Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Deubiquitylase USP12 induces pro-survival autophagy and bortezomib resistance in multiple myeloma by stabilizing HMGB1

Abstract

Despite the establishment of novel therapeutic interventions, multiple myeloma (MM) remains invariably incurable due to development of drug resistance and subsequent relapse, which are attributed to activation of oncogenic pathways such as autophagy. Deubiquitinating enzymes (DUBs) are promising targets to overcome resistance to proteasome inhibitor-based treatment. Ubiquitin-specific protease-12 (USP12) is a DUB with a known prognostic value in several cancers. We found that USP12 protein levels were significantly higher in myeloma patient samples than in non-cancerous human samples. Depletion of USP12 suppressed cell growth and clonogenicity and inhibited autophagy. Mechanistic studies showed that USP12 interacted with, deubiquitylated and stabilized the critical autophagy mediator HMGB1 (high mobility group box-1) protein. Knockdown of USP12 decreased the level of HMGB1 and suppressed HMGB1-mediated autophagy in MM. Furthermore, basal autophagy activity associated with USP12/HMGB1 was elevated in bortezomib (BTZ)-resistant MM cell lines. USP12 depletion, concomitant with a reduced expression of HMGB1, suppressed autophagy and increased the sensitivity of resistant cells to BTZ. Collectively, our findings have identified an important role of the deubiquitylase USP12 in pro-survival autophagy and resultant BTZ resistance in MM by stabilizing HMGB1, suggesting that the USP12/HMGB1 axis might be pursued as a potential diagnostic and therapeutic target in human MM.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Fig. 1: USP12 confers MM cells growth and survival.
Fig. 2: USP12 enhances tumorigenicity of myeloma xenograft.
Fig. 3: USP12 depletion inhibits autophagy in MM.
Fig. 4: USP12 interacts with HMGB1.
Fig. 5: USP12 induces autophagy by stabilizing the protein level of HMGB1.
Fig. 6: USP12/HMGB1 mediated autophagy enhances the BTZ resistance of MM cells.
Fig. 7: USP12 stabilizes HMGB1 to promote survival of MM.

Similar content being viewed by others

References

  1. Kumar SK, Anderson KC. Anderson, immune therapies in multiple myeloma. Clin Cancer Res. 2016;22:5453–60.

    Article  CAS  PubMed  Google Scholar 

  2. Kumar SK, Dispenzieri A, Lacy MQ, Gertz MA, Buadi FK, Pandey S, et al. Continued improvement in survival in multiple myeloma: changes in early mortality and outcomes in older patients. Leukemia. 2014;28:1122–8.

    Article  CAS  Google Scholar 

  3. Kumar SK, Rajkumar V, Kyle RA, Duin MV, Sonneveld P, Mateos MV, et al. Multiple myeloma. Nat Rev Dis Prim. 2017;3:17046.

    Article  Google Scholar 

  4. Pinto V, Bergantim R, Caires HR, Seca H, Guimarães JE, Vasconcelos MH. Multiple myeloma: available therapies and causes of drug resistance. Cancers (Basel). 2020;12:407.

    Article  CAS  Google Scholar 

  5. Milan E, Fabbri M, Cenci S. Autophagy in plasma cell ontogeny and malignancy. J Clin Immunol. 2016;36:18–24.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Pengo N, Scolari M, Oliva L, Milan E, Mainoldi F, Raimondi A, et al. Plasma cells require autophagy for sustainable immunoglobulin production. Nat Immunol. 2013;14:298–305.

    Article  CAS  PubMed  Google Scholar 

  7. Vogl DT, Stadtmauer EA, Tan KS, Heitjan DF, Davis LE, Pontiggia L, et al. Combined autophagy and proteasome inhibition: a phase 1 trial of hydroxychloroquine and bortezomib in patients with relapsed/refractory myeloma. Autophagy. 2014;10:1380–90.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Jarauta V, Jaime P, Gonzalo O, Miguel DD, Ramírez-Labrada A, Martínez-Lostao L, et al. Inhibition of autophagy with chloroquine potentiates carfilzomib-induced apoptosis in myeloma cells in vitro and in vivo. Cancer Lett. 2016;382:1–10.

    Article  CAS  PubMed  Google Scholar 

  9. Lu Y, Wang Y, Xu H, Shi C, Jin FY, Li W. Profilin 1 induces drug resistance through Beclin1 complex-mediated autophagy in multiple myeloma. Cancer Sci. 2018;109:2706–16.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Roy M, Liang L, Xiao XJ, Peng YL, Luo YH, Zhou WH, et al. Lycorine downregulates HMGB1 to inhibit autophagy and enhances bortezomib activity in multiple myeloma. Theranostics. 2016;6:2209–24.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Zhang M, Zhang MJ, He J, Liu ZQ, Lu Y, Zheng YH, et al. Anti-beta(2)-microglobulin monoclonal antibodies overcome bortezomib resistance in multiple myeloma by inhibiting autophagy. Oncotarget. 2015;6:8567–78.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Zhang H, Pang YH, Ma CB, Li JY, Wang HQ, Shao ZH, et al. ClC5 decreases the sensitivity of multiple myeloma cells to bortezomib via promoting prosurvival autophagy. Oncol Res. 2018;26:421–9.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Zhang X, Li WM, Wang CL, Leng XY, Lian SL, Feng JB, et al. Inhibition of autophagy enhances apoptosis induced by proteasome inhibitor bortezomib in human glioblastoma U87 and U251 cells. Mol Cell Biochem. 2014;385:265–75.

    Article  CAS  PubMed  Google Scholar 

  14. Komander D, Clague MJ, Urbe S. Breaking the chains: structure and function of the deubiquitinases. Nat Rev Mol Cell Biol. 2009;10:550–63.

    Article  CAS  PubMed  Google Scholar 

  15. Joo HY, Jones A, Yang CY, Zhai L, Smith AD, Zhang Z, et al. Regulation of histone H2A and H2B deubiquitination and Xenopus development by USP12 and USP46. J Biol Chem. 2011;286:7190–201.

    Article  CAS  PubMed  Google Scholar 

  16. Jahan AS, Lestra M, Swee LK, Fan Y, Lamers MM, Tafesse FG, et al. Usp12 stabilizes the T-cell receptor complex at the cell surface during signaling. Proc Natl Acad Sci USA. 2016;113:E705–14.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. McClurg UL, Chit NC, Azizyan M, Edwards J, Nabbi A, Riabowol KT, et al. Molecular mechanism of the TP53-MDM2-AR-AKT signalling network regulation by USP12. Oncogene. 2018;37:4679–91.

    Article  CAS  PubMed  Google Scholar 

  18. Moretti J, Chastagner P, Liang CC, Cohn MA, Israël A, Brou C, et al. The ubiquitin-specific protease 12 (USP12) is a negative regulator of notch signaling acting on notch receptor trafficking toward degradation. J Biol Chem. 2012;287:29429–41.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Nayak TK, Alamuru-Yellapragada NP, Parsa KV. Deubiquitinase USP12 promotes LPS induced macrophage responses through inhibition of IkappaBalpha. Biochem Biophys Res Commun. 2017;483:69–74.

    Article  CAS  PubMed  Google Scholar 

  20. Liu J, Jin LC, Chen XJ, Yuan YK, Zuo YB, Miao Y, et al. USP12 translocation maintains interferon antiviral efficacy by inhibiting CBP acetyltransferase activity. PLoS Pathog. 2020;16:e1008215.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Aron R, Pellegrini P, Green EW, Maddison DC, Opoku-Nsiah K, Oliveira AO, et al. Deubiquitinase Usp12 functions noncatalytically to induce autophagy and confer neuroprotection in models of Huntington’s disease. Nat Commun. 2018;9:3191.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Chauhan D, Tian Z, Nicholson B, Kumar KG, Zhou B, Carrasco R, et al. A small molecule inhibitor of ubiquitin-specific protease-7 induces apoptosis in multiple myeloma cells and overcomes bortezomib resistance. Cancer Cell. 2012;22:345–58.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Tian Z, D’Arcy P, Wang X, Ray A, Tai YT, Hu YG, et al. A novel small molecule inhibitor of deubiquitylating enzyme USP14 and UCHL5 induces apoptosis in multiple myeloma and overcomes bortezomib resistance. Blood. 2014;123:706–16.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Bignell GR, Warren W, Seal S, Takahashi M, Rapley E, Barfoot R, et al. Identification of the familial cylindromatosis tumour-suppressor gene. Nat Genet. 2000;25:160–5.

    Article  CAS  PubMed  Google Scholar 

  25. Hussain S, Bedekovics T, Chesi M, Bergsagel PL, Galardy PJ. UCHL1 is a biomarker of aggressive multiple myeloma required for disease progression. Oncotarget. 2015;6:40704–18.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Sridhar S, Botbol Y, Macian F, Cuervo AM. Autophagy and disease: always two sides to a problem. J Pathol. 2012;226:255–73.

    Article  PubMed  Google Scholar 

  27. Mah LY, Ryan KM. Autophagy and cancer. Cold Spring Harb Perspect Biol. 2012;4:a008821.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Arnold J, Murera D, Arbogast F, Fauny JD, Muller S, Gros F. Autophagy is dispensable for B-cell development but essential for humoral autoimmune responses. Cell Death Differ. 2016;23:853–64.

    Article  CAS  PubMed  Google Scholar 

  29. Zhuang Y, Jin ZC, Yao H, Ji O, Yang R, Dong W, et al. Targeting autophagy in multiple myeloma. Leuk Res. 2017;59:97–104.

    Article  Google Scholar 

  30. Jacomin AC, Bescond A, Soleilhac E, Gallet B, Schoehn G, Fauvarque MO, et al. The deubiquitinating enzyme UBPY is required for lysosomal biogenesis and productive autophagy in drosophila. PLoS ONE. 2015;10:e0143078.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Nakada S, Tai I, Panier S, Al-Hakim A, Iemura SI, Juang YC, et al. Non-canonical inhibition of DNA damage-dependent ubiquitination by OTUB1. Nature. 2010;466:941–6.

    Article  CAS  PubMed  Google Scholar 

  32. Hanna J, Hathaway NA, Tone Y, Crosas B, Elsasser S, Kirkpatrick DS, et al. Deubiquitinating enzyme Ubp6 functions noncatalytically to delay proteasomal degradation. Cell. 2006;127:99–111.

    Article  CAS  PubMed  Google Scholar 

  33. Yuan S, Liu ZP, Xu ZR, Liu J, Zhang J. High mobility group box 1 (HMGB1): a pivotal regulator of hematopoietic malignancies. J Hematol Oncol. 2020;13:91.

    Article  PubMed  PubMed Central  Google Scholar 

  34. D’Eliseo D, Renzo LD, Santoni A, Velotti F. Docosahexaenoic acid (DHA) promotes immunogenic apoptosis in human multiple myeloma cells, induces autophagy and inhibits STAT3 in both tumor and dendritic cells. Genes Cancer. 2017;8:426–37.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Nomura S, Ito T, Yoshimura H, Hotta M, Nakanishi T, Fujita S, et al. Evaluation of thrombosis-related biomarkers before and after therapy in patients with multiple myeloma. J Blood Med. 2018;9:1–7.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Inoue Y, Saito T, Tsuruoka Y, Sato K, Nishio Y, Suzuki Y, et al. Recombinant thrombomodulin improved Stevens-Johnson syndrome with high serum high-mobility group-B1 DNA-binding protein induced by lenalidomide administered to treat multiple myeloma. Thromb Res. 2013;132:493–4.

    Article  CAS  PubMed  Google Scholar 

  37. Gao D, Lv AE, Li HP, Han DH, Zhang YP. LncRNA MALAT-1 elevates HMGB1 to promote autophagy resulting in inhibition of tumor cell apoptosis in multiple myeloma. J Cell Biochem. 2017;118:3341–8.

    Article  CAS  PubMed  Google Scholar 

  38. Guo X, He DH, Zhang EF, Chen J, Chen QX, Li Y, et al. HMGB1 knockdown increases MM cell vulnerability by regulating autophagy and DNA damage repair. J Exp Clin Cancer Res. 2018;37:205.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Kane RC, Bross PF, Farrell AT, Pazdur R. Velcade: U.S. FDA approval for the treatment of multiple myeloma progressing on prior therapy. Oncologist. 2003;8:508–13.

    Article  PubMed  Google Scholar 

  40. Tang D, Kang R, Livesey KM, Cheh CW, Farkas A, Loughran P, et al. Endogenous HMGB1 regulates autophagy. J Cell Biol. 2010;190:881–92.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Boutouja F, Brinkmeier R, Mastalski T, Magraoui FE, Platta HW. Regulation of the tumor-suppressor BECLIN 1 by distinct ubiquitination cascades. Int J Mol Sci. 2017;18:2541.

    Article  PubMed Central  Google Scholar 

  42. Xia J, He YJ, Meng B, Chen SL, Zhang JY, Wu X, et al. NEK2 induces autophagy-mediated bortezomib resistance by stabilizing Beclin-1 in multiple myeloma. Mol Oncol. 2020;14:763–78.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Salminen A, Kaarniranta K, Kauppinen A, Ojala J, Haapasalo A, Soininen H, et al. Impaired autophagy and APP processing in Alzheimer’s disease: the potential role of Beclin 1 interactome. Prog Neurobiol. 2013;106-107:33–54.

    Article  CAS  PubMed  Google Scholar 

Download references

Funding

This study was supported by grants from the National Key Research and Development Program of China (2018YFA0107800), the National Natural Science Foundation of China (Nos. 21890744, 81672760, 82003286, 81970195, 81920108004, 81772496 and 82073099), the Natural Science Foundation of Hunan Province (No. 2021JJ40054, 2019JJ40391), the China Postdoctoral Science Foundation (2020M672474, 2021T140195 and 2018M630896), the Hunan Provincial Key Research and Development Plan (2018SK2128), the Changsha Municipal Natural Science Foundation (kq2014041, kq2014042 and kq2001012).

Author information

Authors and Affiliations

Authors

Contributions

HL and MR contributed equally to this work. JL, BZ, MY and SS designed the research, HL, MR, LL, WC, BH, YL, XX and HW performed the experiments, analyzed and interpreted the data; BZ, SS, MY and JL analyzed and interpreted the data; MR, HL, JL and MY drafted and revised the manuscript.

Corresponding authors

Correspondence to Mao Ye, Shuming Sun, Bin Zhang or Jing Liu.

Ethics declarations

Competing interests

The authors declare no competing interests.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary information

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Li, H., Roy, M., Liang, L. et al. Deubiquitylase USP12 induces pro-survival autophagy and bortezomib resistance in multiple myeloma by stabilizing HMGB1. Oncogene 41, 1298–1308 (2022). https://doi.org/10.1038/s41388-021-02167-9

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41388-021-02167-9

This article is cited by

Search

Quick links