Functional multiomics reveals genetic and pharmacologic regulation of surface CD38 in multiple myeloma

Priya Choudhry , Corynn Kasap ∗ , Bonell Patiño-Escobar ∗ , Olivia Gugliemini , Huimin Geng , Vishesh Sarin , Amrik Kang † , Audrey Kishishita † , Sham Rampersaud † , Letitia Sarah , Yu-Hsiu T. Lin , Neha Paranjape , Poornima Ramkumar , Jonathan C. Patton , Makeba Marcoulis , Donghui Wang , Paul Phojanakong , Veronica Steri , Byron Hann , Benjamin G. Barwick , Arun P. Wiita
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Abstract

CD38 is a surface ectoenzyme expressed at high levels on myeloma plasma cells and is the target for the monoclonal antibodies (mAbs) daratumumab and isatuximab. Pretreatment CD38 density on tumor cells is an important determinant of mAb efficacy. Several small molecules have been found to increase tumor surface CD38, with the goal of boosting mAb efficacy in a cotreatment strategy. Numerous other CD38-targeting therapeutics are currently in preclinical or clinical development. Here, we sought to extend our currently limited insight into CD38 surface expression by using a multiomics approach. Genome-wide CRISPR interference screens integrated with patient–centered epigenetic analysis confirmed known regulators of CD38, such as RARA, while revealing XBP1 and SPI1 as other key transcription factors governing surface CD38 levels. CD38 knockdown followed by cell surface proteomics demonstrated no significant remodeling of the myeloma “surfaceome” after genetically induced loss of this antigen. Integrated transcriptome and surface proteome data confirmed high specificity of all-trans retinoic acid in upregulating CD38, in contrast to the broader effects of azacytidine and panobinostat. Finally, unbiased phosphoproteomics identified inhibition of MAP kinase pathway signaling in tumor cells after daratumumab treatment. Our work provides a resource to design strategies to enhance efficacy of CD38-targeting immunotherapies in myeloma.

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功能多组学揭示了多发性骨髓瘤表面 CD38 的遗传和药物调控机制
摘要CD38是一种在骨髓瘤浆细胞上高水平表达的表面外切酶,是单克隆抗体(mAbs)达拉单抗和伊沙妥昔单抗的靶点。治疗前肿瘤细胞上的 CD38 密度是决定 mAb 疗效的重要因素。目前已发现几种小分子可增加肿瘤表面的 CD38,从而在联合治疗策略中提高 mAb 的疗效。目前还有许多其他 CD38 靶向疗法正在进行临床前或临床开发。在这里,我们试图利用多组学方法扩展我们目前对 CD38 表面表达的有限了解。全基因组 CRISPR 干扰筛选与以患者为中心的表观遗传学分析相结合,证实了 CD38 的已知调控因子,如 RARA,同时揭示了 XBP1 和 SPI1 是调控表面 CD38 水平的其他关键转录因子。CD38基因敲除后的细胞表面蛋白质组学分析表明,基因诱导的CD38抗原丢失后,骨髓瘤 "表面组 "没有明显重塑。转录组和表面蛋白质组的综合数据证实,全反式维甲酸在上调 CD38 方面具有高度特异性,而阿扎胞苷和帕诺比诺司他的作用则更为广泛。最后,无偏磷蛋白组学确定了达拉单抗治疗后对肿瘤细胞中MAP激酶通路信号的抑制作用。我们的研究为设计提高骨髓瘤CD38靶向免疫疗法疗效的策略提供了资源。
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