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Drug combinations identified by high-throughput screening promote cell cycle transition and upregulate Smad pathways in myeloma.


ABSTRACT: Drug resistance and disease progression are common in multiple myeloma (MM) patients, underscoring the need for new therapeutic combinations. A high-throughput drug screen in 47 MM cell lines and in silico Huber robust regression analysis of drug responses revealed 43 potentially synergistic combinations. We hypothesized that effective combinations would reduce MYC expression and enhance p16 activity. Six combinations cooperatively reduced MYC protein, frequently over-expressed in MM and also cooperatively increased p16 expression, frequently downregulated in MM. Synergistic reductions in viability were observed with top combinations in proteasome inhibitor-resistant and sensitive MM cell lines, while sparing fibroblasts. Three combinations significantly prolonged survival in a transplantable Ras-driven allograft model of advanced MM closely recapitulating high-risk/refractory myeloma in humans and reduced viability of ex vivo treated patient cells. Common genetic pathways similarly downregulated by these combinations promoted cell cycle transition, whereas pathways most upregulated were involved in TGFβ/SMAD signaling. These preclinical data identify potentially useful drug combinations for evaluation in drug-resistant MM and reveal potential mechanisms of combined drug sensitivity.

SUBMITTER: Peat TJ 

PROVIDER: S-EPMC10408729 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature

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Drug combinations identified by high-throughput screening promote cell cycle transition and upregulate Smad pathways in myeloma.

Peat Tyler J TJ   Gaikwad Snehal M SM   Dubois Wendy W   Gyabaah-Kessie Nana N   Zhang Shuling S   Gorjifard Sayeh S   Phyo Zaw Z   Andres Megan M   Hughitt V Keith VK   Simpson R Mark RM   Miller Margaret A MA   Girvin Andrew T AT   Taylor Andrew A   Williams Daniel D   D'Antonio Nelson N   Zhang Yong Y   Rajagopalan Adhithi A   Flietner Evan E   Wilson Kelli K   Zhang Xiaohu X   Shinn Paul P   Klumpp-Thomas Carleen C   McKnight Crystal C   Itkin Zina Z   Chen Lu L   Kazandijian Dickran D   Zhang Jing J   Michalowski Aleksandra M AM   Simmons John K JK   Keats Jonathan J   Thomas Craig J CJ   Mock Beverly A BA  

Cancer letters 20230624


Drug resistance and disease progression are common in multiple myeloma (MM) patients, underscoring the need for new therapeutic combinations. A high-throughput drug screen in 47 MM cell lines and in silico Huber robust regression analysis of drug responses revealed 43 potentially synergistic combinations. We hypothesized that effective combinations would reduce MYC expression and enhance p16 activity. Six combinations cooperatively reduced MYC protein, frequently over-expressed in MM and also co  ...[more]

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