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DYSREGULATED EXOSOMAL MICRORNA EXPRESSION IN BONE MARROW MICROENVIRONMENT OF MULTIPLE MYELOMA, EXTRAMEDULLARY MULTIPLE MYELOMA AND PLASMA CELL LEUKEMIA
Author(s): ,
Jana Gregorová
Affiliations:
Department of Pathophysiology,Masaryk University,Brno,Czech Republic
,
Markéta Žárská
Affiliations:
Department of Pathophysiology,Masaryk University,Brno,Czech Republic
,
Monika Vlachová
Affiliations:
Department of Pathophysiology,Masaryk University,Brno,Czech Republic
,
Lenka Radová
Affiliations:
Ceitec,Masaryk University,Brno,Czech Republic
,
Lucie Brožová
Affiliations:
Institute od Biostatistics and Analyses,Masaryk University,Brno,Czech Republic
,
Jiří Jarkovský
Affiliations:
Institute od Biostatistics and Analyses,Masaryk University,Brno,Czech Republic
,
Renata Bezděková
Affiliations:
Department of clinical hematology,University Hospital Brno,Brno,Czech Republic
,
Lucie Říhová
Affiliations:
Department of clinical hematology,University Hospital Brno,Brno,Czech Republic
,
Martina Almáši
Affiliations:
Department of clinical hematology,University Hospital Brno,Brno,Czech Republic
,
Martin Štork
Affiliations:
Department of Internal Medicine,University Hospital Brno,Brno,Czech Republic
,
Luděk Pour
Affiliations:
Department of Internal Medicine,University Hospital Brno,Brno,Czech Republic
,
Jiří Minařík
Affiliations:
Department od Hemato-Oncology,University Hospital Olomouc,Olomouc,Czech Republic
,
Roman Hájek
Affiliations:
Department of Hematooncology,University Hospital Ostrava,Ostrava,Czech Republic
Sabina Ševčíková
Affiliations:
Department of Pathophysiology,Masaryk University,Brno,Czech Republic;Department of clinical hematology,University Hospital Brno,Brno,Czech Republic
EHA Library. Gregorová J. 06/09/21; 325712; EP954
Jana Gregorová
Jana Gregorová
Contributions
Abstract
Presentation during EHA2021: All e-poster presentations will be made available as of Friday, June 11, 2021 (09:00 CEST) and will be accessible for on-demand viewing until August 15, 2021 on the Virtual Congress platform.

Abstract: EP954

Type: E-Poster Presentation

Session title: Myeloma and other monoclonal gammopathies - Biology & Translational Research

Background

Multiple myeloma (MM) is a heterogeneous plasma cell (PC) malignancy. These malignant PC are dependent on the bone marrow (BM) microenvironment. However, a subclone of PCs can escape the BM microenvironment and infiltrate soft tissues and organs in the so-called extramedullary myeloma (EM). This subclone may also escape to peripheral blood; if there are more than 20% of circulating PC (cPC), the disease is reclassified as plasma cell leukemia (PCL).


All cells of the BM microenvironment release exosomes. Exosomes are small membranous vesicles that originate from internal multivesicular bodies; they are found in all body fluids, including peripheral blood, breast milk, etc. Exosomes are important in intercellular communication, and they have been implicated in disease relapse, resistance to chemotherapy and many other processes important for tumorigenesis. They contain proteins and nucleic acids, such as microRNAs (miRNAs) - short non-coding RNA molecules that are involved in many physiological and pathological processes.

Aims
The aim of this work was to analyze expression of exosomal miRNAs in BM plasma samples of MM, EM and PCL patients. 

Methods
Exosomes were isolated using qEV columns. MiRNAs were isolated from exosomes using qEV original Size Exclusion Columns, following miRNA isolation using miRNeasy Micro Kit. For next generation sequencing (NGS), 8 MM, 7 EM and 8 PCL samples were used. Results from NGS were validated on 40 MM, 25 EM and 21 PCL samples by RT-qPCR using Taqman Advanced MiRNA Assays.

Results
NGS analysis showed 1128 different miRNAs that were present in analyzed samples. Out of these, 239 miRNAs were found in at least 8 samples and had more than 1 read per million; thus, they were included in subsequent analysis. Out of these miRNAs, there are 6 miRNAs (miR-140-3p, miR-584-5p, miR-744-5p, miR-223-3p, miR-191-5p and miR-151a-3p) (p<0.05) that are significantly dysregulated between MM, EM and PCL patients. Furthermore, 11 miRNAs (p<0.05) were significantly dysregulated between MM and EM patients, 4 miRNAs (p<0.10) between MM and PCL patients and 7 miRNAs (p<0.05) between PCL and MM patients. After validation, we performed ROC analysis for sensitivity and specificity of these miRNAs.

Conclusion

Using NGS, we showed that they are differentially expressed exosomal miRNAs between MM, EM and PCL patients suggesting their role in pathogenesis of individual diseases.

Keyword(s): Multiple myeloma, PCR, Plasma cells

Presentation during EHA2021: All e-poster presentations will be made available as of Friday, June 11, 2021 (09:00 CEST) and will be accessible for on-demand viewing until August 15, 2021 on the Virtual Congress platform.

Abstract: EP954

Type: E-Poster Presentation

Session title: Myeloma and other monoclonal gammopathies - Biology & Translational Research

Background

Multiple myeloma (MM) is a heterogeneous plasma cell (PC) malignancy. These malignant PC are dependent on the bone marrow (BM) microenvironment. However, a subclone of PCs can escape the BM microenvironment and infiltrate soft tissues and organs in the so-called extramedullary myeloma (EM). This subclone may also escape to peripheral blood; if there are more than 20% of circulating PC (cPC), the disease is reclassified as plasma cell leukemia (PCL).


All cells of the BM microenvironment release exosomes. Exosomes are small membranous vesicles that originate from internal multivesicular bodies; they are found in all body fluids, including peripheral blood, breast milk, etc. Exosomes are important in intercellular communication, and they have been implicated in disease relapse, resistance to chemotherapy and many other processes important for tumorigenesis. They contain proteins and nucleic acids, such as microRNAs (miRNAs) - short non-coding RNA molecules that are involved in many physiological and pathological processes.

Aims
The aim of this work was to analyze expression of exosomal miRNAs in BM plasma samples of MM, EM and PCL patients. 

Methods
Exosomes were isolated using qEV columns. MiRNAs were isolated from exosomes using qEV original Size Exclusion Columns, following miRNA isolation using miRNeasy Micro Kit. For next generation sequencing (NGS), 8 MM, 7 EM and 8 PCL samples were used. Results from NGS were validated on 40 MM, 25 EM and 21 PCL samples by RT-qPCR using Taqman Advanced MiRNA Assays.

Results
NGS analysis showed 1128 different miRNAs that were present in analyzed samples. Out of these, 239 miRNAs were found in at least 8 samples and had more than 1 read per million; thus, they were included in subsequent analysis. Out of these miRNAs, there are 6 miRNAs (miR-140-3p, miR-584-5p, miR-744-5p, miR-223-3p, miR-191-5p and miR-151a-3p) (p<0.05) that are significantly dysregulated between MM, EM and PCL patients. Furthermore, 11 miRNAs (p<0.05) were significantly dysregulated between MM and EM patients, 4 miRNAs (p<0.10) between MM and PCL patients and 7 miRNAs (p<0.05) between PCL and MM patients. After validation, we performed ROC analysis for sensitivity and specificity of these miRNAs.

Conclusion

Using NGS, we showed that they are differentially expressed exosomal miRNAs between MM, EM and PCL patients suggesting their role in pathogenesis of individual diseases.

Keyword(s): Multiple myeloma, PCR, Plasma cells

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