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  1. 20 医学系研究科・医学部
  2. 20A 学術誌論文
  3. 20A1 雑誌掲載論文

Multiple myeloma with t(11;14)-associated immature phenotype has lower CD38 expression and higher BCL2 dependence

http://hdl.handle.net/10295/00006174
http://hdl.handle.net/10295/00006174
d4c56f2d-dfb7-47b0-aa4b-a8360b0d24ad
名前 / ファイル ライセンス アクション
iA_2022_39.pdf iA_2022_39.pdf (1.2 MB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2023-02-19
タイトル
タイトル Multiple myeloma with t(11;14)-associated immature phenotype has lower CD38 expression and higher BCL2 dependence
言語 en
言語
言語 eng
主題
主題Scheme Other
主題 BCL2
主題
主題Scheme Other
主題 CD38
主題
主題Scheme Other
主題 daratumumab
主題
主題Scheme Other
主題 multiple myeloma
主題
主題Scheme Other
主題 venetoclax
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
作成者 Kitadate, Akihiro

× Kitadate, Akihiro

en Kitadate, Akihiro

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Terao, Toshiki

× Terao, Toshiki

en Terao, Toshiki

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Narita, Kentaro

× Narita, Kentaro

en Narita, Kentaro

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Ikeda, Sho

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en Ikeda, Sho

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Takahashi, Yuto

× Takahashi, Yuto

en Takahashi, Yuto

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Tsushima, Takafumi

× Tsushima, Takafumi

en Tsushima, Takafumi

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Miura, Daisuke

× Miura, Daisuke

en Miura, Daisuke

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Takeuchi, Masami

× Takeuchi, Masami

en Takeuchi, Masami

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Takahashi, Naoto

× Takahashi, Naoto

en Takahashi, Naoto

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Matsue, Kosei

× Matsue, Kosei

en Matsue, Kosei

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内容記述
内容記述タイプ Abstract
内容記述 CD38 expression on myeloma cells is a critical factor affecting the early response to the anti-CD38 antibody daratumumab. However, factors affecting CD38 expression in untreated multiple myeloma are not fully elucidated. In this study, we found that CD38 expression was significantly lower in myeloma patients with the translocation t(11;14)-associated immature plasma cell phenotype, and particularly in those expressing B-cell-associated genes such as PAX5 and CD79A. CD138, a representative marker of plasmacytic differentiation, was also significantly lower in these patients, suggesting that CD38 expression may be associated with the differentiation and maturation stages of myeloma cells. Furthermore, the BCL2/BCL2L1 ratio, a response marker of the BCL2 inhibitor venetoclax, was significantly higher in patients with the immature phenotype expressing B-cell-associated genes. The BCL2/BCL2L1 ratio and CD38 expression were significantly negatively correlated. We also confirmed that patients with translocation t(11;14) expressing B-cell-associated genes were indeed less sensitive to daratumumab-mediated direct cytotoxicity but highly sensitive to venetoclax treatment in ex vivo assays. Moreover, all-trans-retinoic acid, which enhances CD38 expression and induces cell differentiation in myeloma cells, reduced B-cell marker expression and the BCL2/BCL2L1 ratio in myeloma cell lines, leading to reduced efficacy of venetoclax. Venetoclax specifically induces cell death in myeloma with t(11;14), although why patients with translocation t(11;14) show BCL2 dependence is unclear. These results suggest that BCL2 dependence, as well as CD38 expression, are deeply associated with the differentiation and maturation stages of myeloma cells. This study highlights the importance of examining t(11;14) and considering cell maturity in myeloma treatment strategies.
言語 en
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
書誌情報 en : Cancer Science

巻 112, 号 9, p. 3645-3654, 発行日 2021
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1347-9032
出版者
出版者 John Wiley and Sons Inc
関連情報
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1111/cas.15073
権利情報
権利情報 This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.© 2021 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association.
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