Loss of HS inhibits MM cell growth by attenuating Wnt signaling. (A) Flow cytometry analysis of the effect of doxycycline (Dox)–induced EXT1 KD on MM cell expansion at 5 days of culture, relative to day 0. Short hairpin Scramble (shScramble) was used as control. The mean ± standard deviation (SD) of 3 independent experiments in triplicate is shown. *P ≤ .05, **P ≤ .01 using unpaired Student t test. (B) Flow cytometry analysis of primary MM cell-surface HS expression after heparitinase treatment. (C) Flow cytometry analysis of primary MM cell expansion after heparitinase or control buffer treatment. A representative plot for 2 independent experiments is shown. **P ≤ .01 using unpaired Student t test. (D) Flow cytometry analysis of the effect of Dox-induced EXT1 KD on HMCL apoptosis. The mean ± SD of 3 independent experiments in triplicate is shown, not significant (ns) using unpaired Student t test. (E) Left: representative plot of cell-cycle analysis after BrdU incorporation upon Dox-induced EXT1 KD in HMCLs. Right: quantification of cell-cycle distribution after BrdU incorporation in Dox-induced EXT1 KD in HMCLs, The mean ± SD of 3 independent experiments in triplicate is shown. *P ≤ .05, **P ≤ .01, ***P ≤ .001 using unpaired Student t test. (F) Flow cytometry analysis of the effect of Dox-induced EXT1 KD on the expansion of HMCLs in the presence of BM stromal cells (BMSCs) in 4 days. The mean ± SD of 3 independent experiments each performed in triplicate is shown. *P ≤ .05, **P ≤ .01 using 1-way analysis of variance (ANOVA) with Bonferroni correction. (G) Flow cytometry analysis of the effect of Dox-induced EXT1 KD on the expansion of HMCLs transduced with S33Y β-catenin or empty control vector in 5 days. The mean ± SD of 3 independent experiments in triplicate is shown. ns P > .05, *P ≤ .05, ***P ≤ .001 using 1-way ANOVA with Bonferroni correction. (H) Flow cytometry analysis of the effect of Dox-induced EXT1 KD on the expansion of HMCLs transduced with c-Myc or empty control vector in 5 days. The mean ± SD of 3 independent experiments in triplicate is shown. ns P > .05, **P ≤ .01, ***P ≤ .001 using 1-way ANOVA with Bonferroni correction.