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Prepublished online as a Blood First Edition Paper on September 5, 2002; DOI 10.1182/blood-2002-06-1874.

Submitted June 25, 2002
Accepted August 8, 2002
Targeting p38 MAPK inhibits multiple myeloma cell growth in the bone marrow milieu
Teru Hideshima, Masaharu Akiyama, Toshiaki Hayashi, Paul Richardson, Robert Schlossman, Dharminder Chauhan, and Kenneth C Anderson*
Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Boston, MA, USA
* Corresponding author; email: kenneth_anderson{at}dfci.harvard.edu.
p38 mitogen-activated protein kinase (MAPK) is a member of the MAPK family which is activated by cytokines and growth factors, but its role in pathogenesis of multiple myeloma (MM) is unknown. In this study, we demonstrate that the specific p38 MAPK inhibitor VX-745 inhibits IL-6 and VEGF secretion in bone marrow stromal cells (BMSCs), without affecting their viability. TNF- -induced IL-6 secretion in BMSCs is also inhibited by VX-745. Importantly, VX-745 inhibits both MM cell proliferation and IL-6 secretion in BMSCs triggered by adherence of MM cells to BMSCs, suggesting that it can inhibit paracrine MM cell growth in the BM milieu and overcome cell adhesion related drug resistance. These studies therefore identify p38 MAPK as a novel therapeutic target to overcome drug resistance and improve patient outcome in MM.

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