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Blood, 15 January 2006, Vol. 107, No. 2, pp. 655-660.
Prepublished online as a Blood First Edition Paper on July 26, 2005; DOI 10.1182/blood-2005-01-0293.
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NEOPLASIA
Inhibiting the IGF-1 receptor tyrosine kinase with the cyclolignan PPP: an in vitro and in vivo study in the 5T33MM mouse model
Eline Menu,
Helena Jernberg-Wiklund,
Thomas Stromberg,
Hendrik De Raeve,
Leonard Girnita,
Olle Larsson,
Magnus Axelson,
Kewal Asosingh,
Kenneth Nilsson,
Ben Van Camp, and
Karin Vanderkerken
From the Department of Hematology and Immunology, Vrije Universiteit Brussel (VUB), Brussels, Belgium; Department of Genetics and Pathology, Rudbeck Laboratory, Uppsala University, Uppsala, Sweden; Department of Pathology, University of Antwerp, Antwerp, Belgium; Cancer Center Karolinska, Karolinska Institute, Stockholm, Sweden; and Department of Clinical Chemistry, Karolinska Hospital, Stockholm, Sweden.
Insulin-like growth factor 1 (IGF-1) plays a pleiotropic role in multiple myeloma (MM), that is, in survival, proliferation, chemotaxis, and angiogenesis. Strategies targeting the IGF-1 receptor (IGF-1R) may therefore be important to develop efficient anti-MM agents. In this work we investigated the effect of an IGF-1R tyrosine kinase (IGF-1RTK) inhibitor (picropodophyllin or PPP) in the 5T33MM mouse model. In vitro data showed that PPP reduced IGF-1R autophosphorylation and downstream ERK activation, leading to inhibition of IGF-1stimulated proliferation and vascular endothelial growth factor (VEGF) secretion of MM cells. In an in vivo study, PPP reduced the bone marrow tumor burden and serum paraprotein in 5T33MM mice by 77% and 90%, respectively, compared to vehicle-treated animals. Angiogenesis was assessed by quantifying the microvessel density on CD31-stained paraffin sections and this was reduced by 60% in the PPP-treated group. In a separate survival experiment, Kaplan-Meier analysis demonstrated a significant increase in survival in PPP-treated 5T33MM animals compared to the vehicle controls (28 versus 18 days). These data suggest that the IGF-1RTK inhibitor PPP possesses a marked antitumor activity and strongly points to the possibility of using IGF-1R inhibitors in the treatment of MM.

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