Front Bioeng Biotechnol. 2019 Oct 04;7:252. doi: 10.3389/fbioe.2019.00252. eCollection 2019.
Targeted Approaches to Inhibit Sialylation of Multiple Myeloma in the Bone Marrow Microenvironment.
Frontiers in bioengineering and biotechnology
Alessandro Natoni, Raghvendra Bohara, Abhay Pandit, Michael O'Dwyer
Affiliations
Affiliations
- Apoptosis Research Centre, School of Medicine, National University of Ireland, Galway, Ireland.
- Centre for Research in Medical Devices (CÚRAM), National University of Ireland, Galway, Ireland.
PMID: 31637237
PMCID: PMC6787837 DOI: 10.3389/fbioe.2019.00252
Abstract
Aberrant glycosylation modulates different aspects of tumor biology, and it has long been recognized as a hallmark of cancer. Among the different forms of glycosylation, sialylation, the addition of sialic acid to underlying oligosaccharides, is often dysregulated in cancer. Increased expression of sialylated glycans has been observed in many types of cancer, including multiple myeloma, and often correlates with aggressive metastatic behavior. Myeloma, a cancer of plasma cells, develops in the bone marrow, and colonizes multiple sites of the skeleton including the skull. In myeloma, the bone marrow represents an essential niche where the malignant cells are nurtured by the microenvironment and protected from chemotherapy. Here, we discuss the role of hypersialylation in the metastatic process focusing on multiple myeloma. In particular, we examine how increased sialylation modulates homing of malignant plasma cells into the bone marrow by regulating the activity of molecules important in bone marrow cellular trafficking including selectins and integrins. We also propose that inhibiting sialylation may represent a new therapeutic strategy to overcome bone marrow-mediated chemotherapy resistance and describe different targeted approaches to specifically deliver sialylation inhibitors to the bone marrow microenvironment.
Copyright © 2019 Natoni, Bohara, Pandit and O'Dwyer.
Keywords: E-selectin; ST3GAL6; chemotherapy; integrins; microenvironment; multiple myeloma; sialylation; targeted delivery
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