How very long-chain fatty acids affect multiple myeloma cells

Regulation and Function of Very Long Chain Fatty Acid Biosynthesis in Multiple Myeloma

NIH-funded research Duke University · NIH-11140304

This project looks at how making very long-chain fatty acids in myeloma cells changes their stress response and resistance to common myeloma drugs.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionDuke University NIH-funded
Lab location1 site (Durham, United States)
Project IDNIH-11140304 on NIH RePORTER

What this research studies

If you have multiple myeloma, this work studies how cancer cells produce very long-chain fatty acids and how that changes stress in their protein-folding machinery (the endoplasmic reticulum). Researchers will study an enzyme called HACD3 in lab-grown myeloma cells and in samples from patients to see how altering VLCFA levels affects ER-to-Golgi transport and cell survival. They will test whether changing VLCFA biology makes cells more or less sensitive to the proteasome inhibitor bortezomib. The aim is to identify targets that could help overcome drug resistance in patients whose myeloma no longer responds to current therapies.

Who could benefit from this research

Good fit: Ideal candidates are people with multiple myeloma, especially those with relapsed or refractory disease after proteasome inhibitor therapy or whose tumor samples show higher HACD3 expression.

Not a fit: People without multiple myeloma or whose disease is not driven by ER stress or proteasome-inhibitor resistance are unlikely to benefit directly from this work.

Why it matters

Potential benefit: If successful, this could reveal new drug targets to help patients with bortezomib-resistant multiple myeloma respond better to treatment.

How similar studies have performed: Drugs that increase ER stress such as bortezomib are already effective in many myeloma patients but resistance is common, and targeting fatty-acid biosynthesis enzymes like HACD3 is a newer laboratory-based approach with promising early data but not yet proven in patients.

Where this research is happening

Durham, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Addison disease-cerebral sclerosis syndromeAddison disease-spastic paraplegia syndromeAddison-Schilder syndromeAnti-Cancer Agents
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.