecan-1 expression. Thus, HPSE influences expression and shedding of syndecan-1. Contrary to HMCLs, HPSE is expressed in only 4 of 39 primary MMC samples, whereas it is expressed in 36 of 39 bone marrow (BM) microenvironment samples. In the latter, HPSE is expressed at a median level in polymorphonuclear cells and T cells; it is highly expressed in monocytes and osteoclasts. Affymetrix data were validated at the protein level, both on HMCLs and patient samples. We report for the first time that a gene's expression mainly in the BM environment (ie, HSPE) is associated with a shorter event-free survival of patients with newly diagnosed myeloma treated with high-dose chemotherapy and stem cell transplantation. Our study suggests that clinical inhibitors of HPSE could be beneficial for patients with MM.

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