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Blood, 15 September 2008, Vol. 112, No. 6, pp. 2489-2499. Prepublished online as a Blood First Edition Paper on June 18, 2008; DOI 10.1182/blood-2007-08-104950.
NEOPLASIA Molecular basis of bortezomib resistance: proteasome subunit β5 (PSMB5) gene mutation and overexpression of PSMB5 proteinDepartments of1 Rheumatology and 2 Pediatric Oncology/Hematology, VUMC Institute for Cancer & Immunology, VU University Medical Center, Amsterdam, The Netherlands; 3 The Fred Wyszkowski Cancer Research Laboratory, Department of Biology, Technion-Israel Institute of Technology, Haifa, Israel; 4 Division of Cellular Biochemistry, The Netherlands Cancer Institute, Amsterdam, The Netherlands; and Departments of5 Pathology and 6 Medical Oncology, and 7 Microarray Facility, VUMC Institute for Cancer & Immunology, VU University Medical Center, Amsterdam, The Netherlands
The proteasome inhibitor bortezomib is a novel anticancer drug that has shown promise in the treatment of refractory multiple myeloma. However, its clinical efficacy has been hampered by the emergence of drug-resistance phenomena, the molecular basis of which remains elusive. Toward this end, we here developed high levels (45- to 129-fold) of acquired resistance to bortezomib in human myelomonocytic THP1 cells by exposure to stepwise increasing (2.5-200 nM) concentrations of bortezomib. Study of the molecular mechanism of bortezomib resistance in these cells revealed (1) an Ala49Thr mutation residing in a highly conserved bortezomib-binding pocket in the proteasome β5-subunit (PSMB5) protein, (2) a dramatic overexpression (up to 60-fold) of PSMB5 protein but not of other proteasome subunits including PSMB6, PSMB7, and PSMA7, (3) high levels of cross-resistance to β5 subunit-targeted cytotoxic peptides 4A6, MG132, MG262, and ALLN, but not to a broad spectrum of chemotherapeutic drugs, (4) no marked changes in chymotrypsin-like proteasome activity, and (5) restoration of bortezomib sensitivity in bortezomib-resistant cells by siRNA-mediated silencing of PSMB5 gene expression. Collectively, these findings establish a novel mechanism of bortezomib resistance associated with the selective overexpression of a mutant PSMB5 protein.
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