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Blood, 30 July 2009, Vol. 114, No. 5, pp. 1046-1052.
Prepublished online as a Blood First Edition Paper on May 12, 2009; DOI 10.1182/blood-2009-01-199604.
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LYMPHOID NEOPLASIA
Bortezomib induces canonical nuclear factor- B activation in multiple myeloma cells
Teru Hideshima1,
Hiroshi Ikeda1,
Dharminder Chauhan1,
Yutaka Okawa1,
Noopur Raje1,
Klaus Podar1,
Constantine Mitsiades1,
Nikhil C. Munshi2,
Paul G. Richardson1,
Ruben D. Carrasco1, and
Kenneth C. Anderson1
1 Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA; and
2 VA Boston Healthcare System, Harvard Medical School, MA
Bortezomib is a proteasome inhibitor with remarkable preclinical and clinical antitumor activity in multiple myeloma (MM) patients. The initial rationale for its use in MM was inhibition of nuclear factor (NF)- B activity by blocking proteasomal degradation of inhibitor of B (I B ). Bortezomib inhibits inducible NF- B activity; however, its impact on constitutive NF- B activity in MM cells has not yet been defined. In this study, we demonstrate that bortezomib significantly down-regulated I B expression and triggered NF- B activation in MM cell lines and primary tumor cells from MM patients. Importantly, no inhibition of p65 (RelA) nuclear translocation was recognized after bortezomib treatment in a murine xenograft model bearing human MM cells. Bortezomib-induced NF- B activation was mediated via the canonical pathway. Moreover, other classes of proteasome inhibitors also induced I B down-regulation associated with NF- B activation. Molecular mechanisms whereby bortezomib induced I B down-regulation were further examined. Bortezomib triggered phosphorylation of I B kinase (IKKβ) and its upstream receptor-interacting protein 2, whereas IKKβ inhibitor MLN120B blocked bortezomib-induced I B down-regulation and NF- B activation, indicating receptor-interacting protein 2/IKKβ signaling plays crucial role in bortezomib-induced NF- B activation. Moreover, IKKβ inhibitors enhanced bortezomib-induced cytotoxicity. Our studies therefore suggest that bortezomib-induced cytotoxicity cannot be fully attributed to inhibition of canonical NF- B activity in MM cells.

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