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The Prognostic Value of Whole-Blood PSMB5, CXCR4, POMP, and RPL5 mRNA Expression in Patients with Multiple Myeloma Treated with Bortezomib
| Content Provider | MDPI |
|---|---|
| Author | Izabela, Dróżdż Edyta, Węgłowska Robak, Pawel Jarych, Dariusz Mikulski, Damian Kotkowska, Aleksandra Misiewicz, Małgorzata Smolewski, Piotr Stawiski, Konrad Fendler, Wojciech Szemraj, Janusz Robak, Tadeusz |
| Copyright Year | 2021 |
| Description | Proteasome inhibitors, like bortezomib, play a key role in the treatment of multiple myeloma (MM); however, most patients eventually relapse and eventually show multiple drug resistance, and the molecular mechanisms of this resistance remain unclear. The aim of our study is to assess the expression of previously described genes that may influence the resistance to bortezomib treatment at the mRNA level (ABCB1, CXCR4, MAF, MARCKS, POMP, PSMB5, RPL5, TXN, and XBP1) and prognosis of MM patients. mRNA expression was determined in 73 MM patients treated with bortezomib-based regimens (30 bortzomib-sensitive and 43 bortezomib-refractory patients) and 11 healthy controls. RPL5 was significantly down-regulated in multiple myeloma patients as compared with healthy controls. Moreover, POMP was significantly up-regulated in MM patients refractory to bortezomib-based treatment. In multivariate analysis, high expression of PSMB5 and CXCR and autologous stem cell transplantation were independent predictors of progression-free survival, and high expression of POMP and RPL5 was associated with shorter overall survival. |
| Starting Page | 951 |
| e-ISSN | 20726694 |
| DOI | 10.3390/cancers13050951 |
| Journal | Cancers |
| Issue Number | 5 |
| Volume Number | 13 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2021-02-25 |
| Access Restriction | Open |
| Subject Keyword | Cancers Cell Tissue Engineering Bortezomib Cxcr4 Gene Expression Multiple Myeloma Pomp Psmb5 Refractory Rpl5 Txn Xbp1 |
| Content Type | Text |
| Resource Type | Article |