| |
|
|
|
|
|
|
|||
|
Blood, 7 May 2009, Vol. 113, No. 19, pp. 4614-4626. Prepublished online as a Blood First Edition Paper on February 24, 2009; DOI 10.1182/blood-2008-07-170464.
LYMPHOID NEOPLASIA The role of IGF-1 as a major growth factor for myeloma cell lines and the prognostic relevance of the expression of its receptor1 Inserm U847, Montpellier, France; 2 Medizinische Klinik V, Universitätsklinikum Heidelberg, Heidelberg, Germany; 3 Nationales Centrum für Tumorerkrankungen, Heidelberg, Germany; 4 ABCell-Bio, Unit for Cellular Therapy, Centre Hospitalier Universitaire (CHU) St Eloi, Montpellier, France; 5 CHU Montpellier, Institute of Research in Biotherapy, Montpellier, France; 6 Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock; 7 Institut für Humangenetik, Universitätsklinikum Heidelberg, Heidelberg, Germany; and 8 Université Montpellier1, UFR Médecine, Montpellier, France A plethora of myeloma growth factors (MGFs) has been identified, but their relative importance and cooperation have not been determined. We investigated 5 MGFs (interleukin-6 [IL-6], insulin-like growth factor type 1 [IGF-1], hepatocyte growth factor [HGF], HB–epidermal growth factor [HB-EGF], and a proliferation-inducing ligand [APRIL]) in serum-free cultures of human myeloma cell lines (HMCLs). In CD45– HMCLs, an autocrine IGF-1 loop promoted autonomous survival whereas CD45+ HMCLs could not survive without addition of MGFs, mainly IGF-1 and IL-6. IGF-1 was the major one: its activity was abrogated by an IGF-1R inhibitor only, whereas IL-6, HGF, or HB-EGF activity was inhibited by both IGF-1R– and receptor-specific inhibition. APRIL activity was inhibited by its specific inhibitor only. Of the investigated MGFs and their receptors, only expressions of IGF-1R and IL-6R in multiple myeloma cells (MMCs) of patients delineate a group with adverse prognosis. This is mainly explained by a strong association of IGF-1R and IL-6R expression and t(4;14) translocation, but IGF-1R expression without t(4;14) can also have a poor prognosis. Thus, IGF-1–targeted therapy, eventually in combination with anti–IL-6 therapy, could be promising in a subset of patients with MMCs expressing IGF-1R.
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Copyright © 2009 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||