Deciphering MARCH5’s impact on multiple myeloma: insights into autophagy regulation and AKT-FOXO3 signaling

Hamed Bashiri , Ahad Khalilnezhad , Haruhito Totani , Joe Yeong , Tae-Hoon Chung , Felicia Wee , Yuezhen Xue , Zhen Wei Neo , Li Yen Chong , Wee Joo Chng , Atsushi Watanabe , Siok-Bian Ng , The Phyu , Toshio Suda
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Abstract

Multiple myeloma (MM) stands as a formidable blood malignancy, necessitating innovative therapeutic approaches. Excessive immunoglobulin production within myeloma cells leads to a buildup of toxic proteins, and autophagy plays a crucial role in their survival by degrading toxic aggregates and generating energy. Membrane-associated RING finger protein 5 (MARCH5) is an E3-ligase positioned at the outer mitochondrial membrane and has been shown to regulate autophagy by competing for MicroRNA 30a (MIR30A). Given the fundamental significance of autophagy in promoting the survival of myeloma cells, coupled with the regulatory role of MARCH5 in autophagic activity, we hypothesized that MARCH5 plays an essential function in MM and holds a pivotal position in the pathogenesis and progression of MM. We identified MARCH5’s unique dependencies in MM cells by analyzing the Cancer Dependency Map, thereby establishing its significance in MM biology. Examining various data sets, including CoMMpass (Clinical Outcomes in Multiple Myeloma to Personal Assessment of Genetic Profile Study) and HOVON (Haemato-Oncology Foundation for Adults in the Netherlands), demonstrated a correlation between MARCH5 expression and patient outcomes. Knockdown of MARCH5 revealed a substantial reduction in MM cell viability, which was associated with a decrease in autophagic activity. Mechanistically, we unraveled a novel MARCH5/AKT/FOXO3 axis, wherein MARCH5 regulates autophagy through the Protein Kinase B (AKT)-mediated degradation of Forkhead Box O3 (FOXO3). Compromised MM cell viability observed with MARCH5 knockdown was recapitulated in FOXO3 knockdown experiments, validating the pivotal role of FOXO3 in mediating MARCH5’s effects. In conclusion, this research highlights the crucial role of MARCH5 in MM, and the identified MARCH5/AKT/FOXO3 axis enhances our understanding of MM biology and provides a foundation for developing targeted therapies.
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解读MARCH5对多发性骨髓瘤的影响:自噬调控和AKT-FOXO3信号传导的启示
摘要多发性骨髓瘤(MM)是一种可怕的血液恶性肿瘤,需要创新的治疗方法。骨髓瘤细胞内过量的免疫球蛋白生成会导致有毒蛋白质的堆积,而自噬则通过降解有毒的聚集体并产生能量,在骨髓瘤细胞的存活过程中发挥着至关重要的作用。膜相关 RING 手指蛋白 5(MARCH5)是一种位于线粒体外膜的 E3 连接酶,已被证明可通过竞争 MicroRNA 30a (MIR30A)来调节自噬。鉴于自噬在促进骨髓瘤细胞存活方面的重要意义,以及 MARCH5 在自噬活动中的调控作用,我们推测 MARCH5 在 MM 中发挥着重要功能,并在 MM 的发病机制和进展中占据关键地位。我们通过分析癌症依赖性图谱(Cancer Dependency Map)确定了MARCH5在MM细胞中的独特依赖性,从而确立了它在MM生物学中的重要地位。通过研究各种数据集,包括CoMMpass(多发性骨髓瘤临床结果与遗传特征个人评估研究)和HOVON(荷兰成人血液肿瘤基金会),证明了MARCH5的表达与患者预后之间的相关性。敲除MARCH5后,MM细胞的存活率大大降低,这与自噬活性降低有关。从机理上讲,我们发现了一个新的MARCH5/AKT/FOXO3轴,其中MARCH5通过蛋白激酶B(AKT)介导的叉头框O3(FOXO3)降解来调节自噬。FOXO3敲除实验再现了MARCH5敲除时观察到的MM细胞活力下降,验证了FOXO3在介导MARCH5效应中的关键作用。总之,这项研究强调了 MARCH5 在 MM 中的关键作用,所确定的 MARCH5/AKT/FOXO3 轴增强了我们对 MM 生物学的了解,并为开发靶向疗法奠定了基础。
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