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Translation initiation factor eIF4F modifies the dexamethasone response in multiple myeloma.

Abstract
Enhanced protein synthesis capacity is associated with increased tumor cell survival, proliferation, and resistance to chemotherapy. Cancers like multiple myeloma (MM), which display elevated activity in key translation regulatory nodes, such as the PI3K/mammalian target of rapamycin and MYC-eukaryotic initiation factor (eIF) 4E pathways, are predicted to be particularly sensitive to therapeutic strategies that target this process. To identify novel vulnerabilities in MM, we undertook a focused RNAi screen in which components of the translation apparatus were targeted. Our screen was designed to identify synthetic lethal relationships between translation factors or regulators and dexamethasone (DEX), a corticosteroid used as frontline therapy in this disease. We find that suppression of all three subunits of the eIF4F cap-binding complex synergizes with DEX in MM to induce cell death. Using a suite of small molecules that target various activities of eIF4F, we observed that cell survival and DEX resistance are attenuated upon eIF4F inhibition in MM cell lines and primary human samples. Levels of MYC and myeloid cell leukemia 1, two known eIF4F-responsive transcripts and key survival factors in MM, were reduced upon eIF4F inhibition, and their independent suppression also synergized with DEX. Inhibition of eIF4F in MM exerts pleotropic effects unraveling a unique therapeutic opportunity.
AuthorsFrancis Robert, William Roman, Alexandre Bramoullé, Christof Fellmann, Anne Roulston, Chaim Shustik, John A Porco Jr, Gordon C Shore, Michael Sebag, Jerry Pelletier
JournalProceedings of the National Academy of Sciences of the United States of America (Proc Natl Acad Sci U S A) Vol. 111 Issue 37 Pg. 13421-6 (Sep 16 2014) ISSN: 1091-6490 [Electronic] United States
PMID25197055 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Eukaryotic Initiation Factor-4F
  • MCL1 protein, human
  • Myeloid Cell Leukemia Sequence 1 Protein
  • Proto-Oncogene Proteins c-myc
  • Triterpenes
  • silvestrol
  • Dexamethasone
Topics
  • Cell Death (drug effects)
  • Cell Line, Tumor
  • Dexamethasone (pharmacology, therapeutic use)
  • Eukaryotic Initiation Factor-4F (metabolism)
  • Genes, Modifier
  • Humans
  • Molecular Targeted Therapy
  • Multiple Myeloma (drug therapy, genetics, pathology)
  • Myeloid Cell Leukemia Sequence 1 Protein (metabolism)
  • Proto-Oncogene Proteins c-myc (metabolism)
  • RNA Interference (drug effects)
  • Suppression, Genetic (drug effects)
  • Triterpenes (pharmacology)

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