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Blood, 1 August 2005, Vol. 106, No. 3, pp. 1021-1030.
Prepublished online as a Blood First Edition Paper on April 12, 2005; DOI 10.1182/blood-2004-11-4512.


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Submitted November 30, 2004
Accepted April 2, 2005

The level of TACI gene expression in myeloma cells is associated with a signature of microenvironment dependence versus a plasmablastic signature

Jerome MOREAUX, friedrich W CREMER, Thierry REME, Marc RAAB, Karene MAHTOUK, Philine KAUKEL, Veronique PANTESCO, John DE VOS, Eric JOURDAN, Anna JAUCH, Eric LEGOUFFE, Marion MOOS, Genevieve FIOL, Hartmut GOLDSCHMIDT, Jean Francois ROSSI, Dirk HOSE, and Bernard KLEIN*

INSERM U475 and Unit for Cellular Therapy, CHU Montpellier, Hopital St Eloi, Montpellier, France
Medizinische Klinik und Poliklinik V, Universitatsklinikum Heidelberg, Heidelberg, Germany; Institut fur Humangenetik, Universitatsklinikum Heidelberg, Heidelberg, Germany
Medizinische Klinik und Poliklinik V, Universitatsklinikum Heidelberg, Heidelberg, Germany
Internal Medicine Department B, CHU de Nimes, Nimes, France
Institut fur Humangenetik, Universitatsklinikum Heidelberg, Heidelberg, Germany
Clinical Hematology Department, CHU Montpellier, Hopital Lapeyronie, Montpellier, France

* Corresponding author; email: klein{at}montp.inserm.fr.

BAFF and APRIL have been shown to promote multiple myeloma (MM) cell growth. We show that the main site of production for BAFF and APRIL is the bone marrow (BM) environment, mainly by monocytes and neutrophils. In addition, osteoclasts produce very high levels of APRIL, unlike BM stromal cells. Myeloma cells (MMC) express TACI, the receptor of BAFF/APRIL at varying levels. TACI expression is a good indicator of a BAFF-binding receptor. Expression data of purified MMC from 65 newly-diagnosed patients have been generated using Affymetrix microarrays and were analyzed by supervised clustering of groups with higher (TACIhigh) vs. lower TACI (TACIlow) expression levels. Patients in the TACIlow group had clinical parameters associated with bad prognosis. A set of 659 genes was differentially expressed between TACIhigh and TACIlow MMC. This set makes it possible to efficiently classify TACIhigh and TACIlow MMC in an independent cohort of 40 patients. TACIhigh MMC displayed a mature plasma cell gene signature, indicating dependence on the BM environment. In contrast, the TACIlow group had a gene signature of plasmablasts suggesting an attenuated dependence on the BM environment. Taken together, our findings suggest using gene expression profiling to identify the group of patients which might benefit most from treatment with BAFF/APRIL inhibitors.


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