R e s e a R c h a R t i c l e5. Group 2 correlated with high STAT3 expression (i.e., STAT3 activation). (G) GSEA showed a significantly different distribution of the STAT3 activation-associated genes, with group 1 being negatively correlated (NES, -1.97; P < 0.001). Figure 1A; supplemental material available online with this article; doi:10.1172/JCI69094DS1). Gene set enrichment analysis (GSEA) showed a significantly different distribution of the STAT3 activation-associated genes among the hierarchical clustering-defined gene expression groups (normalized enrichment score [NES], -1.97; nominal P < 0.001; Figure 1G). In addition, mining the public repository Oncomine (www.oncomine. org) showed that STAT3 target genes were elevated in MM versus control tissue (Supplemental Figure 1B). Furthermore, we found the STAT3 signaling gene expression pattern to be associated with low bone disease, the MMSET groups, and the presence of a gain of the 1q21 locus, whereas we identified an inverse correlation with hyperdiploid disease (Supplemental Figure 1, C-E). Thus, STAT3 phosphorylation and target gene activation seems to be a major hallmark of a large subgroup of human MM. Constitutive GP130 signaling induces myeloma formation in a murine BM transduction-transplantation model. To test whether constitutive activation of GP130 signaling enables B cells to proliferate independently of cytokine stimulation, the IL-3-dependent Analysis of the malignant plasma cells revealed a t(12;15) translocation involving c-Myc (16). While Eμ-Myc transgenic mice (in which MYC expression is under control of the Eμ enhancer) develop aggressive pro-/pre-B cell lymphomas early in life (17), activationinduced deaminase-dependent expression of MYC in germinal center B cells leads to a high incidence of MM with a median survival of approximately 2 years (4). Transgenic mice expressing abnormally high levels of XBP-1, a protein involved in the terminal differentiation of B cells, develop monoclonal gammopathy of undetermined significance (MGUS), and some develop MM later in life (18).
The Journal of Clinical Investigation
R e s e a R c h a R t i c l e5In the present study, we showed that constitutive activation of GP130/JAK/STAT3 signal transduction in a retroviral murine BM transduction-transplantation model was sufficient to induce or facilitate MM development in mice. This model was characterized by very high penetrance and relatively short latency. Importantly, constitutive GP130 activation efficiently cooperated with MYC overexpression by driving cell growth and differentiation of malignant plasma cells. Our data indicate that constitutive GP130 signal transduction is a critical early step in myelomagenesis.
Results
STAT3 phosphorylation and target gene activation is a hallmark of human MM.Activation of the IL-6/IL-6R/GP130 complex is crucial for survival and proliferation of human myeloma (6,11,13), and the JAK/STAT3 pathway is a major target downstream of IL-6R/GP130 signaling (8,14). We therefore evaluated a series of BM biopsies from pati...