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Blood, 25 June 2009, Vol. 113, No. 26, pp. 6669-6680.
Prepublished online as a Blood First Edition Paper on April 28, 2009; DOI 10.1182/blood-2009-01-198408.
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Submitted January 7, 2009
Accepted April 4, 2009
microRNAs 15a and 16 regulate tumor proliferation in multiple myeloma
Aldo M. Roccaro, Antonio Sacco, Brian Thompson, Xavier Leleu, Abdel Kareem Azab, Feda Azab, Judith Runnels, Xiaoying Jia, Hai T. Ngo, Molly R. Melhem, Charles P. Lin, Domenico Ribatti, Barrett J. Rollins, Thomas E. Witzig, Kenneth C. Anderson, and Irene M. Ghobrial*
Department of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA, United States
Wellman Center for Photomedicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States
Department of Human Anatomy and Histology, University of Bari Medical School, Bari, Italy
Department of Hematology, Mayo Clinic, Rochester, MN, United States
* Corresponding author; email: irene_ghobrial{at}dfci.harvard.edu.
Detailed genomic studies have shown that cytogenetic abnormalities contribute to multiple myeloma (MM) pathogenesis and disease progression. Nevertheless, little is known about the characteristics of MM at the epigenetic level, and specifically how microRNAs regulate MM progression in the context of the bone marrow milieu. Therefore, we performed microRNA expression profiling of bone marrow derived CD138+ MM cells versus their normal cellular counterparts, and validated data by qRT-PCR. We identified a MM-specific microRNA signature characterized by down-expression of microRNA-15a/-16 and over-expression of microRNA-222/-221/-382/-181a/-181b (P<0.01). We investigated the functional role of microRNA-15a and -16 and showed that they regulate proliferation and growth of MM cells in vitro and in vivo by inhibiting AKT serine/threonine-protein-kinase (AKT3), ribosomal-protein-S6, MAP-kinases, and NF- B-activator MAP3KIP3. Moreover, miRNA-15a and -16 exerted their anti-MM activity even in the context of the bone marrow milieu in vitro and in vivo. These data indicate that microRNAs play a pivotal role in the biology of MM; and represent important targets for novel therapies in MM.

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