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Prepublished online as a Blood First Edition Paper on November 7, 2002; DOI 10.1182/blood-2002-06-1768.
NEOPLASIA
From the Jerome Lipper Multiple Myeloma Center,
Department of Adult Oncology, Dana Farber Cancer Institute, Harvard
Medical School, Boston MA; Department of Medicine, Harvard Medical
School, Boston, MA; Massachusetts Eye and Ear Infirmary, Harvard
Medical School, Boston, MA; Beth Israel Deaconess Medical Center
(BIDMC) Genomics Center, BIDMC, Harvard Institutes of Medicine, Boston,
MA; Boston VA Health Care System, Boston, MA.
The proteasome inhibitor PS-341 inhibits nuclear
factor- PS-341, a boronic acid dipeptide proteasome
inhibitor, inhibits the activation of the transcription factor NF- In this study, we characterized the effect of PS-341 combined with
doxorubicin and melphalan on MM cells. We found that PS-341 lowered the
apoptotic threshold to these chemotherapeutic agents and even reversed
drug resistance. Gene expression profiling using oligonucleotide
microarrays, as well as proteomic analysis, detected down-regulation of
several effectors mediating the response to genotoxic stress. These
studies, therefore, provide the framework for the future use of PS-341
combined with conventional chemotherapy.
Tissue culture
Case report
Materials PS-341 was provided by Millennium Pharmaceuticals (Cambridge, MA). Dexamethasone, doxorubicin, melphalan, and 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) were obtained from Sigma Chemical (St Louis, MO). Ku 70 and 80 antibodies were acquired from Lab Vision (Fremont, CA).Methods RNA isolation, gene expression profiling, and data analysis were performed as previously described.3 High-throughput global proteomic analysis of the signaling state of PS-341-treated MM cells was performed by multiplex-immunoblotting arrays using the KPKS-1.0 and KPSS-1.0 platforms, as previously described.9,10 Immunoblotting analysis and quantification of cell survival with the MTT assay were performed as previously described.11 All experiments were repeated at least 3 times, and each experimental condition was repeated at least in quadruplicate wells. Results from representative experiments are shown. LD50 values were calculated with the use of the SPSS-11.0 statistical package. Statistical significance was examined by a 2-way analysis of variance, followed by Duncan post hoc test. In all analyses, P < .05 was considered statistically significant.
Synergistic anti-MM activity between PS-341 and conventional chemotherapeutics NF- B confers resistance to DNA-damaging
chemotherapy12; conversely, specific inhibition of NF- B
sensitizes MM cells to subtoxic concentrations of
doxorubicin.13 We now investigated whether the proteasome
inhibitor PS-341, which inhibits NF- B activity,1
sensitizes MM cells to conventional chemotherapy. As shown in Figure
1A, PS-341, at a subtoxic concentration,
markedly enhances sensitivity of MM.1S cells to subtoxic concentrations of doxorubicin and to melphalan (P < .001 in both cases).
However, the subtoxic concentration of PS-341 did not increase the
anti-MM effect of dexamethasone (P > .05), in agreement
with our previous finding of only additive cytotoxicity between these 2 agents.5 Dose-response analysis demonstrated that the
LD50 for doxorubicin in MM.1S cells was 150 nM in the
absence and 26 nM in the presence of PS-341 (2 nM) (Figure 1B). The
concentration of PS-341 is 10 to 30 nM in patients' serum, with peaks
of 100 nM, which is sufficient to achieve this synergistic effect
in vivo.
We next investigated whether the sequence of administration of doxorubicin and PS-341 affects their synergistic anti-MM effect. MM.1S cells were therefore (1) pretreated with doxorubicin for 24 hours and then treated with PS-341 for an additional 24 hours, (2) pretreated with PS-341 for 24 hours and then treated with doxorubicin for an additional 24 hours, or (3) treated concomitantly with PS-341 and doxorubicin for 24 hours. Although the combination of PS-341 and doxorubicin was more potent than either drug alone under any of these conditions (P < .05 in all cases), the most pronounced synergy was observed when MM cells are pretreated with doxorubicin followed by PS-341 (Figure 1C). We extended our studies to additional MM cell lines (RPMI-8226/S, ARP-1, S6B45, NCI-H929, and INA6, Figure 1D) and primary patient MM cells (Figure 1E) and confirmed that PS-341 sensitizes MM cells to doxorubicin. Importantly, the same sensitizing effect is observed in cells that have been selected for resistance to doxorubicin (RPMI-Dox40 cells, Figure 1F) or melphalan (LR5 cells, Figure 1G), indicating that PS-341 increases chemosensitivity in both drug-sensitive and -resistant MM cells. We next assessed the effect of PS-341 on the chemosensitivity of
primary MM cells isolated from a patient who had relapsed following
conventional and high-dose chemotherapy, interferon- PS-341 abolishes cell adhesion-mediated drug resistance (CAM-DR) Previous studies have shown that sensitivity of MM cells to doxorubicin is decreased on tumor cell binding to extracellular matrix components, in particular fibronectin.14-17 This CAM-DR is associated with increased availability of caspase inhibitor FLICE-inhibitory protein (FLIP) for binding to the death receptor Fas and decreased activation of caspase-8.18 Because we have demonstrated that PS-341 lowers FLIP expression and facilitates Fas-dependent caspase-8 activation,3 we hypothesized that PS-341 could inhibit CAM-DR. As shown in Figure 1I, MM.1S cells are less sensitive to doxorubicin in the presence than in the absence of fibronectin, but PS-341 completely overcomes this antiapoptotic effect (P < .05).Mechanism of chemosensitization by PS-341 We next investigated the mechanism of the chemosensitizing activity of PS-341. We have previously demonstrated that PS-341 decreases the expression of Bcl-2, A1, cIAP-2, X-linked inhibition of apoptosis (XIAP), and FLIP.3 These effects may be due, at least in part, to the inhibition of NF- B activation by
PS-341,1,2 because specific inhibition of NF- B
down-regulates these apoptosis inhibitors and sensitizes MM cells to
doxorubicin.13 Our findings are consistent with the
ability of NF- B to promote resistance to genotoxic agents in other
models12 and suggest a possible mechanism for the
chemosensitizing activity of PS-341.
To further characterize the effect of the proteasome inhibitor
PS-341 on the transcriptional profile of MM cells, we performed oligonucleotide gene microarray and proteomic analysis of MM.1S cells
treated with PS-341 versus control cells. As we have previously reported,3 PS-341 induced changes in transcripts involved
in the regulation of apoptosis, cell growth, proteasome function, and
heat shock response. In this study, we specifically report the effects
of PS-341 on transcripts modulating response to chemotherapy (Figure
2A). PS-341 down-regulated the
transcripts for several effectors of the protective cellular response
to genotoxic stress: topoisomerase II beta, that relaxes DNA torsion on
replication, transcription, and cell division and is inhibited by
mitoxantrone, doxorubicin, and etoposide19; the Bloom
syndrome gene product, involved in maintenance of genome integrity and
stability through its cooperation with p5320; 8-oxoguanine
DNA glycosylase and uracil-DNA glycosylase, involved in
base-excision repair and protection from oxidative DNA
damage21; the mutS homologs 2 and 6, that are involved in
mismatch repair22; the catalytic subunit of DNA-dependent
protein kinase and Ku autoantigen, which function in the repair of DNA
double-strand breaks caused by physiologic oxidation reactions, V(D)J
recombination, ionizing radiation, and chemotherapeutic
drugs23; the damage-specific DNA binding protein 2; and
the RAD1 homolog, which is involved in nucleotide excision repair and
recombination repair. Selected changes were further confirmed at the
protein level. For example, our proteomic-based analysis confirms the
down-regulation of DNA-dependent protein kinase (Figure 2B-C);
moreover, conventional immunoblotting confirms time-dependent
down-regulation of the Ku subunits (80 and 70 kD) triggered by
PS-341(Figure 2D).
In a phase 2 multicenter clinical trial of PS-341 treatment of patients with relapsed, refractory MM, remarkable antitumor activity has been demonstrated, including some complete responses.7 Our prior in vitro preclinical studies combining PS-341 with other anti-MM agents have revealed an additive antitumor effect with dexamethasone5 and a synergistic effect with the immunomodulatory derivatives (IMiDs) of thalidomide.24 However, the magnitude of the synergy between PS-341 and conventional chemotherapy shown in the present study far exceeds these previous findings. Significant sensitization to anticancer therapies by proteasome inhibitors without increased toxicity has also been demonstrated in other animal models, independent of functional p53 status.25 Therefore, the use of PS-341 as an adjuvant to conventional chemotherapy has significant potential utility to overcome resistance, even in patients with advanced disease. In conclusion, we report that PS-341 sensitizes MM cells to chemotherapy and overcomes CAM-DR. We propose a dual mechanism for this phenomenon, related both to attenuation of the protective cellular response to genotoxic stress and to down-regulation of antiapoptotic protein expression. Our study suggests that the combination of PS-341 with conventional chemotherapy will augment clinical effectiveness and overcome resistance in patients with relapsed refractory MM.
Submitted June 14, 2002; accepted October 17, 2002.
Prepublished online as Blood First Edition Paper, November 7, 2002; DOI 10.1182/blood-2002-06-1768.
Supported by the Multiple Myeloma Research Foundation (N.M., C.S.M.), Laurie Strauss Leukemia Foundation (N.M., C.S.M), National Institutes of Health Grants RO-1 50947 and PO-1 78378, National Institutes of Health Grant R24 DK58739 (T.A.L.), the Leukemia and Lymphoma Society Scholar in Translational Research Award and VA Merit Award (N.C.M.), the Myeloma Research Fund (K.C.A.), and the Doris Duke Distinguished Clinical Research Scientist Award (K.C.A.).
N.M. and C.S.M. have equally contributed to this work.
The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734.
Reprints: Kenneth C. Anderson, Jerome Lipper Multiple Myeloma Center, Dana Farber Cancer Institute, 44 Binney St, Boston, MA 02115; e-mail: kenneth_anderson{at}dfci.harvard.edu.
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M. Leiba, L. Cahalon, A. Shimoni, O. Lider, A. Zanin-Zhorov, I. Hecht, U. Sela, I. Vlodavsky, and A. Nagler Halofuginone inhibits NF-{kappa}B and p38 MAPK in activated T cells J. Leukoc. Biol., August 1, 2006; 80(2): 399 - 406. [Abstract] [Full Text] [PDF] |
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B. H. Y. Yeung, D.-C. Huang, and F. A. Sinicrope PS-341 (Bortezomib) Induces Lysosomal Cathepsin B Release and a Caspase-2-dependent Mitochondrial Permeabilization and Apoptosis in Human Pancreatic Cancer Cells J. Biol. Chem., April 28, 2006; 281(17): 11923 - 11932. [Abstract] [Full Text] [PDF] |
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M. Bazzaro, M. K. Lee, A. Zoso, W. L.H. Stirling, A. Santillan, I.-M. Shih, and R. B.S. Roden Ubiquitin-proteasome system stress sensitizes ovarian cancer to proteasome inhibitor-induced apoptosis. Cancer Res., April 1, 2006; 66(7): 3754 - 3763. [Abstract] [Full Text] [PDF] |
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J. R. Berenson, H. H. Yang, K. Sadler, S. G. Jarutirasarn, R. A. Vescio, R. Mapes, M. Purner, S.-p. Lee, J. Wilson, B. Morrison, et al. Phase I/II Trial Assessing Bortezomib and Melphalan Combination Therapy for the Treatment of Patients With Relapsed or Refractory Multiple Myeloma J. Clin. Oncol., February 20, 2006; 24(6): 937 - 944. [Abstract] [Full Text] [PDF] |
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C. S. Mitsiades, N. S. Mitsiades, C. J. McMullan, V. Poulaki, A. L. Kung, F. E. Davies, G. Morgan, M. Akiyama, R. Shringarpure, N. C. Munshi, et al. Antimyeloma activity of heat shock protein-90 inhibition Blood, February 1, 2006; 107(3): 1092 - 1100. [Abstract] [Full Text] [PDF] |
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N. Yanamandra, N. M. Colaco, N. A. Parquet, R. W. Buzzeo, D. Boulware, G. Wright, L. E. Perez, W. S. Dalton, and D. M. Beaupre Tipifarnib and Bortezomib Are Synergistic and Overcome Cell Adhesion-Mediated Drug Resistance in Multiple Myeloma and Acute Myeloid Leukemia Clin. Cancer Res., January 15, 2006; 12(2): 591 - 599. [Abstract] [Full Text] [PDF] |
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S. Vodanovic-Jankovic, P. Hari, P. Jacobs, R. Komorowski, and W. R. Drobyski NF-{kappa}B as a target for the prevention of graft-versus-host disease: comparative efficacy of bortezomib and PS-1145 Blood, January 15, 2006; 107(2): 827 - 834. [Abstract] [Full Text] [PDF] |
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R. Z. Orlowski Initial Therapy of Multiple Myeloma Patients Who Are Not Candidates for Stem Cell Transplantation Hematology, January 1, 2006; 2006(1): 338 - 347. [Abstract] [Full Text] [PDF] |
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J. San Miguel, J. Blade, M. Boccadoro, J. Cavenagh, A. Glasmacher, S. Jagannath, S. Lonial, R. Z. Orlowski, P. Sonneveld, and H. Ludwig A Practical Update on the Use of Bortezomib in the Management of Multiple Myeloma Oncologist, January 1, 2006; 11(1): 51 - 61. [Abstract] [Full Text] [PDF] |
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T. Hideshima, J. E. Bradner, D. Chauhan, and K. C. Anderson Intracellular Protein Degradation and Its Therapeutic Implications Clin. Cancer Res., December 15, 2005; 11(24): 8530 - 8533. [Full Text] [PDF] |
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D. Spentzos, D. A. Levine, S. Kolia, H. Otu, J. Boyd, T. A. Libermann, and S. A. Cannistra Unique Gene Expression Profile Based on Pathologic Response in Epithelial Ovarian Cancer J. Clin. Oncol., November 1, 2005; 23(31): 7911 - 7918. [Abstract] [Full Text] [PDF] |
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T. Hideshima, D. Chauhan, P. Richardson, and K. C. Anderson Identification and Validation of Novel Therapeutic Targets for Multiple Myeloma J. Clin. Oncol., September 10, 2005; 23(26): 6345 - 6350. [Abstract] [Full Text] [PDF] |
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G. Saunders Overview of drug therapy for multiple myeloma Journal of Oncology Pharmacy Practice, September 1, 2005; 11(3): 83 - 100. [Abstract] [PDF] |
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H. Tatetsu, Y. Okuno, M. Nakamura, F. Matsuno, T. Sonoki, I. Taniguchi, S. Uneda, K. Umezawa, H. Mitsuya, and H. Hata Dehydroxymethylepoxyquinomicin, a novel nuclear factor-{kappa}B inhibitor, induces apoptosis in multiple myeloma cells in an I{kappa}B{alpha}-independent manner Mol. Cancer Ther., July 1, 2005; 4(7): 1114 - 1120. [Abstract] [Full Text] [PDF] |
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T. Hideshima, J. E. Bradner, J. Wong, D. Chauhan, P. Richardson, S. L. Schreiber, and K. C. Anderson Small-molecule inhibition of proteasome and aggresome function induces synergistic antitumor activity in multiple myeloma PNAS, June 14, 2005; 102(24): 8567 - 8572. [Abstract] [Full Text] [PDF] |
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M. Hamasaki, T. Hideshima, P. Tassone, P. Neri, K. Ishitsuka, H. Yasui, N. Shiraishi, N. Raje, S. Kumar, D. H. Picker, et al. Azaspirane (N-N-diethyl-8,8-dipropyl-2-azaspiro [4.5] decane-2-propanamine) inhibits human multiple myeloma cell growth in the bone marrow milieu in vitro and in vivo Blood, June 1, 2005; 105(11): 4470 - 4476. [Abstract] [Full Text] [PDF] |
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R. Z. Orlowski, P. M. Voorhees, R. A. Garcia, M. D. Hall, F. J. Kudrik, T. Allred, A. R. Johri, P. E. Jones, A. Ivanova, H. W. Van Deventer, et al. Phase 1 trial of the proteasome inhibitor bortezomib and pegylated liposomal doxorubicin in patients with advanced hematologic malignancies Blood, April 15, 2005; 105(8): 3058 - 3065. [Abstract] [Full Text] [PDF] |
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T. Ikezoe, Y. Yang, K. Bandobashi, T. Saito, S. Takemoto, H. Machida, K. Togitani, H. P. Koeffler, and H. Taguchi Oridonin, a diterpenoid purified from Rabdosia rubescens, inhibits the proliferation of cells from lymphoid malignancies in association with blockade of the NF-{kappa}B signal pathways Mol. Cancer Ther., April 1, 2005; 4(4): 578 - 586. [Abstract] [Full Text] [PDF] |
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D. Chauhan, T. Hideshima, C. Mitsiades, P. Richardson, and K. C. Anderson Proteasome inhibitor therapy in multiple myeloma Mol. Cancer Ther., April 1, 2005; 4(4): 686 - 692. [Abstract] [Full Text] [PDF] |
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J. Gauduchon, F. Gouilleux, S. Maillard, V. Marsaud, J.-M. Renoir, and B. Sola 4-Hydroxytamoxifen Inhibits Proliferation of Multiple Myeloma Cells In vitro through Down-Regulation of c-Myc, Up-Regulation of p27Kip1, and Modulation of Bcl-2 Family Members Clin. Cancer Res., March 15, 2005; 11(6): 2345 - 2354. [Abstract] [Full Text] [PDF] |
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M. Nikrad, T. Johnson, H. Puthalalath, L. Coultas, J. Adams, and A. S. Kraft The proteasome inhibitor bortezomib sensitizes cells to killing by death receptor ligand TRAIL via BH3-only proteins Bik and Bim Mol. Cancer Ther., March 1, 2005; 4(3): 443 - 449. [Abstract] [Full Text] [PDF] |
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S. V. Rajkumar, P. G. Richardson, T. Hideshima, and K. C. Anderson Proteasome Inhibition As a Novel Therapeutic Target in Human Cancer J. Clin. Oncol., January 20, 2005; 23(3): 630 - 639. [Abstract] [Full Text] [PDF] |
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V. Poulaki, C. S. Mitsiades, C. McMullan, G. Fanourakis, J. Negri, A. Goudopoulou, I. X. Halikias, G. Voutsinas, S. Tseleni-Balafouta, J. W. Miller, et al. Human Retinoblastoma Cells Are Resistant to Apoptosis Induced by Death Receptors: Role of Caspase-8 Gene Silencing Invest. Ophthalmol. Vis. Sci., January 1, 2005; 46(1): 358 - 366. [Abstract] [Full Text] [PDF] |
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R. Z. Orlowski The Ubiquitin Proteasome Pathway from Bench to Bedside Hematology, January 1, 2005; 2005(1): 220 - 225. [Abstract] [Full Text] [PDF] |
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D. Spentzos, D. A. Levine, M. F. Ramoni, M. Joseph, X. Gu, J. Boyd, Towia. A. Libermann, and S. A. Cannistra Gene Expression Signature With Independent Prognostic Significance in Epithelial Ovarian Cancer J. Clin. Oncol., December 1, 2004; 22(23): 4700 - 4710. [Abstract] [Full Text] [PDF] |
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G. W. Small, Y. Y. Shi, N. A. Edmund, S. Somasundaram, D. T. Moore, and R. Z. Orlowski Evidence That Mitogen-Activated Protein Kinase Phosphatase-1 Induction by Proteasome Inhibitors Plays an Antiapoptotic Role Mol. Pharmacol., December 1, 2004; 66(6): 1478 - 1490. [Abstract] [Full Text] [PDF] |
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S. Mabuchi, M. Ohmichi, Y. Nishio, T. Hayasaka, A. Kimura, T. Ohta, J. Kawagoe, K. Takahashi, N. Yada-Hashimoto, H. Seino-Noda, et al. Inhibition of Inhibitor of Nuclear Factor-{kappa}B Phosphorylation Increases the Efficacy of Paclitaxel in in Vitro and in Vivo Ovarian Cancer Models Clin. Cancer Res., November 15, 2004; 10(22): 7645 - 7654. [Abstract] [Full Text] [PDF] |
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R. A. Kyle and S. V. Rajkumar Multiple Myeloma N. Engl. J. Med., October 28, 2004; 351(18): 1860 - 1873. [Full Text] [PDF] |
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M. H. Shah, D. Young, H. L. Kindler, I. Webb, B. Kleiber, J. Wright, and M. Grever Phase II Study of the Proteasome Inhibitor Bortezomib (PS-341) in Patients with Metastatic Neuroendocrine Tumors Clin. Cancer Res., September 15, 2004; 10(18): 6111 - 6118. [Abstract] [Full Text] [PDF] |
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T. Hideshima, P. L. Bergsagel, W. M. Kuehl, and K. C. Anderson Advances in biology of multiple myeloma: clinical applications Blood, August 1, 2004; 104(3): 607 - 618. [Abstract] [Full Text] [PDF] |
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G. Minotti, P. Menna, E. Salvatorelli, G. Cairo, and L. Gianni Anthracyclines: Molecular Advances and Pharmacologic Developments in Antitumor Activity and Cardiotoxicity Pharmacol. Rev., June 1, 2004; 56(2): 185 - 229. [Abstract] [Full Text] [PDF] |
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M. Adachi, Y. Zhang, X. Zhao, T. Minami, R. Kawamura, Y. Hinoda, and K. Imai Synergistic Effect of Histone Deacetylase Inhibitors FK228 and m-Carboxycinnamic Acid Bis-Hydroxamide with Proteasome Inhibitors PSI and PS-341 against Gastrointestinal Adenocarcinoma Cells Clin. Cancer Res., June 1, 2004; 10(11): 3853 - 3862. [Abstract] [Full Text] [PDF] |
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S. Mabuchi, M. Ohmichi, Y. Nishio, T. Hayasaka, A. Kimura, T. Ohta, M. Saito, J. Kawagoe, K. Takahashi, N. Yada-Hashimoto, et al. Inhibition of NF{kappa}B Increases the Efficacy of Cisplatin in in Vitro and in Vivo Ovarian Cancer Models J. Biol. Chem., May 28, 2004; 279(22): 23477 - 23485. [Abstract] [Full Text] [PDF] |
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K. Sun, L. A. Welniak, A. Panoskaltsis-Mortari, M. J. O'Shaughnessy, H. Liu, I. Barao, W. Riordan, R. Sitcheran, C. Wysocki, J. S. Serody, et al. Inhibition of acute graft-versus-host disease with retention of graft-versus-tumor effects by the proteasome inhibitor bortezomib PNAS, May 25, 2004; 101(21): 8120 - 8125. [Abstract] [Full Text] [PDF] |
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J. Cortes, D. Thomas, C. Koller, F. Giles, E. Estey, S. Faderl, G. Garcia-Manero, D. McConkey, G. Patel, R. Guerciolini, et al. Phase I Study of Bortezomib in Refractory or Relapsed Acute Leukemias Clin. Cancer Res., May 15, 2004; 10(10): 3371 - 3376. [Abstract] [Full Text] [PDF] |
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P. Bonvini, H. D. Rosa, N. Vignes, and A. Rosolen Ubiquitination and Proteasomal Degradation of Nucleophosmin-Anaplastic Lymphoma Kinase Induced by 17-Allylamino-Demethoxygeldanamycin: Role of the Co-Chaperone Carboxyl Heat Shock Protein 70-Interacting Protein Cancer Res., May 1, 2004; 64(9): 3256 - 3264. [Abstract] [Full Text] [PDF] |
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B. Zheng, G. V. Georgakis, Y. Li, A. Bharti, D. McConkey, B. B. Aggarwal, and A. Younes Induction of Cell Cycle Arrest and Apoptosis by the Proteasome Inhibitor PS-341 in Hodgkin Disease Cell Lines Is Independent of Inhibitor of Nuclear Factor-{kappa}B Mutations or Activation of the CD30, CD40, and RANK Receptors Clin. Cancer Res., May 1, 2004; 10(9): 3207 - 3215. [Abstract] [Full Text] [PDF] |
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S. Trudel, S. Ely, Y. Farooqi, M. Affer, D. F. Robbiani, M. Chesi, and P. L. Bergsagel Inhibition of fibroblast growth factor receptor 3 induces differentiation and apoptosis in t(4;14) myeloma Blood, May 1, 2004; 103(9): 3521 - 3528. [Abstract] [Full Text] [PDF] |
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J. Moreaux, E. Legouffe, E. Jourdan, P. Quittet, T. Reme, C. Lugagne, P. Moine, J.-F. Rossi, B. Klein, and K. Tarte BAFF and APRIL protect myeloma cells from apoptosis induced by interleukin 6 deprivation and dexamethasone Blood, April 15, 2004; 103(8): 3148 - 3157. [Abstract] [Full Text] [PDF] |
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C. S. Mitsiades, N. S. Mitsiades, C. J. McMullan, V. Poulaki, R. Shringarpure, T. Hideshima, M. Akiyama, D. Chauhan, N. Munshi, X. Gu, et al. Transcriptional signature of histone deacetylase inhibition in multiple myeloma: Biological and clinical implications PNAS, January 13, 2004; 101(2): 540 - 545. [Abstract] [Full Text] [PDF] |
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J.-L. Harousseau, J. Shaughnessy Jr., and P. Richardson Multiple Myeloma Hematology, January 1, 2004; 2004(1): 237 - 256. [Abstract] [Full Text] [PDF] |
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H. Matta, Q. Sun, G. Moses, and P. M. Chaudhary Molecular Genetic Analysis of Human Herpes Virus 8-encoded Viral FLICE Inhibitory Protein-induced NF-{kappa}B Activation J. Biol. Chem., December 26, 2003; 278(52): 52406 - 52411. [Abstract] [Full Text] [PDF] |
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P. M. Voorhees, E. C. Dees, B. O'Neil, and R. Z. Orlowski The Proteasome as a Target for Cancer Therapy Clin. Cancer Res., December 15, 2003; 9(17): 6316 - 6325. [Abstract] [Full Text] [PDF] |
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D. Chauhan, G. Li, R. Shringarpure, K. Podar, Y. Ohtake, T. Hideshima, and K. C. Anderson Blockade of Hsp27 Overcomes Bortezomib/Proteasome Inhibitor PS-341 Resistance in Lymphoma Cells Cancer Res., October 1, 2003; 63(19): 6174 - 6177. [Abstract] [Full Text] [PDF] |
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A.-H. Lee, N. N. Iwakoshi, K. C. Anderson, and L. H. Glimcher Inaugural Article: Proteasome inhibitors disrupt the unfolded protein response in myeloma cells PNAS, August 19, 2003; 100(17): 9946 - 9951. [Abstract] [Full Text] [PDF] |
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