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Prepublished online as a Blood First Edition Paper on July 25, 2002; DOI 10.1182/blood-2002-02-0608.

Submitted February 25, 2002
Accepted April 18, 2002
Overexpression of the myeloma-associated oncogene fibroblast growth factor receptor 3 (FGFR3) confers dexamethasone resistance
Jonathan B Pollett, Suzanne Trudel, Daniel Stern, Zhihua Li, and A K Stewart*
Division of Experimental Therapeutics, Toronto General Research Institute, Toronto, ON, Canada
Division of Experimental Therapeutics, Toronto General Research Institute, Toronto, ON, Canada; Department of Medical Oncology, Princess Margaret Hospital, Toronto, ON, Canada
* Corresponding author; email: kstewart{at}uhnres.utoronto.ca.
Translocations involving the immunoglobulin heavy chain switch region and fibroblast growth factor receptor 3 (FGFR3) are identified in 10-15% of myeloma patients. In previous work we over expressed FGFR3 or the constitutively active FGFR3-TD mutant in an interleukin-6 (IL-6)-dependent murine myeloma cell line, B9. FGFR3 enhanced IL-6 responsiveness increased phosphorylation of STAT3 and up-regulated Bcl-xL. Since Bcl-xL was up-regulated, we have now tested FGFR3-expressing B9 cells for chemotherapy sensitivity. FGFR3 expression did not alter sensitivity to Melphalan or Doxorubicin. In contrast, B9 cells over expressing FGFR3 were resistant to treatment with Dexamethasone, a phenomenon successfully reversed using a Bcl-xL anti-sense oligonucleotide. This data thus demonstrates that overexpression of FGFR3 in B9 cells confers resistance to Dexamethasone, but not to anthracyclines or alkylating agents, at least in part through the upregulation of Bcl-xL. This finding has potential implications for the use of chemotherapy in t(4;14)-positive myeloma.

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