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Blood, 1 April 2008, Vol. 111, No. 7, pp. 3714-3722. Prepublished online as a Blood First Edition Paper on November 15, 2007; DOI 10.1182/blood-2007-05-089151.
NEOPLASIA The Y-box binding protein YB-1 is associated with progressive disease and mediates survival and drug resistance in multiple myeloma1 Department of Internal Medicine II, Division of Hematology, University Hospital of Würzburg, Würzburg; 2 Helios Clinics, Department of Pathology, Berlin; 3 Center for Advanced European Studies and Research (CAESAR), Bonn; 4 Institut of Pathology, University of Heidelberg, Heidelberg; and 5 Department of Hematology, Oncology and Tumorimmunology, Robert Rössle Cancer Center at the Max Delbrück Center for Molecular Medicine, Berlin, Germany
Current knowledge about molecular mechanisms underlying disease progression and drug resistance in multiple myeloma (MM) is still limited. Here, we analyzed the potential pathogenetic role of the Y-box binding protein YB-1 in MM. YB-1 is a member of the cold-shock domain protein superfamily and involved in various cellular functions such as proliferation. Immunohistochemical analyses revealed that neither normal bone marrow (BM) plasma cells (PCs), premalignant PCs of patients with monoclonal gammopathy of unknown significance (MGUS), nor MM cells with a mature morphology showed expression of YB-1 in situ. In contrast, YB-1 was strongly expressed in situ in normal PC precursor blasts as well as in a MM subset and in vitro in all of the evaluated MM cell lines. The YB-1–expressing MM cells were characterized by an immature morphology and a highly proliferative phenotype as defined by Ki 67 expression. We observed that siRNA-mediated knockdown of YB-1 decreased proliferation and induced apoptosis in MM cells even in the presence of BM stromal cells. Furthermore, we found that overexpression of YB-1 mediated resistance toward doxorubicin-induced apoptosis in MM cells. Thus, YB-1 contributes to disease progression, survival, and drug resistance in MM and might therefore provide an attractive therapeutic target.
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