Abstract
Multiple myeloma (MM) is preceded by the asymptomatic pre-malignant state, monoclonal gammopathy of undetermined significance (MGUS). Although MGUS patients may remain stable for years, they are at increased risk of progressing to MM. A better understanding of the relevant molecular changes underlying the transition from an asymptomatic to symptomatic disease state is urgently needed. Our studies show for the first time that the CD147 molecule (extracellular matrix metalloproteinase inducer) may be having an important biological role in MM. We first demonstrate that CD147 is overexpressed in MM plasma cells (PCs) vs normal and pre-malignant PCs. Next, functional studies revealed that the natural CD147 ligand, cyclophilin B, stimulates MM cell growth. Moreover, when MM patient PCs displaying bimodal CD147 expression were separated into CD147bright and CD147dim populations and analyzed for proliferation potential, we discovered that CD147bright PCs displayed significantly higher levels of cell proliferation than did CD147dim PCs. Lastly, CD147-silencing significantly attenuated MM cell proliferation. Taken together, these data suggest that the CD147 molecule has a key role in MM cell proliferation and may serve as an attractive target for reducing the proliferative compartment of this disease.
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References
Landgren O, Kyle RA, Pfeiffer RM, Katzmann JA, Caporaso NE, Hayes RB et al. Monoclonal gammopathy of undetermined significance (MGUS) consistently precedes multiple myeloma: a prospective study. Blood 2009; 113: 5412–5417.
Weiss BM, Abadie J, Verma P, Howard RS, Kuehl WM . A monoclonal gammopathy precedes multiple myeloma in most patients. Blood 2009; 113: 5418–5422.
International Myeloma Working G. Criteria for the classification of monoclonal gammopathies, multiple myeloma and related disorders: a report of the International Myeloma Working Group. Br J Haematol 2003; 121: 749–757.
Kyle RA, Rajkumar SV . Monoclonal gammopathy of undetermined significance. Br J Haematol 2006; 134: 573–589.
Kyle RA . ‘Benign’ monoclonal gammopathy—after 20 to 35 years of follow-up. Mayo Clin Proc 1993; 68: 26–36.
Kumar SK, Rajkumar SV, Dispenzieri A, Lacy MQ, Hayman SR, Buadi FK et al. Improved survival in multiple myeloma and the impact of novel therapies. Blood 2008; 111: 2516–2520.
Raja KR, Kovarova L, Hajek R . Review of phenotypic markers used in flow cytometric analysis of MGUS and MM, and applicability of flow cytometry in other plasma cell disorders. Br J Haematol 2010; 149: 334–351.
Iacono KT, Brown AL, Greene MI, Saouaf SJ . CD147 immunoglobulin superfamily receptor function and role in pathology. Exp Mol Pathol 2007; 83: 283–295.
Yurchenko V, Constant S, Eisenmesser E, Bukrinsky M . Cyclophilin-CD147 interactions: a new target for anti-inflammatory therapeutics. Clin Exp Immunol 2010; 160: 305–317.
Li Y, Xu J, Chen L, Zhong WD, Zhang Z, Mi L et al. HAb18G (CD147), a cancer-associated biomarker and its role in cancer detection. Histopathology 2009; 54: 677–687.
van den Oord JJ, Paemen L, Opdenakker G, de Wolf-Peeters C . Expression of gelatinase B and the extracellular matrix metalloproteinase inducer EMMPRIN in benign and malignant pigment cell lesions of the skin. Am J Pathol 1997; 151: 665–670.
Zheng HC, Takahashi H, Murai Y, Cui ZG, Nomoto K, Miwa S et al. Upregulated EMMPRIN/CD147 might contribute to growth and angiogenesis of gastric carcinoma: a good marker for local invasion and prognosis. Br J Cancer 2006; 95: 1371–1378.
Kanekura T, Chen X . CD147/basigin promotes progression of malignant melanoma and other cancers. J Dermatol Sci 2010; 57: 149–154.
Nawroth R, Stohr R, Hartmann A, Gschwend JE, Retz M . EMMPRIN (CD147). A new key protein during tumor progression in bladder cancer. Urologe A 2008; 47: 1152–1156.
Yan L, Zucker S, Toole BP . Roles of the multifunctional glycoprotein, emmprin (basigin; CD147), in tumour progression. Thromb Haemost 2005; 93: 199–204.
Tang Y, Nakada MT, Kesavan P, McCabe F, Millar H, Rafferty P et al. Extracellular matrix metalloproteinase inducer stimulates tumor angiogenesis by elevating vascular endothelial cell growth factor and matrix metalloproteinases. Cancer Res 2005; 65: 3193–3199.
Sun J, Hemler ME . Regulation of MMP-1 and MMP-2 production through CD147/extracellular matrix metalloproteinase inducer interactions. Cancer Res 2001; 61: 2276–2281.
Yang JM, O'Neill P, Jin W, Foty R, Medina DJ, Xu Z et al. Extracellular matrix metalloproteinase inducer (CD147) confers resistance of breast cancer cells to Anoikis through inhibition of Bim. J Biol Chem 2006; 281: 9719–9727.
Yurchenko V, O'Connor M, Dai WW, Guo H, Toole B, Sherry B et al. CD147 is a signaling receptor for cyclophilin B. Biochem Biophys Res Commun 2001; 288: 786–788.
Yurchenko V, Zybarth G, O'Connor M, Dai WW, Franchin G, Hao T et al. Active site residues of cyclophilin A are crucial for its signaling activity via CD147. J Biol Chem 2002; 277: 22959–22965.
Pakula R, Melchior A, Denys A, Vanpouille C, Mazurier J, Allain F . Syndecan-1/CD147 association is essential for cyclophilin B-induced activation of p44/42 mitogen-activated protein kinases and promotion of cell adhesion and chemotaxis. Glycobiology 2007; 17: 492–503.
Allain F, Vanpouille C, Carpentier M, Slomianny MC, Durieux S, Spik G . Interaction with glycosaminoglycans is required for cyclophilin B to trigger integrin-mediated adhesion of peripheral blood T lymphocytes to extracellular matrix. Proc Natl Acad Sci USA 2002; 99: 2714–2719.
Bauer K, Kretzschmar AK, Cvijic H, Blumert C, Loffler D, Brocke-Heidrich K et al. Cyclophilins contribute to Stat3 signaling and survival of multiple myeloma cells. Oncogene 2009; 28: 2784–2795.
Jelinek DF, Ahmann GJ, Greipp PR, Jalal SM, Westendorf JJ, Katzmann JA et al. Coexistence of aneuploid subclones within a myeloma cell line that exhibits clonal immunoglobulin gene rearrangement: clinical implications. Cancer Res 1993; 53: 5320–5327.
Arendt BK, Ramirez-Alvarado M, Sikkink LA, Keats JJ, Ahmann GJ, Dispenzieri A et al. Biologic and genetic characterization of the novel amyloidogenic lambda light chain-secreting human cell lines, ALMC-1 and ALMC-2. Blood 2008; 112: 1931–1941.
Westendorf JJ, Ahmann GJ, Greipp PR, Witzig TE, Lust JA, Jelinek DF . Establishment and characterization of three myeloma cell lines that demonstrate variable cytokine responses and abilities to produce autocrine interleukin-6. Leukemia 1996; 10: 866–876.
Walters DK, Wu X, Tschumper RC, Arendt BK, Huddleston PM, Henderson KJ et al. Evidence for ongoing DNA damage in multiple myeloma cells as revealed by constitutive phosphorylation of H2AX. Leukemia 2011; 25: 1344–1353.
Tschumper RC, Geyer SM, Campbell ME, Kay NE, Shanafelt TD, Zent CS et al. Immunoglobulin diversity gene usage predicts unfavorable outcome in a subset of chronic lymphocytic leukemia patients. J Clin Invest 2008; 118: 306–315.
Walters DK, Jelinek DF . The effectiveness of double-stranded short inhibitory RNAs (siRNAs) may depend on the method of transfection. Antisense Nucleic Acid Drug Dev 2002; 12: 411–418.
Tang W, Chang SB, Hemler ME . Links between CD147 function, glycosylation, and caveolin-1. Mol Biol Cell 2004; 15: 4043–4050.
Tang W, Hemler ME . Caveolin-1 regulates matrix metalloproteinases-1 induction and CD147/EMMPRIN cell surface clustering. J Biol Chem 2004; 279: 11112–11118.
Voigt H, Vetter-Kauczok CS, Schrama D, Hofmann UB, Becker JC, Houben R . CD147 impacts angiogenesis and metastasis formation. Cancer Invest 2009; 27: 329–333.
Xu J, Xu HY, Zhang Q, Song F, Jiang JL, Yang XM et al. HAb18G/CD147 functions in invasion and metastasis of hepatocellular carcinoma. Mol Cancer Res 2007; 5: 605–614.
Robillard N, Pellat-Deceunynck C, Bataille R . Phenotypic characterization of the human myeloma cell growth fraction. Blood 2005; 105: 4845–4848.
Caudroy S, Polette M, Tournier JM, Burlet H, Toole B, Zucker S et al. Expression of the extracellular matrix metalloproteinase inducer (EMMPRIN) and the matrix metalloproteinase-2 in bronchopulmonary and breast lesions. J Histochem Cytochem 1999; 47: 1575–1580.
Muraoka K, Nabeshima K, Murayama T, Biswas C, Koono M . Enhanced expression of a tumor-cell-derived collagenase-stimulatory factor in urothelial carcinoma: its usefulness as a tumor marker for bladder cancers. Int J Cancer 1993; 55: 19–26.
Nabeshima K, Iwasaki H, Koga K, Hojo H, Suzumiya J, Kikuchi M . Emmprin (basigin/CD147): matrix metalloproteinase modulator and multifunctional cell recognition molecule that plays a critical role in cancer progression. Pathol Int 2006; 56: 359–367.
Steensma DP, Gertz MA, Greipp PR, Kyle RA, Lacy MQ, Lust JA et al. A high bone marrow plasma cell labeling index in stable plateau-phase multiple myeloma is a marker for early disease progression and death. Blood 2001; 97: 2522–2523.
Greipp PR, Lust JA, O'Fallon WM, Katzmann JA, Witzig TE, Kyle RA . Plasma cell labeling index and beta 2-microglobulin predict survival independent of thymidine kinase and C-reactive protein in multiple myeloma. Blood 1993; 81: 3382–3387.
Kumar S, Rajkumar SV, Kimlinger T, Greipp PR, Witzig TE . CD45 expression by bone marrow plasma cells in multiple myeloma: clinical and biological correlations. Leukemia 2005; 19: 1466–1470.
Moreau P, Robillard N, Avet-Loiseau H, Pineau D, Morineau N, Milpied N et al. Patients with CD45 negative multiple myeloma receiving high-dose therapy have a shorter survival than those with CD45 positive multiple myeloma. Haematologica 2004; 89: 547–551.
Menke DM, Horny HP, Griesser H, Atkinson EJ, Kaiserling E, Kyle RA . Immunophenotypic and genotypic characterisation of multiple myelomas with adverse prognosis characterised by immunohistological expression of the T cell related antigen CD45RO (UCHL-1). J Clin Pathol 1998; 51: 432–437.
Mateo G, Montalban MA, Vidriales MB, Lahuerta JJ, Mateos MV, Gutierrez N et al. Prognostic value of immunophenotyping in multiple myeloma: a study by the PETHEMA/GEM cooperative study groups on patients uniformly treated with high-dose therapy. J Clin Oncol 2008; 26: 2737–2744.
Yang Y, Lu N, Zhou J, Chen ZN, Zhu P . Cyclophilin A up-regulates MMP-9 expression and adhesion of monocytes/macrophages via CD147 signalling pathway in rheumatoid arthritis. Rheumatology (Oxford) 2008; 47: 1299–1310.
Yurchenko V, Constant S, Bukrinsky M . Dealing with the family: CD147 interactions with cyclophilins. Immunology 2006; 117: 301–309.
Li M, Zhai Q, Bharadwaj U, Wang H, Li F, Fisher WE et al. Cyclophilin A is overexpressed in human pancreatic cancer cells and stimulates cell proliferation through CD147. Cancer 2006; 106: 2284–2294.
Baba M, Inoue M, Itoh K, Nishizawa Y . Blocking CD147 induces cell death in cancer cells through impairment of glycolytic energy metabolism. Biochem Biophys Res Commun 2008; 374: 111–116.
Chen X, Lin J, Kanekura T, Su J, Lin W, Xie H et al. A small interfering CD147-targeting RNA inhibited the proliferation, invasiveness, and metastatic activity of malignant melanoma. Cancer Res 2006; 66: 11323–11330.
Chen X, Su J, Chang J, Kanekura T, Li J, Kuang YH et al. Inhibition of CD147 gene expression via RNA interference reduces tumor cell proliferation, activation, adhesion, and migration activity in the human Jurkat T-lymphoma cell line. Cancer Invest 2008; 26: 689–697.
Wang B, Xu YF, He BS, Pan YQ, Zhang LR, Zhu C et al. RNAi-mediated silencing of CD147 inhibits tumor cell proliferation, invasion and increases chemosensitivity to cisplatin in SGC7901 cells in vitro. J Exp Clin Cancer Res 2010; 29: 61.
Rajkumar SV, Mesa RA, Fonseca R, Schroeder G, Plevak MF, Dispenzieri A et al. Bone marrow angiogenesis in 400 patients with monoclonal gammopathy of undetermined significance, multiple myeloma, and primary amyloidosis. Clin Cancer Res 2002; 8: 2210–2216.
Ribatti D, Vacca A, Nico B, Quondamatteo F, Ria R, Minischetti M et al. Bone marrow angiogenesis and mast cell density increase simultaneously with progression of human multiple myeloma. Br J Cancer 1999; 79: 451–455.
Kelly T, Borset M, Abe E, Gaddy-Kurten D, Sanderson RD . Matrix metalloproteinases in multiple myeloma. Leuk Lymphoma 2000; 37: 273–281.
Acknowledgements
This work was supported in part by the Multiple Myeloma Research Foundation, a grant from the National Institutes of Health (CA164232; awarded to DFJ), and the JABBS and Predolin Foundations.
Author contributions
BKA designed and performed research, analyzed data and wrote the manuscript. DKW, XW, RCT and KJH performed research and analyzed data. PMH and AD designed research and enrolled patients. DFJ designed research and wrote and approved the manuscript. All the authors reviewed and gave final approval of the manuscript.
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Arendt, B., Walters, D., Wu, X. et al. Increased expression of extracellular matrix metalloproteinase inducer (CD147) in multiple myeloma: role in regulation of myeloma cell proliferation. Leukemia 26, 2286–2296 (2012). https://doi.org/10.1038/leu.2012.91
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DOI: https://doi.org/10.1038/leu.2012.91
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