Genetic defects of gamma‐secretase genes in a multiple myeloma patient with high and dysregulated BCMA surface density: A case report

Author:

Cattaneo Irene1ORCID,Valgardsdottir Rut1,Cavagna Roberta2,Spinelli Orietta2,Bartoletti‐Stella Anna3,Capellari Sabina45,Galli Monica2,Golay Josée1ORCID

Affiliation:

1. Center of Cellular Therapy “G. Lanzani” ASST Papa Giovanni XXIII Bergamo Italy

2. Division of Hematology ASST Papa Giovanni XXIII Bergamo Italy

3. Department of Medical and Surgical Sciences (DIMEC) University of Bologna Bologna Italy

4. IRCCS Istituto delle Scienze Neurologiche di Bologna Bellaria Hospital Bologna Italy

5. Department of Biomedical and NeuroMotor Sciences (DIBINEM) University of Bologna Bologna Italy

Abstract

SummaryMultiple myeloma (MM) cells from 1 out of 20 patient expressed high basal levels of membrane B‐cell maturation antigen (BCMA, TNFRSF17, CD269), which was not upregulated by gamma‐secretase inhibitor, suggesting a defective BCMA shedding by gamma‐secretase. Genetic analyses of the patient's bone marrow DNA showed no mutations within the BCMA coding region, but rather partial deletion of PSEN1 and amplification of PSEN2, which encode alternative catalytic units of gamma‐secretase. Altogether the data suggest that pt#12 MM cells express high and dysregulated BCMA with no shedding, due to genetic alterations of one or more gamma‐secretase subunits.

Funder

Associazione Italiana per la Ricerca sul Cancro

Publisher

Wiley

Subject

Hematology

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