Expression profile of Bcl‐2 family proteins in newly diagnosed multiple myeloma patients

Abstract Antiapoptotic Bcl‐2 family proteins are involved in myeloma cell survival. To date, their expression in multiple myeloma (MM) patients has mostly been analyzed at the RNA level. In the present study, we quantified for the first time the protein expression of the Bcl2‐family members using a...

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Main Authors: Cristina De Ramón, Elizabeta A. Rojas, Irena Misiewicz‐Krzeminska, Ignacio J. Cardona‐Benavides, Myriam Cuadrado, Isabel Isidro, María‐José Calasanz, Manuela Fernandez, Ramón García‐Sanz, Noemi Puig, M. Teresa Cedena, Bruno Paiva, Laura Rosiñol, Joaquín Martínez‐López, Joan Bladé, Juan J. Lahuerta, Jesús F. San Miguel, María V. Mateos, Luis A. Corchete, Norma C. Gutiérrez, GEM/PETHEMA cooperative study group
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:HemaSphere
Online Access:https://doi.org/10.1002/hem3.70036
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author Cristina De Ramón
Elizabeta A. Rojas
Irena Misiewicz‐Krzeminska
Ignacio J. Cardona‐Benavides
Myriam Cuadrado
Isabel Isidro
María‐José Calasanz
Manuela Fernandez
Ramón García‐Sanz
Noemi Puig
M. Teresa Cedena
Bruno Paiva
Laura Rosiñol
Joaquín Martínez‐López
Joan Bladé
Juan J. Lahuerta
Jesús F. San Miguel
María V. Mateos
Luis A. Corchete
Norma C. Gutiérrez
GEM/PETHEMA cooperative study group
author_facet Cristina De Ramón
Elizabeta A. Rojas
Irena Misiewicz‐Krzeminska
Ignacio J. Cardona‐Benavides
Myriam Cuadrado
Isabel Isidro
María‐José Calasanz
Manuela Fernandez
Ramón García‐Sanz
Noemi Puig
M. Teresa Cedena
Bruno Paiva
Laura Rosiñol
Joaquín Martínez‐López
Joan Bladé
Juan J. Lahuerta
Jesús F. San Miguel
María V. Mateos
Luis A. Corchete
Norma C. Gutiérrez
GEM/PETHEMA cooperative study group
author_sort Cristina De Ramón
collection DOAJ
description Abstract Antiapoptotic Bcl‐2 family proteins are involved in myeloma cell survival. To date, their expression in multiple myeloma (MM) patients has mostly been analyzed at the RNA level. In the present study, we quantified for the first time the protein expression of the Bcl2‐family members using a capillary electrophoresis immunoassay in 120 newly diagnosed MM patients, aged ≤65 years, treated in the context of the PETHEMA/GEM2012 study. We found that the pattern of expression of Bcl‐2 family proteins was highly heterogeneous among patients. Although cases with t(11;14) had significantly higher levels of Bcl‐2/Bcl‐xL and Bcl‐2+Bim+Bax/Bcl‐xL ratios than those without t(11;14), the presence of this translocation was not synonymous with such high levels of expression. Conversely, some patients with other genetic alterations also showed higher levels of those ratios. Survival analysis revealed that the high expression of Bad and Puma proteins was associated with significantly longer overall survival (p = 0.001 and p < 0.001, respectively). Bcl‐2 protein ratios predicting sensitivity to venetoclax in vitro were also able to distinguish patients with shorter time to progression after triplet‐based induction therapy and ASCT. This is the first study to assess the expression of the most important Bcl‐2 family proteins by a quantitative method in a large set of MM patients according to their cytogenetic abnormalities. We shed light on the impact of these proteins on MM prognosis, which could help to consider the levels of proteins involved in apoptosis in the development of new therapeutic strategies.
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spelling doaj-art-f47b6261bd984f60a623d2b3ec6b372d2025-01-07T12:35:28ZengWileyHemaSphere2572-92412024-12-01812n/an/a10.1002/hem3.70036Expression profile of Bcl‐2 family proteins in newly diagnosed multiple myeloma patientsCristina De Ramón0Elizabeta A. Rojas1Irena Misiewicz‐Krzeminska2Ignacio J. Cardona‐Benavides3Myriam Cuadrado4Isabel Isidro5María‐José Calasanz6Manuela Fernandez7Ramón García‐Sanz8Noemi Puig9M. Teresa Cedena10Bruno Paiva11Laura Rosiñol12Joaquín Martínez‐López13Joan Bladé14Juan J. Lahuerta15Jesús F. San Miguel16María V. Mateos17Luis A. Corchete18Norma C. Gutiérrez19GEM/PETHEMA cooperative study groupDepartment of Hematology, University Hospital of Salamanca Institute of Biomedical Research of Salamanca (IBSAL) Salamanca SpainDepartment of Hematology, University Hospital of Salamanca Institute of Biomedical Research of Salamanca (IBSAL) Salamanca SpainDepartment of Experimental Hematology Institute of Hematology and Transfusion Medicine Warsaw PolandDepartment of Hematology, University Hospital of Salamanca Institute of Biomedical Research of Salamanca (IBSAL) Salamanca SpainDepartment of Hematology, University Hospital of Salamanca Institute of Biomedical Research of Salamanca (IBSAL) Salamanca SpainDepartment of Hematology, University Hospital of Salamanca Institute of Biomedical Research of Salamanca (IBSAL) Salamanca SpainDepartment of Hematology Clínica Universidad de Navarra, Centro de Investigaciones Biomédicas Aplicadas (CIMA), Instituto de Investigación Sanitaria de Navarra (IdiSNA) Pamplona SpainSpanish National Cancer Research Center (CNIO) Madrid SpainDepartment of Hematology, University Hospital of Salamanca Institute of Biomedical Research of Salamanca (IBSAL) Salamanca SpainDepartment of Hematology, University Hospital of Salamanca Institute of Biomedical Research of Salamanca (IBSAL) Salamanca SpainSpanish National Cancer Research Center (CNIO) Madrid SpainDepartment of Hematology Clínica Universidad de Navarra, Centro de Investigaciones Biomédicas Aplicadas (CIMA), Instituto de Investigación Sanitaria de Navarra (IdiSNA) Pamplona SpainDepartment of Hematology Hospital Clinic of Barcelona, Instituto de Investigaciones Biomédicas August Pi I Sunyer (IDIBAPS) Barcelona SpainCentro de Investigación Biomédica en Red de Cáncer (CIBERONC)Department of Hematology Hospital Clinic of Barcelona, Instituto de Investigaciones Biomédicas August Pi I Sunyer (IDIBAPS) Barcelona SpainDepartment of Hematology University Hospital 12 de Octubre Madrid SpainDepartment of Hematology Clínica Universidad de Navarra, Centro de Investigaciones Biomédicas Aplicadas (CIMA), Instituto de Investigación Sanitaria de Navarra (IdiSNA) Pamplona SpainDepartment of Hematology, University Hospital of Salamanca Institute of Biomedical Research of Salamanca (IBSAL) Salamanca SpainDepartment of Hematology, University Hospital of Salamanca Institute of Biomedical Research of Salamanca (IBSAL) Salamanca SpainDepartment of Hematology, University Hospital of Salamanca Institute of Biomedical Research of Salamanca (IBSAL) Salamanca SpainAbstract Antiapoptotic Bcl‐2 family proteins are involved in myeloma cell survival. To date, their expression in multiple myeloma (MM) patients has mostly been analyzed at the RNA level. In the present study, we quantified for the first time the protein expression of the Bcl2‐family members using a capillary electrophoresis immunoassay in 120 newly diagnosed MM patients, aged ≤65 years, treated in the context of the PETHEMA/GEM2012 study. We found that the pattern of expression of Bcl‐2 family proteins was highly heterogeneous among patients. Although cases with t(11;14) had significantly higher levels of Bcl‐2/Bcl‐xL and Bcl‐2+Bim+Bax/Bcl‐xL ratios than those without t(11;14), the presence of this translocation was not synonymous with such high levels of expression. Conversely, some patients with other genetic alterations also showed higher levels of those ratios. Survival analysis revealed that the high expression of Bad and Puma proteins was associated with significantly longer overall survival (p = 0.001 and p < 0.001, respectively). Bcl‐2 protein ratios predicting sensitivity to venetoclax in vitro were also able to distinguish patients with shorter time to progression after triplet‐based induction therapy and ASCT. This is the first study to assess the expression of the most important Bcl‐2 family proteins by a quantitative method in a large set of MM patients according to their cytogenetic abnormalities. We shed light on the impact of these proteins on MM prognosis, which could help to consider the levels of proteins involved in apoptosis in the development of new therapeutic strategies.https://doi.org/10.1002/hem3.70036
spellingShingle Cristina De Ramón
Elizabeta A. Rojas
Irena Misiewicz‐Krzeminska
Ignacio J. Cardona‐Benavides
Myriam Cuadrado
Isabel Isidro
María‐José Calasanz
Manuela Fernandez
Ramón García‐Sanz
Noemi Puig
M. Teresa Cedena
Bruno Paiva
Laura Rosiñol
Joaquín Martínez‐López
Joan Bladé
Juan J. Lahuerta
Jesús F. San Miguel
María V. Mateos
Luis A. Corchete
Norma C. Gutiérrez
GEM/PETHEMA cooperative study group
Expression profile of Bcl‐2 family proteins in newly diagnosed multiple myeloma patients
HemaSphere
title Expression profile of Bcl‐2 family proteins in newly diagnosed multiple myeloma patients
title_full Expression profile of Bcl‐2 family proteins in newly diagnosed multiple myeloma patients
title_fullStr Expression profile of Bcl‐2 family proteins in newly diagnosed multiple myeloma patients
title_full_unstemmed Expression profile of Bcl‐2 family proteins in newly diagnosed multiple myeloma patients
title_short Expression profile of Bcl‐2 family proteins in newly diagnosed multiple myeloma patients
title_sort expression profile of bcl 2 family proteins in newly diagnosed multiple myeloma patients
url https://doi.org/10.1002/hem3.70036
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