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Prepublished online as a Blood First Edition Paper on November 27, 2002; DOI 10.1182/blood-2002-09-2907.
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Blood, 1 April 2003, Vol. 101, No. 7, pp. 2775-2783
NEOPLASIA
Paracrine interactions of basic fibroblast growth factor and
interleukin-6 in multiple myeloma
Guido Bisping,
Regine Leo,
Doris Wenning,
Berno Dankbar,
Teresa Padró,
Martin Kropff,
Christian Scheffold,
Matthias Kröger,
Rolf M. Mesters,
Wolfgang E. Berdel, and
Joachim Kienast
From the Department of Medicine/Hematology and
Oncology, University of Muenster, Germany.
Myeloma cells express basic fibroblast growth factor
(bFGF), an angiogenic cytokine triggering marrow neovascularization in multiple myeloma (MM). In solid tumors and some lymphohematopoietic malignancies, angiogenic cytokines have also been shown to stimulate tumor growth via paracrine pathways. Since interleukin-6 (IL-6) is a
potent growth and survival factor for myeloma cells, we have studied
the effects of bFGF on IL-6 secretion by bone marrow stromal cells
(BMSCs) and its potential reverse regulation in myeloma cells. Both
myeloma-derived cell lines and myeloma cells isolated from the marrow
of MM patients were shown to express and secrete bFGF. Cell-sorting
studies identified myeloma cells as the predominant source of bFGF in
MM marrow. BMSCs from MM patients and control subjects expressed
high-affinity FGF receptors R1 through R4. Stimulation of BMSCs with
bFGF induced a time- and dose-dependent increase in IL-6 secretion
(median, 2-fold; P < .001), which was completely
abrogated by anti-bFGF antibodies. Conversely, stimulation with IL-6
enhanced bFGF expression and secretion by myeloma cell lines (2-fold;
P = .02) as well as MM patient cells (up to 3.6-fold; median, 1.5-fold; P = .002). This effect was inhibited by
anti-IL-6 antibody. When myeloma cells were cocultured with
BMSCs in a noncontact transwell system, both IL-6 and bFGF
concentrations in coculture supernatants increased 2- to 3-fold over
the sum of basal concentrations in the monoculture controls. The IL-6
increase was again partially, but significantly, inhibited by
anti-bFGF. The data demonstrate a paracrine interaction between myeloma
and marrow stromal cells triggered by mutual stimulation of bFGF and
IL-6.

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