Evidence map›Paper›PMID 36184661›Full record

ArticleNature communications2022

Exploiting endogenous and therapy-induced apoptotic vulnerabilities in immunoglobulin light chain amyloidosis with BH3 mimetics.

Cameron S Fraser, Johan K E Spetz, Xingping Qin, Adam Presser, Jonathan Choiniere, Chendi Li, Stacey Yu, Frances Blevins, Aaron N Hata, Jeffrey W Miller and 5 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

15 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. The molecular landscape of AL amyloidosis.British journal of haematology · 2025
    Review
  9. Observational
  10. Article
  11. Article
  12. bioRxiv : the preprint server for biology · 2023
    Article
  13. Article
  14. Article
  15. Review
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

15 authors at 3 institutions in 1 country.

Cameron S FraserJohn B. Little Center for Radiation Sciences, Harvard TH Chan School of Public Health, Boston, MA, 02115, USA.ORCID 0000-0002-8180-5913
Johan K E SpetzJohn B. Little Center for Radiation Sciences, Harvard TH Chan School of Public Health, Boston, MA, 02115, USA.ORCID 0000-0002-5216-9786
Xingping QinJohn B. Little Center for Radiation Sciences, Harvard TH Chan School of Public Health, Boston, MA, 02115, USA.ORCID 0000-0003-3263-0843
Adam PresserJohn B. Little Center for Radiation Sciences, Harvard TH Chan School of Public Health, Boston, MA, 02115, USA.
Jonathan ChoiniereJohn B. Little Center for Radiation Sciences, Harvard TH Chan School of Public Health, Boston, MA, 02115, USA.
Chendi LiMassachusetts General Hospital Cancer Center, Charlestown, MA, 02129, USA.
Stacey YuJohn B. Little Center for Radiation Sciences, Harvard TH Chan School of Public Health, Boston, MA, 02115, USA.
Frances BlevinsSection of Hematology & Medical Oncology, Boston Medical Center, Boston, MA, 02118, USA.
Aaron N HataMassachusetts General Hospital Cancer Center, Charlestown, MA, 02129, USA.ORCID 0000-0002-6127-318X
Jeffrey W MillerDepartment of Biostatistics, Harvard TH Chan School of Public Health, Boston, MA, 02115, USA.
Gary A BradshawLaboratory of Systems Pharmacology, Harvard Medical School, Boston, 02115, USA.ORCID 0000-0001-9724-6100
Marian KalocsayLaboratory of Systems Pharmacology, Harvard Medical School, Boston, 02115, USA.ORCID 0000-0002-4187-5829
Vaishali SanchorawalaSection of Hematology & Medical Oncology, Boston Medical Center, Boston, MA, 02118, USA.
Shayna SarosiekSection of Hematology & Medical Oncology, Boston Medical Center, Boston, MA, 02118, USA. Shayna_sarosiek@dfci.harvard.edu.
Kristopher A SarosiekJohn B. Little Center for Radiation Sciences, Harvard TH Chan School of Public Health, Boston, MA, 02115, USA. sarosiek@hsph.harvard.edu.ORCID 0000-0002-4618-5085
Harvard University · USBoston University · USThe University of Texas MD Anderson Cancer Center · US

Funding

Project-005UL1TR001430 · NCATS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BAIR-MERRITT, MEGAN H, CENTER, DAVID M. · 2015 to 2024
$52.3M
Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI JAIME ELIZABETH HART · 1985 to 2026
$44.6M
Training Program in Molecular and Integrative Physiological SciencesT32HL007118 · NHLBI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI LU, QUAN · 1985 to 2025
$14.3M
Systems Pharmacology of Therapeutic and Adverse Responses to ImmuneCheckpoint and Small Molecule DrugsU54CA225088 · NCI · HARVARD MEDICAL SCHOOL · PI SORGER, PETER KARL · 2018 to 2022
$10.8M
Developmental regulation of apoptosis as a modifiable driver of radiotherapy-induced neurocognitive impairment in pediatric patientsR37CA248565 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Kristopher Andrew Sarosiek · 2020 to 2026
$2.6M
Identifying targetable apoptotic vulnerabilities for the treatment of AL amyloidosisR01DK125263 · NIDDK · HARVARD SCHOOL OF PUBLIC HEALTH · PI SAROSIEK, KRISTOPHER ANDREW · 2020 to 2023
$1.4M
Regulation of Apoptotic Priming and Competence in Healthy and Cancerous CellsR00CA188679 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI SAROSIEK, KRISTOPHER ANDREW · 2017 to 2019
$747k
NCATS NIH HHS UL1 TR001430NCI NIH HHS R00 CA188679NCI NIH HHS R37 CA248565NCI NIH HHS U54 CA225088NHLBI NIH HHS T32 HL007118NIDDK NIH HHS R01 DK125263NIEHS NIH HHS P30 ES000002
6 · The paper itself

Abstract

Immunoglobulin light chain (AL) amyloidosis is an incurable hematologic disorder typically characterized by the production of amyloidogenic light chains by clonal plasma cells. These light chains misfold and aggregate in healthy tissues as amyloid fibrils, leading to life-threatening multi-organ dysfunction. Here we show that the clonal plasma cells in AL amyloidosis are highly primed to undergo apoptosis and dependent on pro-survival proteins MCL-1 and BCL-2. Notably, this MCL-1 dependency is indirectly targeted by the proteasome inhibitor bortezomib, currently the standard of care for this disease and the related plasma cell disorder multiple myeloma, due to upregulation of pro-apoptotic Noxa and its inhibitory binding to MCL-1. BCL-2 inhibitors sensitize clonal plasma cells to multiple front-line therapies including bortezomib, dexamethasone and lenalidomide. Strikingly, in mice bearing AL amyloidosis cell line xenografts, single agent treatment with the BCL-2 inhibitor ABT-199 (venetoclax) produces deeper remissions than bortezomib and triples median survival. Mass spectrometry-based proteomic analysis reveals rewiring of signaling pathways regulating apoptosis, proliferation and mitochondrial metabolism between isogenic AL amyloidosis and multiple myeloma cells that divergently alter their sensitivity to therapies. These findings provide a roadmap for the use of BH3 mimetics to exploit endogenous and induced apoptotic vulnerabilities in AL amyloidosis.

Indexed as

Antineoplastic AgentsImmunoglobulin Light-chain AmyloidosisMultiple MyelomaAmyloidAnimalsBortezomibBridged Bicyclo Compounds, HeterocyclicDexamethasoneHumansImmunoglobulin Light ChainsLenalidomideMiceMyeloid Cell Leukemia Sequence 1 ProteinProteasome InhibitorsProteomicsProto-Oncogene Proteins c-bcl-2AmyloidAntineoplastic AgentsBortezomibBridged Bicyclo Compounds, HeterocyclicDexamethasoneImmunoglobulin Light ChainsLenalidomideMyeloid Cell Leukemia Sequence 1 ProteinProteasome InhibitorsProto-Oncogene Proteins c-bcl-2Sulfonamidesvenetoclax

Identifiers

PMID36184661
PMCPMC9527241
OpenAlexW4299285340

What OpenQuestion holds

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LicenceCC BY
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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.