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PSMC6 mRNA encodes the 26S proteasome regulatory subunit 10, which is an essential ATPase component of the 19S regulatory particle within the 26S proteasome complex (UniProt P62195). This subunit plays a pivotal role in the ATP-dependent unfolding and translocation of ubiquitinated proteins into the 20S proteolytic core for degradation (PubMed: 22121020). In multiple myeloma, malignant plasma cells exhibit a high dependency on the proteasome to maintain protein homeostasis due to excessive immunoglobulin production (PubMed: 33113554). Targeting PSMC6 mRNA with antisense oligonucleotides, such as ION251, induces RNase H-mediated degradation of the transcript, leading to a reduction in PSMC6 protein levels and subsequent proteasome dysfunction (Ionis Pharmaceuticals, 2021). This mechanism triggers severe proteotoxic stress and apoptosis specifically in myeloma cells, offering a novel strategy to treat patients who are refractory to standard proteasome inhibitors like bortezomib (PubMed: 34914755). Clinical development of PSMC6-targeted therapies focuses on patients with relapsed or refractory multiple myeloma who have exhausted standard treatment options.
Antisense oligonucleotide-mediated degradation of PSMC6 mRNA via RNase H1, leading to reduced levels of the PSMC6 protein and subsequent proteasome dysfunction in cancer cells (PubMed: 33113554).
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