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Blood, 15 August 2008, Vol. 112, No. 4, pp. 1346-1356.
Prepublished online as a Blood First Edition Paper on June 4, 2008; DOI 10.1182/blood-2007-10-116590.


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NEOPLASIA

Validation of PDGFRβ and c-Src tyrosine kinases as tumor/vessel targets in patients with multiple myeloma: preclinical efficacy of the novel, orally available inhibitor dasatinib

Addolorata Maria Luce Coluccia1,2, Teresa Cirulli1, Paola Neri3, Domenica Mangieri4, Maria Cristina Colanardi1, Antonio Gnoni1, Nicola Di Renzo5, Franco Dammacco1, Pierfrancesco Tassone3, Domenico Ribatti4, Carlo Gambacorti-Passerini2, and Angelo Vacca1

1 Department of Internal Medicine and Clinical Oncology, University of Bari Medical School, Bari; 2 Department of Clinical Medicine, University of Milano-Bicocca, Milan; 3 University of Magna Græcia and Cancer Center, Campus Germaneto, Catanzaro; 4 Department of Human Anatomy and Histology, University of Bari Medical School, Bari; and 5 Unit of Hematology, Hospital Vito Fazzi, Lecce, Italy

Inhibition of multiple myeloma (MM) plasma cells in their permissive bone marrow microenvironment represents an attractive strategy for blocking the tumor/vessel growth associated with the disease progression. However, target specificity is an essential aim of this approach. Here, we identified platelet-derived growth factor (PDGF)–receptor beta (PDGFRβ) and pp60c-Src as shared constitutively activated tyrosine-kinases (TKs) in plasma cells and endothelial cells (ECs) isolated from MM patients (MMECs). Our cellular and molecular dissection showed that the PDGF-BB/PDGFRβ kinase axis promoted MM tumor growth and vessel sprouting by activating ERK1/2, AKT, and the transcription of MMEC-released proangiogenic factors, such as vascular endothelial growth factor (VEGF) and interleukin-8 (IL-8). Interestingly, pp60c-Src TK-activity was selectively induced by VEGF in MM tumor and ECs, and the use of small-interfering (si)RNAs validated pp60c-Src as a key signaling effector of VEGF loop required for MMEC survival, migration, and angiogenesis. We also assessed the antitumor/vessel activity of dasatinib, a novel orally bioactive PDGFRβ/Src TK-inhibitor that significantly delayed MM tumor growth and angiogenesis in vivo, showing a synergistic cytotoxicity with conventional and novel antimyeloma drugs (ie, melphalan, prednisone, bor-tezomib, and thalidomide). Overall data highlight the biologic and therapeutic relevance of the combined targeting of PDGFRβ/c-Src TKs in MM, providing a framework for future clinical trials.


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