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September 06-07, 2018 | Edinburgh, Scotland

Pathology and Surgical Pathology

International Conference on

Journal of Pathology and Disease Biology | Volume 2

Notes:

D

espite administration of novel therapies, multiple

myeloma (MM) remains incurable with resistance to

drugs leading to relapse in most patients. Thus, it is critical to

understand the mechanisms underlying the drug resistance

of MM and develop more effective therapeutic strategies.

Genetic abnormalities are well known to play a central

role in MM pathogenesis and therapy resistance, however,

epigenetic aberrations mainly affecting the patterns of DNA

methylation / histone modifications of genes (especially

tumor suppressors) and miRNAs have also been shown to be

involved. Importantly, while epigenetic silencing of miRNAs

in MM is well documented, some epigenetic markers are

known to be direct targets of miRNAs particularly the

recently described “epimiRNAs”. Drugs targeting epigenetic

modifiers (e.g. HDACs, EZH2) can sensitize MM resistant

cells to anti-myeloma drugs and reversibility of epigenetic

changes makes these drugs promising therapeutic

agents. Therefore, combination of miRNA mimics with

inhibitors of epigenetic modifiers would be a more potent

therapeutic strategy in MM patients in relapse or refractory

to treatments. We will discuss the findings of recent

investigations on epigenetics/miRNA regulatory axis in

development of drug resistance inMM and highlight possible

approaches for therapeutic applications of such interaction.

Speaker Biography

Hong Chang is a laboratory physician in Hematology and Oncology at Toronto General

Hospital/ University Health Network and a Full Professor at the University of Toronto,

Canada. His research has mainly dealt with the characterization of genetic events for

initiation and progression of multiple myeloma (MM) as well as identification of prognostic

factors and therapeutic targets in MM. Dr. Chang serves on the Editorial Board of several

scientific journals and has published over 140 peer-reviewed scientific manuscripts. He

has received many research and educational awards such as the TransAmerica Life Canada

Award from Leukemia and Lymphoma Society of Canada (LLSC), the Excellence in Life

Sciences Teaching Award, University of Toronto.

e:

Hong.Chang@uhn.ca

Hong Chang

University of Toronto, Canada

Role of epigenetics-microRNA axis in drug resistance of multiple myeloma