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Blood, 1 July 2002, Vol. 100, No. 1, pp. 194-199
NEOPLASIA
Antisense strategy shows that Mcl-1 rather than Bcl-2 or
Bcl-xL is an essential survival protein of human
myeloma cells
Sophie Derenne,
Brett Monia,
Nicholas M. Dean,
Jennifer K. Taylor,
Marie-Josée Rapp,
Jean-Luc Harousseau,
Régis Bataille, and
Martine Amiot
From the Institut National de la Santé et de la
Recherche Médicale Unité 463 Institut de Biologie, Nantes,
France; Service d'Hématologie Clinique, Nantes, France; and the
Department of Molecular Pharmacology, ISIS Pharmaceuticals,
Carlsbad, CA.
Multiple myeloma (MM) is a plasma cell malignancy that occurs
mainly in bone marrow. As MM cells proliferate slowly, it would seem
essential to find means of preventing their growth and accumulation inside bone marrow. The present study used an antisense strategy to
elucidate the respective roles of Bcl-2, Bcl-xL, and Mcl-1 proteins in myeloma cell survival. Each antisense oligonucleotide (ASO;
Bcl-2, Bcl-xL, or Mcl-1 ASO) introduced into human myeloma cell lines by electroporation induced a marked reduction in the level
of the corresponding protein. Mcl-1 ASO triggers an important decrease
of viability in all myeloma cell lines tested and in 2 primary myeloma
cells, whereas neither Bcl-2 nor Bcl-xL ASO affected the
viability of myeloma cells. The decrease of cell viability induced by
Mcl-1 ASO treatment was associated with an induction of apoptosis that
occurred through the disruption of mitochondrial membrane potential
 m and the activation of executioner caspase-3. Furthermore, we
have shown that interleukin 6 cannot prevent the Mcl-1 ASO-induced
apoptosis. Finally, although Bcl-2 ASO treatment alone has no effect,
it can sensitize myeloma cell lines to dexamethasone (Dex), whereas
Bcl-xL ASO in combination with Dex still had no effect. As
MM remains an incurable disease despite intensive chemotherapy, these
results suggest that Mcl-1 antisense strategy rather than Bcl-2
antisense strategy could be of considerable importance in the treatment
of MM.

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