Multiple myeloma (MM) is the second most common
hematological malignancy, arising from terminally differentiated B cells, namely plasma cells.
miRNAs are small non-coding RNAs that participate in the post-transcriptional regulation of gene expression. In this study, we investigated the role of nine
miRNAs in MM. CD138+ plasma cells were selected from bone marrow aspirates from MM and smoldering MM (sMM) patients. Total
RNA was extracted and in vitro polyadenylated. Next, first-strand
cDNA synthesis was performed using an
oligo-dT-adapter primer. For the relative quantification of the investigated
miRNAs, an in-house real-time quantitative PCR (qPCR) assay was developed. A functional in silico analysis of the
miRNAs was also performed. miR-16-5p and miR-155-5p expression was significantly lower in the CD138+ plasma cells of MM patients than in those of sMM patients. Furthermore, lower levels of miR-15a-5p, miR-16-5p, and miR-222-3p were observed in the CD138+ plasma cells of MM patients with osteolytic bone lesions, compared to those without. miR-125b-5p was also overexpressed in the CD138+ plasma cells of MM patients with
bone disease that presented with skeletal-related events (SREs). Furthermore, lower levels of miR-223-3p were associated with significantly worse overall survival in MM patients. In conclusion, we propose a
miRNA signature with putative clinical utility in MM.