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Integrated Genomic and Epigenomic Analysis Reveals Epigenetic Plasticity in Disease Progression and Multidrug Resistance in Multiple Myeloma - PubMed

5 hours ago
  • #multiple myeloma
  • #drug resistance
  • #epigenetic plasticity
  • The study used a cohort of nearly 900 patients from premalignant to late-stage refractory multiple myeloma, analyzed at molecular and clinical levels.
  • Findings show that epigenetic dysregulation, driven by genomic events, plays a key role in disease progression and therapy resistance.
  • Epigenetic plasticity allows myeloma cells to adapt, evade tumor microenvironment constraints, and develop multidrug resistance without new genomic alterations.
  • Functional studies in a resistant cell line model indicated increased reliance on transcriptional cofactors, linking chromatin plasticity to therapy adaptation.
  • The results suggest targeting epigenetic plasticity could be a therapeutic strategy in multiple myeloma's heterogeneous genetic background.