Evidence map›Paper›PMID 27775549›Full record

ArticleThe Journal of clinical investigation2016

Hedgehog and retinoid signaling alters multiple myeloma microenvironment and generates bortezomib resistance.

Salvador Alonso, Daniela Hernandez, Yu-Ting Chang, Christian B Gocke, Megan McCray, Ravi Varadhan, William H Matsui, Richard J Jones, Gabriel Ghiaur

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06109233 (A Perspective Study of the MRD-tailored Therapy in Patients With Newly Diagnosed Multiple Myeloma With Persistent Minimal Residual Disease After Initial Treatment), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06109233 unknown statusnot on this mapstarted 2022, after this paper: background citation

A Perspective Study of the MRD-tailored Therapy in Patients With Newly Diagnosed Multiple Myeloma With Persistent Minimal Residual Disease After Initial Treatment

TypeobservationalSponsorFengYan JinRan2022 to 2026Enrolled80ConditionsMultiple Myeloma, Minimal Residual Disease
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 43 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Salvador Alonso
Daniela Hernandez
Yu-Ting Chang
Christian B Gocke
Megan McCray
Ravi Varadhan
William H Matsui
Richard J Jones
Gabriel Ghiaur
Johns Hopkins University · USLivestrong Foundation · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI WILLIAM George NELSON · 1985 to 2026
$208.6M
TUMOR VACCINESP01CA015396 · NCI · JOHNS HOPKINS UNIVERSITY · PI JONES, RICHARD J · 1985 to 2016
$38.1M
Role of multiple myeloma cancer stem cells in clinical diseaseR01CA174951 · NCI · JOHNS HOPKINS UNIVERSITY · PI HUFF, CAROL A · 2014 to 2018
$2.9M
MENTORING AND RESEARCH IN CANCER STEM CELLSK24CA198315 · NCI · UNIVERSITY OF TEXAS AT AUSTIN · PI MATSUI, WILLIAM H · 2016 to 2020
$933k
Bone Marrow Microenvironmental Expression of Cytochrome P450 EnzymesK08HL127269 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GHIAUR, GABRIEL · 2015 to 2019
$823k
NCI NIH HHS K24 CA198315NCI NIH HHS P01 CA015396NCI NIH HHS P30 CA006973NCI NIH HHS R01 CA174951NHLBI NIH HHS K08 HL127269
6 · The paper itself

Abstract

Interactions between multiple myeloma (MM) cells and the BM microenvironment play a critical role in bortezomib (BTZ) resistance. However, the mechanisms involved in these interactions are not completely understood. We previously showed that expression of CYP26 in BM stromal cells maintains a retinoic acid-low (RA-low) microenvironment that prevents the differentiation of normal and malignant hematopoietic cells. Since a low secretory B cell phenotype is associated with BTZ resistance in MM and retinoid signaling promotes plasma cell differentiation and Ig production, we investigated whether stromal expression of the cytochrome P450 monooxygenase CYP26 modulates BTZ sensitivity in the BM niche. CYP26-mediated inactivation of RA within the BM microenvironment prevented plasma cell differentiation and promoted a B cell-like, BTZ-resistant phenotype in human MM cells that were cocultured on BM stroma. Moreover, paracrine Hedgehog secretion by MM cells upregulated stromal CYP26 and further reinforced a protective microenvironment. These results suggest that crosstalk between Hedgehog and retinoid signaling modulates BTZ sensitivity in the BM niche. Targeting these pathological interactions holds promise for eliminating minimal residual disease in MM.

Indexed as

BortezomibCell DifferentiationCell Line, TumorCoculture TechniquesCytochrome P450 Family 26Drug Resistance, NeoplasmHedgehog ProteinsHumansMultiple MyelomaNeoplasm ProteinsParacrine CommunicationPlasma CellsStromal CellsTretinoinTumor MicroenvironmentBortezomibCytochrome P450 Family 26Hedgehog ProteinsNeoplasm ProteinsTretinoin

Identifiers

PMID27775549
PMCPMC5127663
OpenAlexW2533306334

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.