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Prepublished online as a Blood First Edition Paper on September 11, 2003; DOI 10.1182/blood-2003-02-0546.

Submitted February 19, 2003
Accepted August 28, 2003
Telomerase inhibition with an oligonucleotide telomerase template antagonist: in vitro and in vivo studies in multiple myeloma and lymphoma
Eunice S Wang, Kaida Wu, Allison C Chin, Selina Chen-Kiang, Krisztina Pongracz, Sergei Gryaznov, and Malcolm A S Moore*
Laboratory of Developmental Hematopoiesis, Memorial Sloan-Kettering Cancer Center, New York, NY, USA
Geron Corp., Menlo Park, CA, USA
Departments of Pathology and Microbiology and Immunology, Weill Medical College of Cornell University, New York, NY, USA
Leukemia Service, Department of Medicine, Roswell Park Cancer Institute, Buffalo, NY, USA
* Corresponding author; email: m-moore{at}ski.mskcc.org.
The efficacy of telomerase inhibition with an oligonucleotide N3' P5' thio-phosphoramidate (GRN163) complementary to the RNA template region of telomerase was examined on human multiple myeloma (MM) and non-Hodgkin lymphoma (NHL) cell lines, primary MM cells, and tumor xenografts. GRN163 treatment reduced telomerase levels in all cells and induced more rapid telomeric shortening. Continuous GRN163 treatment over 7-14 days resulted in proliferative arrest, morphological changes, and apoptosis characteristic of cell crisis in tumor cell lines with short (1.7- 5.4 Kb) but not long (9-11 Kb) telomeres. Intratumoral administration of GRN163 also inhibited the growth of MM and NHL xenografts established from cell lines with short telomeres (Hs602 lymphoma 2.7 Kb, CAG myeloma 2.7 Kb) and increased tumor apoptosis. However, GRN163 therapy of NHL xenografts established from cells with long telomeres (11.0 Kb) had equivocal effects on tumor growth and did not induce apoptosis over this time frame. Systemic daily intraperitoneal administration of GRN163 in myeloma xenografts with short telomere lengths also decreased tumor telomerase levels and reduced tumor volumes. These data demonstrate that telomerase is important for the replication of mature B cell neoplasia by stabilizing short telomeres and suggest that telomerase inhibition represents a novel therapeutic approach for MM and NHL.

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