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Prepublished online as a Blood First Edition Paper on July 25, 2002; DOI 10.1182/blood-2002-02-0608.
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Blood, 15 November 2002, Vol. 100, No. 10, pp. 3819-3821
BRIEF REPORT
Overexpression of the myeloma-associated oncogene
fibroblast growth factor receptor 3 confers dexamethasone
resistance
Jonathan B. Pollett,
Suzanne Trudel,
Daniel Stern,
Zhixiong H. Li, and
A. Keith Stewart
From the Division of Experimental Therapeutics, Toronto
General Research Institute, and the Department of Medical Oncology,
Princess Margaret Hospital, Toronto, ON, Canada.
Translocations involving the immunoglobulin heavy-chain switch
region and fibroblast growth factor receptor 3 (FGFR3) are identified
in 10% to 15% of patients with myeloma. In previous research we
overexpressed FGFR3 or the constitutively active FGFR3-TD mutant in an
interleukin-6 (IL-6)-dependent murine myeloma cell line, B9.
FGFR3-enhanced IL-6 responsiveness increased phosphorylation of STAT3
and up-regulated Bcl-xL. Since Bcl-xL was
up-regulated, we have tested FGFR3-expressing B9 cells for chemotherapy
sensitivity. FGFR3 expression did not alter sensitivity to melphalan or
doxorubicin. In contrast, B9 cells overexpressing FGFR3 were resistant
to treatment with dexamethasone, a phenomenon successfully reversed
using a Bcl-xL antisense oligonucleotide. These data
demonstrate that the overexpression of FGFR3 in B9 cells confers
resistance to dexamethasone but not to anthracyclines or alkylating
agents, at least in part through the up-regulation of
Bcl-xL. This finding has potential implications for the use
of chemotherapy in t(4;14)-positive myeloma.

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