TLR4 Signaling and Heme Oxygenase-1/Carbon Monoxide Pathway Crosstalk Induces Resiliency of Myeloma Plasma Cells to Bortezomib Treatment

Relapse in multiple myeloma (MM) decreases therapy efficiency through unclear mechanisms of chemoresistance. Since our group previously demonstrated that heme oxygenase-1 (HO-1) and Toll-like receptor 4 (TLR4) are two signaling pathways protecting MM cells from the proteasome inhibitor bortezomib (B...

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Main Authors: Grazia Scandura (Author), Cesarina Giallongo (Author), Fabrizio Puglisi (Author), Alessandra Romano (Author), Nunziatina Laura Parrinello (Author), Tatiana Zuppelli (Author), Lucia Longhitano (Author), Sebastiano Giallongo (Author), Michelino Di Rosa (Author), Giuseppe Musumeci (Author), Roberto Motterlini (Author), Roberta Foresti (Author), Giuseppe Alberto Palumbo (Author), Giovanni Li Volti (Author), Francesco Di Raimondo (Author), Daniele Tibullo (Author)
Format: Book
Published: MDPI AG, 2022-04-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Grazia Scandura  |e author 
700 1 0 |a Cesarina Giallongo  |e author 
700 1 0 |a Fabrizio Puglisi  |e author 
700 1 0 |a Alessandra Romano  |e author 
700 1 0 |a Nunziatina Laura Parrinello  |e author 
700 1 0 |a Tatiana Zuppelli  |e author 
700 1 0 |a Lucia Longhitano  |e author 
700 1 0 |a Sebastiano Giallongo  |e author 
700 1 0 |a Michelino Di Rosa  |e author 
700 1 0 |a Giuseppe Musumeci  |e author 
700 1 0 |a Roberto Motterlini  |e author 
700 1 0 |a Roberta Foresti  |e author 
700 1 0 |a Giuseppe Alberto Palumbo  |e author 
700 1 0 |a Giovanni Li Volti  |e author 
700 1 0 |a Francesco Di Raimondo  |e author 
700 1 0 |a Daniele Tibullo  |e author 
245 0 0 |a TLR4 Signaling and Heme Oxygenase-1/Carbon Monoxide Pathway Crosstalk Induces Resiliency of Myeloma Plasma Cells to Bortezomib Treatment 
260 |b MDPI AG,   |c 2022-04-01T00:00:00Z. 
500 |a 10.3390/antiox11040767 
500 |a 2076-3921 
520 |a Relapse in multiple myeloma (MM) decreases therapy efficiency through unclear mechanisms of chemoresistance. Since our group previously demonstrated that heme oxygenase-1 (HO-1) and Toll-like receptor 4 (TLR4) are two signaling pathways protecting MM cells from the proteasome inhibitor bortezomib (BTZ), we here evaluated their cross-regulation by a pharmacological approach. We found that cell toxicity and mitochondrial depolarization by BTZ were increased upon inhibition of HO-1 and TLR4 by using tin protoporphyrin IX (SnPP) and TAK-242, respectively. Furthermore, the combination of TAK-242 and BTZ activated mitophagy and decreased the unfolded protein response (UPR) survival pathway in association with a downregulation in HO-1 expression. Notably, BTZ in combination with SnPP induced effects mirroring the treatment with TAK-242/BTZ, resulting in a blockade of TLR4 upregulation. Interestingly, treatment of cells with either hemin, an HO-1 inducer, or supplementation with carbon monoxide (CO), a by-product of HO-1 enzymatic activity, increased TLR4 expression. In conclusion, we showed that treatment of MM cells with BTZ triggers the TLR4/HO-1/CO axis, serving as a stress-responsive signal that leads to increased cell survival while protecting mitochondria against BTZ and ultimately promoting drug resistance. 
546 |a EN 
690 |a multiple myeloma 
690 |a TLR4/HO-1 crosstalk 
690 |a mitochondria 
690 |a bortezomib 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Antioxidants, Vol 11, Iss 4, p 767 (2022) 
787 0 |n https://www.mdpi.com/2076-3921/11/4/767 
787 0 |n https://doaj.org/toc/2076-3921 
856 4 1 |u https://doaj.org/article/c8d39cb351654d97b0b17d10102c0ef2  |z Connect to this object online.