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Prepublished online as a Blood First Edition Paper on September 26, 2002; DOI 10.1182/blood-2002-08-2543.
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Blood, 15 February 2003, Vol. 101, No. 4, pp. 1530-1534
NEOPLASIA
Molecular mechanisms mediating antimyeloma activity of
proteasome inhibitor PS-341
Teru Hideshima,
Constantine Mitsiades,
Masaharu Akiyama,
Toshiaki Hayashi,
Dharminder Chauhan,
Paul Richardson,
Robert Schlossman,
Klaus Podar,
Nikhil C. Munshi,
Nicholas Mitsiades, and
Kenneth C. Anderson
From the Jerome Lipper Multiple Myeloma Center,
Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA.
We have recently shown that proteasome inhibitor PS-341
induces apoptosis in drug-resistant multiple myeloma (MM) cells,
inhibits binding of MM cells in the bone marrow microenvironment, and
inhibits cytokines mediating MM cell growth, survival, drug resistance, and migration in vitro. PS-341 also inhibits human MM cell growth and
prolongs survival in a SCID mouse model. Importantly, PS-341 has
achieved remarkable clinical responses in patients with refractory relapsed MM. We here demonstrate molecular mechanisms whereby PS-341
mediates anti-MM activity by inducing p53 and MDM2 protein expression;
inducing the phosphorylation (Ser15) of p53 protein; activating
c-Jun NH2-terminal kinase (JNK), caspase-8, and caspase-3; and cleaving the DNA protein kinase catalytic subunit, ATM, and MDM2.
Inhibition of JNK activity abrogates PS-341-induced MM cell death.
These studies identify molecular targets of PS-341 and provide the
rationale for the development of second-generation, more targeted therapies.

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