» Articles » PMID: 29203771

Alu-dependent RNA Editing of GLI1 Promotes Malignant Regeneration in Multiple Myeloma

Abstract

Despite novel therapies, relapse of multiple myeloma (MM) is virtually inevitable. Amplification of chromosome 1q, which harbors the inflammation-responsive RNA editase adenosine deaminase acting on RNA (ADAR)1 gene, occurs in 30-50% of MM patients and portends a poor prognosis. Since adenosine-to-inosine RNA editing has recently emerged as a driver of cancer progression, genomic amplification combined with inflammatory cytokine activation of ADAR1 could stimulate MM progression and therapeutic resistance. Here, we report that high ADAR1 RNA expression correlates with reduced patient survival rates in the MMRF CoMMpass data set. Expression of wild-type, but not mutant, ADAR1 enhances Alu-dependent editing and transcriptional activity of GLI1, a Hedgehog (Hh) pathway transcriptional activator and self-renewal agonist, and promotes immunomodulatory drug resistance in vitro. Finally, ADAR1 knockdown reduces regeneration of high-risk MM in serially transplantable patient-derived xenografts. These data demonstrate that ADAR1 promotes malignant regeneration of MM and if selectively inhibited may obviate progression and relapse.

Citing Articles

EZH2 serves as a viable therapeutic target for myeloma-induced osteolytic bone destruction.

Liu R, Li Z, Chen R, Fang Z, Liu Z, Liu H Nat Commun. 2025; 16(1):1206.

PMID: 39885217 PMC: 11782520. DOI: 10.1038/s41467-025-56506-5.


ADARp110 promotes hepatocellular carcinoma progression via stabilization of CD24 mRNA.

Sun L, Hu P, Yang H, Ren J, Hu R, Wu S Proc Natl Acad Sci U S A. 2025; 122(3):e2409724122.

PMID: 39808660 PMC: 11761664. DOI: 10.1073/pnas.2409724122.


The Genetic and Molecular Drivers of Multiple Myeloma: Current Insights, Clinical Implications, and the Path Forward.

Ram M, Fraser M, Vieira Dos Santos J, Tasakis R, Islam A, Abo-Donia J Pharmgenomics Pers Med. 2024; 17:573-609.

PMID: 39723112 PMC: 11669356. DOI: 10.2147/PGPM.S350238.


Role of RNA modifications in blood development and regeneration.

Gunage R, Zon L Exp Hematol. 2024; 138:104279.

PMID: 39009277 PMC: 11415282. DOI: 10.1016/j.exphem.2024.104279.


Detecting haplotype-specific transcript variation in long reads with FLAIR2.

Tang A, Felton C, Hrabeta-Robinson E, Volden R, Vollmers C, Brooks A Genome Biol. 2024; 25(1):173.

PMID: 38956576 PMC: 11218413. DOI: 10.1186/s13059-024-03301-y.


References
1.
Zipeto M, Court A, Sadarangani A, Delos Santos N, Balaian L, Chun H . ADAR1 Activation Drives Leukemia Stem Cell Self-Renewal by Impairing Let-7 Biogenesis. Cell Stem Cell. 2016; 19(2):177-191. PMC: 4975616. DOI: 10.1016/j.stem.2016.05.004. View

2.
Jiang Q, Crews L, Holm F, Jamieson C . RNA editing-dependent epitranscriptome diversity in cancer stem cells. Nat Rev Cancer. 2017; 17(6):381-392. PMC: 5665169. DOI: 10.1038/nrc.2017.23. View

3.
Meltzer M, Long K, Nie Y, Gupta M, Yang J, Montano M . The RNA editor gene ADAR1 is induced in myoblasts by inflammatory ligands and buffers stress response. Clin Transl Sci. 2010; 3(3):73-80. PMC: 2897727. DOI: 10.1111/j.1752-8062.2010.00199.x. View

4.
Paz-Yaacov N, Levanon E, Nevo E, Kinar Y, Harmelin A, Jacob-Hirsch J . Adenosine-to-inosine RNA editing shapes transcriptome diversity in primates. Proc Natl Acad Sci U S A. 2010; 107(27):12174-9. PMC: 2901480. DOI: 10.1073/pnas.1006183107. View

5.
Shimokawa T, Rahman M, Tostar U, Sonkoly E, Stahle M, Pivarcsi A . RNA editing of the GLI1 transcription factor modulates the output of Hedgehog signaling. RNA Biol. 2013; 10(2):321-33. PMC: 3594290. DOI: 10.4161/rna.23343. View