Evidence map›Paper›PMID 30741931›Full record

ArticleBlood cancer journal2019

Identification of lenalidomide resistance pathways in myeloma and targeted resensitization using cereblon replacement, inhibition of STAT3 or targeting of IRF4.

Yuan Xiao Zhu, Chang-Xin Shi, Laura A Bruins, Xuewei Wang, Daniel L Riggs, Brooke Porter, Jonathan M Ahmann, Cecilia Bonolo de Campos, Esteban Braggio, P Leif Bergsagel and 1 more

Open access · goldAbstract read
In one paragraph

Article in Blood cancer journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
4.2field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 93 citations in OpenAlex.

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  18. Novel Therapies in Primary Central Nervous System Lymphoma.Clinical pharmacology : advances and applications · 2025
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7 more citing papers are in PubMed but not listed here.

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

11 authors at 3 institutions in 1 country.

Yuan Xiao ZhuDivision of Hematology, Mayo Clinic, Scottsdale, AZ, USA.
Chang-Xin ShiDivision of Hematology, Mayo Clinic, Scottsdale, AZ, USA.
Laura A BruinsDivision of Hematology, Mayo Clinic, Scottsdale, AZ, USA.
Xuewei WangDivision of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Daniel L RiggsDivision of Hematology, Mayo Clinic, Scottsdale, AZ, USA.
Brooke PorterDivision of Hematology, Mayo Clinic, Scottsdale, AZ, USA.
Jonathan M AhmannDivision of Hematology, Mayo Clinic, Scottsdale, AZ, USA.
Cecilia Bonolo de CamposDivision of Hematology, Mayo Clinic, Scottsdale, AZ, USA.
Esteban BraggioDivision of Hematology, Mayo Clinic, Scottsdale, AZ, USA.
P Leif BergsagelDivision of Hematology, Mayo Clinic, Scottsdale, AZ, USA.ORCID http://orcid.org/0000-0003-1523-7388
A Keith StewartDivision of Hematology, Mayo Clinic, Scottsdale, AZ, USA. stewart.keith@mayo.edu.
Mayo Clinic in Arizona · USMayo Clinic · USMayo Clinic in Florida · US

Funding

Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Peter Leif Bergsagel · 2015 to 2026
$25.5M
Project 3 - Modeling Proteasome Inhibitor Response and Resistance in Cell Lines and Patient Samples with Single Cell Analysis of SubpopulationsU54CA224018 · NCI · MAYO CLINIC ARIZONA · PI BERGSAGEL, PETER LEIF · 2017 to 2021
$6.0M
The Role of Cereblon Pathways in MyelomaR01CA183968 · NCI · MAYO CLINIC ARIZONA · PI KUMAR, SHAJI KUNNATHU, STEWART, ALEXANDER KEITH · 2014 to 2018
$2.3M
Translation of Novel Therapeutic Targets in Multiple MyelomaR01CA167511 · NCI · MAYO CLINIC ARIZONA · PI STEWART, ALEXANDER KEITH · 2013 to 2017
$2.2M
NCI NIH HHS P50 CA186781NCI NIH HHS R01 CA167511NCI NIH HHS R01 CA183968
6 · The paper itself

Abstract

To understand immunomodulatory drug (IMiD) resistance in multiple myeloma (MM), we created isogenic human multiple myeloma cell lines (HMCLs) sensitive and resistant to lenalidomide, respectively. Four HMCLs were demonstrated to be resistant to all IMiDs including lenalidomide, pomalidomide, and CC-220, but not to Bortezomib. In three HMLCs (MM.1.SLenRes, KMS11LenRes and OPM2LenRes), CRBN abnormalities were found, including chromosomal deletion, point mutation, and low CRBN expression. The remaining HMCL, XG1LenRes, showed no changes in CRBN but exhibited CD147 upregulation and impaired IRF4 downregulation after lenalidomide treatment. Depletion of CD147 in XG1LenRes and three additional HMCLs had no significant impact on MM viability and lenalidomide response. Further analysis of XG1LenRes demonstrated increased IL6 expression and constitutive STAT3 activation. Inhibition of STAT3 with a selective compound (PB-1-102) re-sensitized XG1LenRes to lenalidomide. Since XG1LenRes harbors a truncated IRF4 that is not downregulated by lenalidomide, we targeted IRF4/MYC axis with a selective inhibitor of the bromodomain of CBP/EP300 (SGC-CBP30), which restored lenalidomide response in XG1LenRes. This strategy also appeared to be more broadly applicable as SGC-CBP30 could re-sensitize two resistant HMCLs with low but detectable CRBN expression to lenalidomide, suggesting that targeting CBP/E300 is a promising approach to restore IMiD sensitivity in MM with detectable CRBN expression.

Indexed as

Drug Resistance, NeoplasmAdaptor Proteins, Signal TransducingBiomarkers, TumorCell Line, TumorComparative Genomic HybridizationCytokinesGene ExpressionHumansImmunomodulationInterferon Regulatory Factor-4Interferon Regulatory FactorsLenalidomideModels, BiologicalMultiple MyelomaProtein BindingSignal TransductionAdaptor Proteins, Signal TransducingBiomarkers, TumorCRBN protein, humanCytokinesInterferon Regulatory Factor-4Interferon Regulatory FactorsLenalidomideSTAT3 protein, humanSTAT3 Transcription FactorUbiquitin-Protein Ligases

Identifiers

PMID30741931
PMCPMC6370766
OpenAlexW2912207391

What OpenQuestion holds

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Registered trials

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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.