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Blood, 15 September 2007, Vol. 110, No. 6, pp. 2041-2048. Prepublished online as a Blood First Edition Paper on May 29, 2007; DOI 10.1182/blood-2007-04-082495.
NEOPLASIA The syndecan-1 heparan sulfate proteoglycan is a viable target for myeloma therapy1 Department of Pathology, University of Alabama at Birmingham; 2 Department of Pathology, University of Arkansas for Medical Sciences, Little Rock; 3 Momenta Pharmaceuticals, Cambridge, MA; 4 Division of Bioengineering and Environmental Health, Massachusetts Institute of Technology, Cambridge; 5 G. Ronzoni Institute for Chemical and Biochemical Research, Milan, Italy; 6 Cancer and Vascular Biology Research Center, The Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel; 7 Center for Orthopedic Research, Department of Orthopedic Surgery, University of Arkansas for Medical Sciences, Little Rock; 8 Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock The heparan sulfate proteoglycan syndecan-1 is expressed by myeloma cells and shed into the myeloma microenvironment. High levels of shed syndecan-1 in myeloma patient sera correlate with poor prognosis and studies in animal models indicate that shed syndecan-1 is a potent stimulator of myeloma tumor growth and metastasis. Overexpression of extracellular endosulfatases, enzymes which remove 6-O sulfate groups from heparan sulfate chains, diminishes myeloma tumor growth in vivo. Together, these findings identify syndecan-1 as a potential target for myeloma therapy. Here, 3 different strategies were tested in animal models of myeloma with the following results: (1) treatment with bacterial heparinase III, an enzyme that degrades heparan sulfate chains, dramatically inhibited the growth of primary tumors in the human severe combined immunodeficient (SCID-hu) model of myeloma; (2) treatment with an inhibitor of human heparanase, an enzyme that synergizes with syndecan-1 in promoting myeloma progression, blocked the growth of myeloma in vivo; and (3) knockdown of syndecan-1 expression by RNAi diminished and delayed myeloma tumor development in vivo. These results confirm the importance of syndecan-1 in myeloma pathobiology and provide strong evidence that disruption of the normal function or amount of syndecan-1 or its heparan sulfate chains is a valid therapeutic approach for this cancer.
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