TY  - JOUR
A1  - Keppler, Sarah
A1  - Weißbach, Susann
A1  - Langer, Christian
A1  - Knop, Stefan
A1  - Pischimarov, Jordan
A1  - Kull, Miriam
A1  - Stühmer, Thorsten
A1  - Steinbrunn, Torsten
A1  - Bargou, Ralf
A1  - Einsele, Hermann
A1  - Rosenwald, Andreas
A1  - Leich, Ellen
T1  - Rare SNPs in receptor tyrosine kinases are negative outcome predictors in multiple myeloma
JF  - Oncotarget
N2  - Multiple myeloma (MM) is a plasma cell disorder that is characterized by a great genetic heterogeneity. Recent next generation sequencing studies revealed an accumulation of tumor-associated mutations in receptor tyrosine kinases (RTKs) which may also contribute to the activation of survival pathways in MM. To investigate the clinical role of RTK-mutations in MM, we deep-sequenced the coding DNA-sequence of EGFR, EPHA2, ERBB3, IGF1R, NTRK1 and NTRK2 which were previously found to be mutated in MM, in 75 uniformly treated MM patients of the “Deutsche Studiengruppe Multiples Myelom”. Subsequently, we correlated the detected mutations with common cytogenetic alterations and clinical parameters. We identified 11 novel non-synonymous SNVs or rare patient-specific SNPs, not listed in the SNP databases 1000 genomes and dbSNP, in 10 primary MM cases. The mutations predominantly affected the tyrosine-kinase and ligand-binding domains and no correlation with cytogenetic parameters was found. Interestingly, however, patients with RTK-mutations, specifically those with rare patient-specific SNPs, showed a significantly lower overall, event-free and progression-free survival. This indicates that RTK SNVs and rare patient-specific RTK SNPs are of prognostic relevance and suggests that MM patients with RTK-mutations could potentially profit from treatment with RTK-inhibitors.
KW  - multiple myeloma
KW  - rare SNP
KW  - amplicon sequencing
KW  - receptor tyrosine kinases
Y1  - 2016
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-177840
VL  - 7
IS  - 25
ER  - 
TY  - JOUR
A1  - Weißbach, Susann
A1  - Heredia-Guerrero, Sofia Catalina
A1  - Barnsteiner, Stefanie
A1  - Großhans, Lukas
A1  - Bodem, Jochen
A1  - Starz, Hanna
A1  - Langer, Christian
A1  - Appenzeller, Silke
A1  - Knop, Stefan
A1  - Steinbrunn, Torsten
A1  - Rost, Simone
A1  - Einsele, Hermann
A1  - Bargou, Ralf Christian
A1  - Rosenwald, Andreas
A1  - Stühmer, Thorsten
A1  - Leich, Ellen
T1  - Exon-4 Mutations in KRAS Affect MEK/ERK and PI3K/AKT Signaling in Human Multiple Myeloma Cell Lines
JF  - Cancers
N2  - Approximately 20% of multiple myeloma (MM) cases harbor a point mutation in KRAS. However, there is still no final consent on whether KRAS-mutations are associated with disease outcome. Specifically, no data exist on whether KRAS-mutations have an impact on survival of MM patients at diagnosis in the era of novel agents. Direct blockade of KRAS for therapeutic purposes is mostly impossible, but recently a mutation-specific covalent inhibitor targeting KRAS\(^{p.G12C}\) entered into clinical trials. However, other KRAS hotspot-mutations exist in MM patients, including the less common exon-4 mutations. For the current study, the coding regions of KRAS were deep-sequenced in 80 newly diagnosed MM patients, uniformely treated with three cycles of bortezomib plus dexamethasone and cyclophosphamide (VCD)-induction, followed by high-dose chemotherapy and autologous stem cell transplantation. Moreover, the functional impact of KRAS\(^{p.G12A}\) and the exon-4 mutations p.A146T and p.A146V on different survival pathways was investigated. Specifically, KRAS\(^{WT}\), KRAS\(^{p.G12A}\), KRAS\(^{p.A146T}\), and KRAS\(^{p.A146V}\) were overexpressed in HEK293 cells and the KRAS\(^{WT}\) MM cell lines JJN3 and OPM2 using lentiviral transduction and the Sleeping Beauty vector system. Even though KRAS-mutations were not correlated with survival, all KRAS-mutants were found capable of potentially activating MEK/ERK- and sustaining PI3K/AKT-signaling in MM cells.
KW  - multiple myeloma
KW  - KRAS
KW  - MEK/ERK-signaling
KW  - AKT-signaling
KW  - amplicon sequencing
Y1  - 2020
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-200617
SN  - 2072-6694
VL  - 12
IS  - 2
ER  -