RT Journal Article T1 Tigecycline Opposes Bortezomib Effect on Myeloma Cells Decreasing Mitochondrial Reactive Oxygen Species Production A1 Ramos Acosta, Carlos A1 Huerta Pantoja, Laura A1 Salazar Hidalgo, Milton Eduardo A1 Mayol, Elsa A1 Jiménez Vega, Selene A1 García Peña, Pablo A1 Jordi Cruz, Jenifeer A1 Baquero, Cristina A1 Porras Gallo, María Almudena A1 Íñigo Rodríguez, Belén A1 Benavente Cuesta, Celina A1 Candel González, Francisco Javier A1 Anguita Mandly, Eduardo Luis AB Multiple myeloma is an incurable plasma cell malignancy. Most patients end up relapsing and developing resistance to antineoplastic drugs, like bortezomib. Antibiotic tigecycline has activity against myeloma. This study analyzed tigecycline and bortezomib combination on cell lines and plasma cells from myeloma patients. Apoptosis, autophagic vesicles, mitochondrial mass, mitochondrial superoxide, cell cycle, and hydrogen peroxide were studied by flow cytometry. In addition, mitochondrial antioxidants and electron transport chain complexes were quantified by reverse transcription real-time PCR (RT-qPCR) or western blot. Cell metabolism and mitochondrial activity were characterized by Seahorse and RT-qPCR. We found that the addition of tigecycline to bortezomib reduces apoptosis in proportion to tigecycline concentration. Supporting this, the combination of both drugs counteracts bortezomib in vitro individual effects on the cell cycle, reduces autophagy and mitophagy markers, and reverts bortezomib-induced increase in mitochondrial superoxide. Changes in mitochondrial homeostasis and MYC upregulation may account for some of these findings. These data not only advise to avoid considering tigecycline and bortezomib combination for treating myeloma, but caution on the potential adverse impact of treating infections with this antibiotic in myeloma patients under bortezomib treatment. PB MDPI SN 1422-0067 YR 2024 FD 2024-04-30 LK https://hdl.handle.net/20.500.14352/105610 UL https://hdl.handle.net/20.500.14352/105610 LA eng NO Ramos-Acosta, C.; Huerta-Pantoja, L.; Salazar-Hidalgo, M.E.; Mayol, E.; Jiménez-Vega, S.; García-Peña, P.; Jordi-Cruz, J.; Baquero, C.; Porras, A.; Íñigo- Rodríguez, B.; et al. Tigecycline Opposes Bortezomib Effect on Myeloma Cells Decreasing Mitochondrial Reactive Oxygen Species Production. Int. J. Mol. Sci. 2024, 25, 4887. https://doi.org/ 10.3390/ijms25094887 NO Fundación Hay Esperanza NO Fundación Leucemia y Linfoma NO Fundación Vistare DS Docta Complutense RD 20 jul 2024