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Prepublished online as a Blood First Edition Paper on November 7, 2002; DOI 10.1182/blood-2002-06-1768.

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Blood, 15 March 2003, Vol. 101, No. 6, pp. 2377-2380

NEOPLASIA
Brief report

The proteasome inhibitor PS-341 potentiates sensitivity of multiple myeloma cells to conventional chemotherapeutic agents: therapeutic applications

Nicholas Mitsiades, Constantine S. Mitsiades, Paul G. Richardson, Vassiliki Poulaki, Yu-Tzu Tai, Dharminder Chauhan, Galinos Fanourakis, Xuesong Gu, Charles Bailey, Marie Joseph, Towia A. Libermann, Robert Schlossman, Nikhil C. Munshi, Teru Hideshima, and Kenneth C. Anderson

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.


    Abstract
Top
Abstract
Introduction
Study design
Results and discussion
References

The proteasome inhibitor PS-341 inhibits nuclear factor-kappa B (NF-kappa B) activation, induces apoptosis in cancer cells, including multiple myeloma (MM) cells, and has marked clinical activity as a monotherapy for MM. In this study, we found that subtoxic concentrations of PS-341 potently sensitized MM cell lines and patient cells to DNA-damaging chemotherapeutic agents such as doxorubicin and melphalan, including cells resistant to these drugs and those isolated from a patient who had relapsed after PS-341 monotherapy. Moreover, PS-341 abolished cell adhesion-mediated drug resistance. Using gene expression profiling and proteomic analysis, we demonstrate that PS-341, among its other proapoptotic effects, down-regulates the expression of several effectors involved in the cellular response to genotoxic stress. These data suggest that, in addition to down-regulating the expression of apoptosis inhibitors, PS-341 inhibits genotoxic stress response pathways and thereby restores sensitivity to DNA-damaging chemotherapeutic agents. These studies, therefore, provide the framework for clinical use of this agent in combination with conventional chemotherapy. (Blood. 2003;101:2377-2380)

© 2003 by The American Society of Hematology.

    Introduction
Top
Abstract
Introduction
Study design
Results and discussion
References

PS-341, a boronic acid dipeptide proteasome inhibitor, inhibits the activation of the transcription factor NF-kappa B (nuclear factor-kappa B),1,2 down-regulates the expression of several apoptosis inhibitors,3 induces caspase-dependent apoptosis of drug resistant multiple myeloma (MM) cell lines and patient cells,3,4 inhibits MM cell binding to bone marrow stromal cells (BMSCs), and inhibits production of MM growth and survival factors in the BM milieu.5 In a murine plasmacytoma model, PS-341 inhibits tumor growth in a dose-dependent fashion and prolongs host survival.6 In a phase 2 clinical trial of PS-341 in patients with relapsed, refractory MM, objective responses, including some complete responses, were observed.7

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.


    Study design
Top
Abstract
Introduction
Study design
Results and discussion
References

Tissue culture

Human MM cell lines included MM.1S,8 RPMI-8226/S, and its doxorubicin (Dox40)- and melphalan (LR5)-resistant sublines,8 ARP-1,8 S6B45,8 NCI-H929 (American Type Culture Collection, Manassas, VA), and INA6 (a gift from Renate Burger, University of Erlangen-Nuernberg, Germany). Tumor cells were freshly isolated from the bone marrow of MM patients as previously described.8

Case report

A 58-year-old woman, with relapsed refractory immunoglobulin G (IgG) lambda MM, had received prior therapy with melphalan and prednisone; vincristine, doxorubicin, and dexamethasone (VAD) plus cyclophosphamide; high-dose melphalan and autologous stem cell transplantation; alpha -interferon; and thalidomide. After informed consent, she received cyclic PS-341, 1.3 mg/m2 intravenously twice a week for 2 weeks with 1 week off, per approved protocol of the institutional review board (IRB). Although serum paraprotein decreased from 5.1 g/dL to 3.3 g/dL after 3 cycles of PS-341, she developed fatigue and exacerbation of a preexisting peripheral neuropathy. PS-341 dose was, therefore, reduced to 1 mg/m2, and she completed 4 cycles of therapy. Because of progressive disease evidenced by increasing paraprotein (5.0 g/dL) and circulating plasma cells, dexamethasone (40 mg twice a week for 2 weeks each cycle) was added. Although her M-component slightly decreased (to 4.7 g/dL) and circulating plasma cells transiently cleared, she developed rapidly progressive disease, with 48% circulating plasma cells after the sixth cycle; PS-341 protocol treatment was discontinued. Subsequent therapy with intravenous cyclophosphamide, thalidomide, thalidomide alone, dexamethasone, and biaxin, as well as Doxil with thalidomide and dexamethasone, was ineffective. At this time, MM cells were isolated by BM aspiration and purified as previously described.8

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.


    Results and discussion
Top
Abstract
Introduction
Study design
Results and discussion
References

Synergistic anti-MM activity between PS-341 and conventional chemotherapeutics

NF-kappa B confers resistance to DNA-damaging chemotherapy12; conversely, specific inhibition of NF-kappa B sensitizes MM cells to subtoxic concentrations of doxorubicin.13 We now investigated whether the proteasome inhibitor PS-341, which inhibits NF-kappa 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.


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Figure 1. PS-341 sensitizes MM cells to DNA-damaging chemotherapy. (A) MM.1S cells were pretreated with doxorubicin (Doxo; 40 nM), melphalan (Mel; 1 µM), or dexamethasone (Dex; 0.5 µM) for 24 hours, and then PS-341 (2 nM) was added for additional 24 hours (black bars, without PS-341; white bars, with PS-341). PS-341 sensitizes MM.1S cells to DNA-damaging chemotherapy. (B) Dose-response analysis for the effect of doxorubicin on MM.1S cells in the presence (black-square) or absence (black-diamond ) of PS-341 (2 nM) reveals that PS-341 decreases the LD50 of doxorubicin from 150 to 26 nM. (C) MM.1S cells were pretreated with doxorubicin (50 ng/mL) for 24 hours, and then PS-341 (2 nM) was added for an additional 24 hours (i), or pretreated with PS-341 for 24 hours and then doxorubicin for an additional 24 hours (ii), or treated with PS-341 and doxorubicin together for 24 hours (iii). In all cases a synergistic effect is found, but the strongest synergy is observed when the cells are pretreated with doxorubicin followed by PS-341 treatment (black bars, control; white bars, doxorubicin alone; grid bars, PS-341; gray bars, doxorubicin plus PS-341). (D) RPMI-8226/S, ARP-1, S6B45, NCH-H929, and INA6 cells were pretreated with doxorubicin (50 ng/mL) for 24 hours and then with PS-341 (2 nM) for an additional 24 hours (black bars, control; white bars, doxorubicin alone; grid bars, PS-341; gray bars, doxorubicin plus PS-341). (E) Primary MM cells from 4 PS-341-naive patients were pretreated with doxorubicin (50 ng/mL) for 24 hours and then with PS-341 (2 nM) for an additional 24 hours. PS-341 sensitizes all MM cells to doxorubicin (black bars, control; white bars, doxorubicin alone; grid bars, PS-341; gray bars, doxorubicin plus PS-341). (F) Doxorubicin-resistant RPMI-Dox40 cells were pretreated with (white bars) or without (black bars) doxorubicin (800 ng/mL) for 24 hours, and then PS-341 (2-10 nM) was added for an additional 24 hours (black bars, without doxorubicin; white bars, with doxorubicin). PS-341 sensitizes RPMI-Dox40 cells to doxorubicin. (G) Melphalan-resistant LR5 cells were pretreated with or without melphalan (5 µM) for 24 hours, and then PS-341 (2 nM) was added for an additional 24 hours. PS-341 sensitizes LR5 cells to melphalan. (H) MM cells isolated from a patient who had relapsed following treatment with PS-341 were pretreated with (white bars) or without (black bars) doxorubicin (100 ng/mL) for 24 hours, and then PS-341 (5-20 nM) was added for an additional 24 hours. Pretreatment with doxorubicin overcomes resistance to PS-341. (I) MM.1S cells were treated for 24 hours with doxorubicin (100-200 ng/mL) in wells coated with (white bars) or without (black bars) fibronectin (FN). PS-341 (10 nM) was added for additional 24 hours. In all cases, percentage of cell survival (mean ± SD) is quantified by MTT. All experiments were repeated at least 3 times, and each experimental condition was repeated at least in quadruplicate wells in each experiment. Results from representative experiments are shown.

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-alpha , thalidomide alone and combined with cytotoxic drugs or steroids, liposomal doxorubicin, as well as PS-341 alone and in combination with dexamethasone. These patient MM cells have low sensitivity to either PS-341 (IC50 > 50 nM compared with IC50 < 5 nM in PS-341-sensitive patient MM cells2) or doxorubicin monotherapy in vitro. Nonetheless, the combination of these 2 agents results in significant MM cell death (Figure 1H). Therefore, synergy between PS-341 and chemotherapy can reverse resistance to either agent alone.

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-kappa B activation by PS-341,1,2 because specific inhibition of NF-kappa B down-regulates these apoptosis inhibitors and sensitizes MM cells to doxorubicin.13 Our findings are consistent with the ability of NF-kappa 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).


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Figure 2. PS-341 down-regulates the expression of several proteins involved in DNA repair. (A) Transcriptional profile detected by oligonucleotide-microarray analysis in MM-1S cells treated with PS-341. Transcriptional changes induced by PS-341 (100 nM, 1-8 hours) included down-regulation of a functional cluster of molecules implicated in the response to genotoxic stress. Color saturation is proportional to magnitude of the difference from the respective control. (B-C) Proteomic analysis of the signaling state of PS-341-treated MM-1S cells. Proteomic analysis detects down-regulation of DNA-PK following 8-hour incubation with PS-341 (as depicted by respective arrows). (D) Immunoblotting confirms that PS-341 decreases protein expression of Ku 80 and Ku 70.

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.


    Footnotes

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.


    References
Top
Abstract
Introduction
Study design
Results and discussion
References

1. Hideshima T, Chauhan D, Schlossman R, Richardson P, Anderson KC. The role of tumor necrosis factor alpha in the pathophysiology of human multiple myeloma: therapeutic applications. Oncogene. 2001;20:4519-4527[CrossRef][Medline] [Order article via Infotrieve].

2. Hideshima T, Chauhan D, Richardson P, et al. NF-kappa B as a therapeutic target in multiple myeloma. J Biol Chem. 2002;277:16639-16647[Abstract/Free Full Text].

3. Mitsiades N, Mitsiades CS, Poulaki V, et al. Molecular sequelae of proteasome inhibition in human multiple myeloma cells. Proc Natl Acad Sci U S A. 2002;99:14374-14379[Abstract/Free Full Text].

4. Hideshima T, Mitsiades C, Akiyama M, et al. Molecular mechanisms mediating antimyeloma activity of proteasome inhibitor PS-341. Blood. 2003;101:1530-1534[Abstract/Free Full Text].

5. Hideshima T, Richardson P, Chauhan D, et al. The proteasome inhibitor PS-341 inhibits growth, induces apoptosis, and overcomes drug resistance in human multiple myeloma cells. Cancer Res. 2001;61:3071-3076[Abstract/Free Full Text].

6. LeBlanc R, Catley LP, Hideshima T, et al. Proteasome inhibitor PS-341 inhibits human myeloma cell growth in vivo and prolongs survival in a murine model. Cancer Res. 2002;62:4996-5000[Abstract/Free Full Text].

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8. Mitsiades CS, Treon SP, Mitsiades N, et al. TRAIL/Apo2L ligand selectively induces apoptosis and overcomes drug resistance in multiple myeloma: therapeutic applications. Blood. 2001;98:795-804[Abstract/Free Full Text].

9. Zhang H, Shi X, Zhang Q-J, et al. Nocodazole-induced p53-dependent c-Jun N-terminal kinase activation reduces apoptosis in human colon carcinoma HCT116 cells. J Biol. Chem. 2002;277:43648-43658[Abstract/Free Full Text].

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11. Mitsiades N, Poulaki V, Kotoula V, Leone A, Tsokos M. Fas ligand is present in tumors of the Ewing's sarcoma family and is cleaved into a soluble form by a metalloproteinase. Am J Pathol. 1998;153:1947-1956[Abstract/Free Full Text].

12. Wang CY, Mayo MW, Baldwin AS Jr. TNF-alpha and cancer therapy-induced apoptosis: potentiation by inhibition of NF-kappaB. Science. 1996;274:784-787[Abstract/Free Full Text].

13. Mitsiades N, Mitsiades CS, Poulaki V, et al. Biologic sequelae of NF-kappa B blockade in multiple myeloma: therapeutic applications. Blood. 2002;99:4079-4086[Abstract/Free Full Text].

14. Damiano JS, Dalton WS. Integrin-mediated drug resistance in multiple myeloma. Leuk Lymphoma. 2000;38:71-81[Medline] [Order article via Infotrieve].

15. Damiano JS, Cress AE, Hazlehurst LA, Shtil AA, Dalton WS. Cell adhesion mediated drug resistance (CAM-DR): role of integrins and resistance to apoptosis in human myeloma cell lines. Blood. 1999;93:1658-1667[Abstract/Free Full Text].

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17. Hazlehurst LA, Damiano JS, Buyuksal I, Pledger WJ, Dalton WS. Adhesion to fibronectin via beta1 integrins regulates p27kip1 levels and contributes to cell adhesion mediated drug resistance (CAM-DR). Oncogene. 2000;19:4319-4327[CrossRef][Medline] [Order article via Infotrieve].

18. Shain KH, Landowski TH, Dalton WS. Adhesion-mediated intracellular redistribution of c-Fas-associated death domain-like IL-1-converting enzyme-like inhibitory protein-long confers resistance to CD95-induced apoptosis in hematopoietic cancer cell lines. J Immunol. 2002;168:2544-2553[Abstract/Free Full Text].

19. Hazlehurst LA, Valkov N, Wisner L, et al. Reduction in drug-induced DNA double-strand breaks associated with beta1 integrin-mediated adhesion correlates with drug resistance in U937 cells. Blood. 2001;98:1897-1903[Abstract/Free Full Text].

20. Garkavtsev IV, Kley N, Grigorian IA, Gudkov AV. The Bloom syndrome protein interacts and cooperates with p53 in regulation of transcription and cell growth control. Oncogene. 2001;20:8276-8280[CrossRef][Medline] [Order article via Infotrieve].

21. Rosenquist TA, Zharkov DO, Grollman AP. Cloning and characterization of a mammalian 8-oxoguanine DNA glycosylase. Proc Natl Acad Sci U S A. 1997;94:7429-7434[Abstract/Free Full Text].

22. Sixma TK. DNA mismatch repair: MutS structures bound to mismatches. Curr Opin Struct Biol. 2001;11:47-52[CrossRef][Medline] [Order article via Infotrieve].

23. Featherstone C, Jackson SP. DNA double-strand break repair. Curr Biol. 1999;9:R759-761[CrossRef][Medline] [Order article via Infotrieve].

24. Mitsiades N, Mitsiades CS, Poulaki V, et al. Apoptotic signaling induced by immunomodulatory thalidomide analogs (IMiDs) in human multiple myeloma cells: therapeutic implications. Blood. 2002;99:4525-4530[Abstract/Free Full Text].

25. Cusack JC Jr, Liu R, Houston M, et al. Enhanced chemosensitivity to CPT-11 with proteasome inhibitor PS-341: implications for systemic nuclear factor-kappaB inhibition. Cancer Res. 2001;61:3535-3540[Abstract/Free Full Text].

© 2003 by The American Society of Hematology.
 

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E. Colado, S. Alvarez-Fernandez, P. Maiso, J. Martin-Sanchez, M. B. Vidriales, M. Garayoa, E. M. Ocio, J. C. Montero, A. Pandiella, and J. F. San Miguel
The effect of the proteasome inhibitor bortezomib on acute myeloid leukemia cells and drug resistance associated with the CD34+ immature phenotype
Haematologica, January 1, 2008; 93(1): 57 - 66.
[Abstract] [Full Text] [PDF]


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Jpn J Clin OncolHome page
C.-K. Min, M.-J. Lee, K.-S. Eom, S. Lee, J.-W. Lee, W.-S. Min, C.-C. Kim, M. Kim, J. Lim, Y. Kim, et al.
Bortezomib in Combination with Conventional Chemotherapeutic Agents for Multiple Myeloma Compared with Bortezomib Alone
Jpn. J. Clin. Oncol., December 21, 2007; (2007) hym126v1.
[Abstract] [Full Text] [PDF]


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BloodHome page
D. J. Kuhn, Q. Chen, P. M. Voorhees, J. S. Strader, K. D. Shenk, C. M. Sun, S. D. Demo, M. K. Bennett, F. W. B. van Leeuwen, A. A. Chanan-Khan, et al.
Potent activity of carfilzomib, a novel, irreversible inhibitor of the ubiquitin-proteasome pathway, against preclinical models of multiple myeloma
Blood, November 1, 2007; 110(9): 3281 - 3290.
[Abstract] [Full Text] [PDF]


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IOVSHome page
V. Poulaki, C. S. Mitsiades, V. Kotoula, J. Negri, D. McMillin, J. W. Miller, and N. Mitsiades
The Proteasome Inhibitor Bortezomib Induces Apoptosis in Human Retinoblastoma Cell Lines In Vitro
Invest. Ophthalmol. Vis. Sci., October 1, 2007; 48(10): 4706 - 4719.
[Abstract] [Full Text] [PDF]


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haematolHome page
R. Sitia, G. Palladini, and G. Merlini
Bortezomib in the treatment of AL amyloidosis: targeted therapy?
Haematologica, October 1, 2007; 92(10): 1302 - 1307.
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BloodHome page
E. L. Davenport, H. E. Moore, A. S. Dunlop, S. Y. Sharp, P. Workman, G. J. Morgan, and F. E. Davies
Heat shock protein inhibition is associated with activation of the unfolded protein response pathway in myeloma plasma cells
Blood, October 1, 2007; 110(7): 2641 - 2649.
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Cancer Res.Home page
Y. Murakawa, E. Sonoda, L. J. Barber, W. Zeng, K. Yokomori, H. Kimura, A. Niimi, A. Lehmann, G. Y. Zhao, H. Hochegger, et al.
Inhibitors of the Proteasome Suppress Homologous DNA Recombination in Mammalian Cells
Cancer Res., September 15, 2007; 67(18): 8536 - 8543.
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JCOHome page
R. Z. Orlowski, A. Nagler, P. Sonneveld, J. Blade, R. Hajek, A. Spencer, J. San Miguel, T. Robak, A. Dmoszynska, N. Horvath, et al.
Randomized Phase III Study of Pegylated Liposomal Doxorubicin Plus Bortezomib Compared With Bortezomib Alone in Relapsed or Refractory Multiple Myeloma: Combination Therapy Improves Time to Progression
J. Clin. Oncol., September 1, 2007; 25(25): 3892 - 3901.
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Cancer Res.Home page
C. Jacquemont and T. Taniguchi
Proteasome Function Is Required for DNA Damage Response and Fanconi Anemia Pathway Activation
Cancer Res., August 1, 2007; 67(15): 7395 - 7405.
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haematolHome page
F. E. Davies, P. Wu, M. Jenner, M. Srikanth, R. Saso, and G. J. Morgan
The combination of cyclophosphamide, velcade and dexamethasone (CVD) induces high response rates with comparable toxicity to velcade alone (V) and velcade plus dexamethasone (VD)
Haematologica, August 1, 2007; 92(8): 1149 - 1150.
[Abstract] [Full Text] [PDF]


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The OncologistHome page
R. Manochakian, K. C. Miller, and A. A. Chanan-Khan
Clinical Impact of Bortezomib in Frontline Regimens for Patients with Multiple Myeloma
Oncologist, August 1, 2007; 12(8): 978 - 990.
[Abstract] [Full Text] [PDF]


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Molecular Cancer TherapeuticsHome page
T. Kiziltepe, T. Hideshima, L. Catley, N. Raje, H. Yasui, N. Shiraishi, Y. Okawa, H. Ikeda, S. Vallet, S. Pozzi, et al.
5-Azacytidine, a DNA methyltransferase inhibitor, induces ATR-mediated DNA double-strand break responses, apoptosis, and synergistic cytotoxicity with doxorubicin and bortezomib against multiple myeloma cells
Mol. Cancer Ther., June 1, 2007; 6(6): 1718 - 1727.
[Abstract] [Full Text] [PDF]


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The OncologistHome page
P. G. Richardson, C. Mitsiades, R. Schlossman, N. Munshi, and K. Anderson
New Drugs for Myeloma
Oncologist, June 1, 2007; 12(6): 664 - 689.
[Abstract] [Full Text] [PDF]


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BloodHome page
G. Mulligan, C. Mitsiades, B. Bryant, F. Zhan, W. J. Chng, S. Roels, E. Koenig, A. Fergus, Y. Huang, P. Richardson, et al.
Gene expression profiling and correlation with outcome in clinical trials of the proteasome inhibitor bortezomib
Blood, April 15, 2007; 109(8): 3177 - 3188.
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BloodHome page
P. Richardson
Toward a new therapeutic backbone in myeloma
Blood, April 1, 2007; 109(7): 2672 - 2673.
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BloodHome page
A. Palumbo, M. T. Ambrosini, G. Benevolo, P. Pregno, N. Pescosta, V. Callea, C. Cangialosi, T. Caravita, F. Morabito, P. Musto, et al.
Bortezomib, melphalan, prednisone, and thalidomide for relapsed multiple myeloma
Blood, April 1, 2007; 109(7): 2767 - 2772.
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Clin. Cancer Res.Home page
J. R. Berenson, J. Matous, R. A. Swift, R. Mapes, B. Morrison, and H. S. Yeh
A Phase I/II Study of Arsenic Trioxide/Bortezomib/Ascorbic Acid Combination Therapy for the Treatment of Relapsed or Refractory Multiple Myeloma
Clin. Cancer Res., March 15, 2007; 13(6): 1762 - 1768.
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Clin. Cancer Res.Home page
R. Dreicer, D. Petrylak, D. Agus, I. Webb, and B. Roth
Phase I/II Study of Bortezomib Plus Docetaxel in Patients with Advanced Androgen-Independent Prostate Cancer
Clin. Cancer Res., February 15, 2007; 13(4): 1208 - 1215.
[Abstract] [Full Text] [PDF]


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BloodHome page
J. Sharkey, T. Khong, and A. Spencer
PKC412 demonstrates JNK-dependent activity against human multiple myeloma cells
Blood, February 15, 2007; 109(4): 1712 - 1719.
[Abstract] [Full Text] [PDF]


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ASH-SAPHome page
P. G. Richardson, T. Hideshima, and K. C. Anderson
Plasma cell dyscrasias
ASH Self-Assessment Program, January 1, 2007; 2007(1): 298 - 327.
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Molecular Cancer TherapeuticsHome page
F. Cardoso, V. Durbecq, J.-F. Laes, B. Badran, L. Lagneaux, F. Bex, C. Desmedt, K. Willard-Gallo, J. S. Ross, A. Burny, et al.
Bortezomib (PS-341, Velcade) increases the efficacy of trastuzumab (Herceptin) in HER-2-positive breast cancer cells in a synergistic manner
Mol. Cancer Ther., December 1, 2006; 5(12): 3042 - 3051.
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BloodHome page
L. Catley, E. Weisberg, T. Kiziltepe, Y.-T. Tai, T. Hideshima, P. Neri, P. Tassone, P. Atadja, D. Chauhan, N. C. Munshi, et al.
Aggresome induction by proteasome inhibitor bortezomib and {alpha}-tubulin hyperacetylation by tubulin deacetylase (TDAC) inhibitor LBH589 are synergistic in myeloma cells
Blood, November 15, 2006; 108(10): 3441 - 3449.
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J. Clin. Endocrinol. Metab.Home page
C. S. Mitsiades, D. McMillin, V. Kotoula, V. Poulaki, C. McMullan, J. Negri, G. Fanourakis, S. Tseleni-Balafouta, K. B. Ain, and N. Mitsiades
Antitumor Effects of the Proteasome Inhibitor Bortezomib in Medullary and Anaplastic Thyroid Carcinoma Cells in Vitro
J. Clin. Endocrinol. Metab., October 1, 2006; 91(10): 4013 - 4021.
[Abstract] [Full Text] [PDF]


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BloodHome page
M.-V. Mateos, J.-M. Hernandez, M.-T. Hernandez, N.-C. Gutierrez, L. Palomera, M. Fuertes, J. Diaz-Mediavilla, J.-J. Lahuerta, J. de la Rubia, M.-J. Terol, et al.
Bortezomib plus melphalan and prednisone in elderly untreated patients with multiple myeloma: results of a multicenter phase 1/2 study
Blood, October 1, 2006; 108(7): 2165 - 2172.
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Molecular Cancer TherapeuticsHome page
C. Yu, B. B. Friday, J.-P. Lai, L. Yang, J. Sarkaria, N. E. Kay, C. A. Carter, L. R. Roberts, S. H. Kaufmann, and A. A. Adjei
Cytotoxic synergy between the multikinase inhibitor sorafenib and the proteasome inhibitor bortezomib in vitro: induction of apoptosis through Akt and c-Jun NH2-terminal kinase pathways.
Mol. Cancer Ther., September 1, 2006; 5(9): 2378 - 2387.
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J. Biol. Chem.Home page
X. Dolcet, D. Llobet, M. Encinas, J. Pallares, A. Cabero, J. A. Schoenenberger, J. X. Comella, and X. Matias-Guiu
Proteasome Inhibitors Induce Death but Activate NF-{kappa}B on Endometrial Carcinoma Cell Lines and Primary Culture Explants
J. Biol. Chem., August 4, 2006; 281(31): 22118 - 22130.
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J. Leukoc. Biol.Home page
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.
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J. Biol. Chem.Home page
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.
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Cancer Res.Home page
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.
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JCOHome page
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.
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BloodHome page
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.
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Clin. Cancer Res.Home page
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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BloodHome page
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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ASH Education BookHome page
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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The OncologistHome page
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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Clin. Cancer Res.Home page
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.
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JCOHome page
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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JCOHome page
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.
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J Oncol Pharm PractHome page
G. Saunders
Overview of drug therapy for multiple myeloma
Journal of Oncology Pharmacy Practice, September 1, 2005; 11(3): 83 - 100.
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Molecular Cancer TherapeuticsHome page
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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Proc. Natl. Acad. Sci. USAHome page
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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BloodHome page
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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BloodHome page
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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Molecular Cancer TherapeuticsHome page
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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Molecular Cancer TherapeuticsHome page
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.
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Clin. Cancer Res.Home page
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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Molecular Cancer TherapeuticsHome page
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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JCOHome page
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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IOVSHome page
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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ASH Education BookHome page
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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JCOHome page
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.
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Mol. Pharmacol.Home page
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.
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Clin. Cancer Res.Home page
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.
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NEJMHome page
R. A. Kyle and S. V. Rajkumar
Multiple Myeloma
N. Engl. J. Med., October 28, 2004; 351(18): 1860 - 1873.
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Clin. Cancer Res.Home page
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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BloodHome page
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.
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Pharmacol. Rev.Home page
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.
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Clin. Cancer Res.Home page
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.
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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.
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Proc. Natl. Acad. Sci. USAHome page
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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Clin. Cancer Res.Home page
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.
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Cancer Res.Home page
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.
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Clin. Cancer Res.Home page
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.
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BloodHome page
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.
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BloodHome page
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.
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Proc. Natl. Acad. Sci. USAHome page
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.
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ASH Education BookHome page
J.-L. Harousseau, J. Shaughnessy Jr., and P. Richardson
Multiple Myeloma
Hematology, January 1, 2004; 2004(1): 237 - 256.
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H. Matta, Q. Sun, G. Moses, and P. M. Chaudhary
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