Prognostic impact of dynamic changes of type I melanoma antigen gene proteins CT7 (MAGE-C1/CT7) transcripts in multiple myeloma

Type I melanoma antigen gene proteins CT7 (MAGE-C1/CT7), a cancer-testis (CT) gene, correlated with clinical parameters at diagnosis of multiple myeloma (MM). We first analyzed single-cell ribonucleic acid sequencing data from public databases to evaluate the expression of MAGE-C1/CT7 in MM patients...

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Main Authors: Xuelin Dou, Fengrong Wang, Huan Chen, Yao Chen, Lei Wen, Yang Liu, Guorui Ruan, Xiaosu Zhao, Xiaojun Huang, Robert Peter Gale, Jin Lu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1566265/full
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author Xuelin Dou
Fengrong Wang
Huan Chen
Yao Chen
Lei Wen
Yang Liu
Guorui Ruan
Xiaosu Zhao
Xiaojun Huang
Robert Peter Gale
Jin Lu
Jin Lu
author_facet Xuelin Dou
Fengrong Wang
Huan Chen
Yao Chen
Lei Wen
Yang Liu
Guorui Ruan
Xiaosu Zhao
Xiaojun Huang
Robert Peter Gale
Jin Lu
Jin Lu
author_sort Xuelin Dou
collection DOAJ
description Type I melanoma antigen gene proteins CT7 (MAGE-C1/CT7), a cancer-testis (CT) gene, correlated with clinical parameters at diagnosis of multiple myeloma (MM). We first analyzed single-cell ribonucleic acid sequencing data from public databases to evaluate the expression of MAGE-C1/CT7 in MM patients and showed that MAGE-C1/CT7 is highly and specifically expressed in the MM cells. We then interrogated data from 216 consecutive cases with MAGE-C1/CT7 transcripts by quantitative real-time polymerase chain reaction longitudinally monitored in our center. The positive rate of MAGE-C1/CT7 at baseline was 87.3%, with a median level of 4.46% (0.01–939.5). In univariate Cox regression analysis, peri-ASCT MAGE-C1/CT7 status showed better discriminatory ability in PFS and survival than peri-ASCT multi-parameter flow-cytometry status assessed by flow cytometry. In multivariate analysis, patients who were MAGE-C1/CT7-negative pre-transplant and posttransplant had significantly better PFS than those who were positive in both determinations (HR = 0.33, 95% CI: 0.14, 0.80, p = 0.01). In 69 patients with informative samples, we found a 2-log decrease in MAGE-C1/CT7 transcript concentration after the second induction cycle correlated with achieving negative MAGE-C1/CT7-test results both pre-transplant and posttransplant (OR = 6.08, 95% CI: 1.78, 20.74, p = 0.004). Our data showed the predictive value of peri-ASCT frontline treatment. A 2-log decrease of MAGE-C1/CT7 post-induction cycle 2 compared to baseline correlated with a negative peri-ASCT MAGE-C1/CT7 status, providing an earlier prognostic marker of treatment response.
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spelling doaj-art-9c2f09cc73394c4d98cf1827963ed0d42025-08-20T03:53:07ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-05-011210.3389/fmed.2025.15662651566265Prognostic impact of dynamic changes of type I melanoma antigen gene proteins CT7 (MAGE-C1/CT7) transcripts in multiple myelomaXuelin Dou0Fengrong Wang1Huan Chen2Yao Chen3Lei Wen4Yang Liu5Guorui Ruan6Xiaosu Zhao7Xiaojun Huang8Robert Peter Gale9Jin Lu10Jin Lu11Peking University People’s Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Peking University, Beijing, ChinaPeking University People’s Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Peking University, Beijing, ChinaPeking University People’s Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Peking University, Beijing, ChinaPeking University People’s Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Peking University, Beijing, ChinaPeking University People’s Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Peking University, Beijing, ChinaPeking University People’s Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Peking University, Beijing, ChinaPeking University People’s Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Peking University, Beijing, ChinaPeking University People’s Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Peking University, Beijing, ChinaPeking University People’s Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Peking University, Beijing, ChinaCentre for Haematology, Department of Immunology and Inflammation, Imperial College of Science, Technology and Medicine, London, United KingdomPeking University People’s Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Peking University, Beijing, ChinaCollaborative Innovation Center of Hematology, Soochow University, Suzhou, ChinaType I melanoma antigen gene proteins CT7 (MAGE-C1/CT7), a cancer-testis (CT) gene, correlated with clinical parameters at diagnosis of multiple myeloma (MM). We first analyzed single-cell ribonucleic acid sequencing data from public databases to evaluate the expression of MAGE-C1/CT7 in MM patients and showed that MAGE-C1/CT7 is highly and specifically expressed in the MM cells. We then interrogated data from 216 consecutive cases with MAGE-C1/CT7 transcripts by quantitative real-time polymerase chain reaction longitudinally monitored in our center. The positive rate of MAGE-C1/CT7 at baseline was 87.3%, with a median level of 4.46% (0.01–939.5). In univariate Cox regression analysis, peri-ASCT MAGE-C1/CT7 status showed better discriminatory ability in PFS and survival than peri-ASCT multi-parameter flow-cytometry status assessed by flow cytometry. In multivariate analysis, patients who were MAGE-C1/CT7-negative pre-transplant and posttransplant had significantly better PFS than those who were positive in both determinations (HR = 0.33, 95% CI: 0.14, 0.80, p = 0.01). In 69 patients with informative samples, we found a 2-log decrease in MAGE-C1/CT7 transcript concentration after the second induction cycle correlated with achieving negative MAGE-C1/CT7-test results both pre-transplant and posttransplant (OR = 6.08, 95% CI: 1.78, 20.74, p = 0.004). Our data showed the predictive value of peri-ASCT frontline treatment. A 2-log decrease of MAGE-C1/CT7 post-induction cycle 2 compared to baseline correlated with a negative peri-ASCT MAGE-C1/CT7 status, providing an earlier prognostic marker of treatment response.https://www.frontiersin.org/articles/10.3389/fmed.2025.1566265/fullmultiple myelomaprognostic biomarkerMAGE-C1/CT7cancer testis antigen genesnovel agents
spellingShingle Xuelin Dou
Fengrong Wang
Huan Chen
Yao Chen
Lei Wen
Yang Liu
Guorui Ruan
Xiaosu Zhao
Xiaojun Huang
Robert Peter Gale
Jin Lu
Jin Lu
Prognostic impact of dynamic changes of type I melanoma antigen gene proteins CT7 (MAGE-C1/CT7) transcripts in multiple myeloma
Frontiers in Medicine
multiple myeloma
prognostic biomarker
MAGE-C1/CT7
cancer testis antigen genes
novel agents
title Prognostic impact of dynamic changes of type I melanoma antigen gene proteins CT7 (MAGE-C1/CT7) transcripts in multiple myeloma
title_full Prognostic impact of dynamic changes of type I melanoma antigen gene proteins CT7 (MAGE-C1/CT7) transcripts in multiple myeloma
title_fullStr Prognostic impact of dynamic changes of type I melanoma antigen gene proteins CT7 (MAGE-C1/CT7) transcripts in multiple myeloma
title_full_unstemmed Prognostic impact of dynamic changes of type I melanoma antigen gene proteins CT7 (MAGE-C1/CT7) transcripts in multiple myeloma
title_short Prognostic impact of dynamic changes of type I melanoma antigen gene proteins CT7 (MAGE-C1/CT7) transcripts in multiple myeloma
title_sort prognostic impact of dynamic changes of type i melanoma antigen gene proteins ct7 mage c1 ct7 transcripts in multiple myeloma
topic multiple myeloma
prognostic biomarker
MAGE-C1/CT7
cancer testis antigen genes
novel agents
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1566265/full
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