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Browsing by Subject "Pro-survival regulation"
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Item Pro-survival signaling regulates lipophagy essential for multiple myeloma resistance to stress-induced death(Elsevier, 2024) Peng, Peng; Chavel, Colin; Liu, Wensheng; Carlson, Louise M.; Cao, Sha; Utley, Adam; Olejniczak, Scott H.; Lee, Kelvin P.; Biostatistics and Health Data Science, Richard M. Fairbanks School of Public HealthPro-survival metabolic adaptations to stress in tumorigenesis remain less well defined. We find that multiple myeloma (MM) is unexpectedly dependent on beta-oxidation of long-chain fatty acids (FAs) for survival under both basal and stress conditions. However, under stress conditions, a second pro-survival signal is required to sustain FA oxidation (FAO). We previously found that CD28 is expressed on MM cells and transduces a significant pro-survival/chemotherapy resistance signal. We now find that CD28 signaling regulates autophagy/lipophagy that involves activation of the Ca2+→AMPK→ULK1 axis and regulates the translation of ATG5 through HuR, resulting in sustained lipophagy, increased FAO, and enhanced MM survival. Conversely, blocking autophagy/lipophagy sensitizes MM to chemotherapy in vivo. Our findings link a pro-survival signal to FA availability needed to sustain the FAO required for cancer cell survival under stress conditions and identify lipophagy as a therapeutic target to overcome treatment resistance in MM.