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Prepublished online as a Blood First Edition Paper on July 10, 2003; DOI 10.1182/blood-2003-03-0970.

Submitted March 28, 2003
Accepted June 26, 2003
Inhibition of protein geranylgeranylation induces apoptosis in myeloma plasma cells by reducing Mcl-1 protein levels
Niels W C J van de Donk, Marloes M J Kamphuis, Berris van Kessel, Henk M Lokhorst, and Andries C Bloem*
Department of Immunology, University Medical Center Utrecht, Utrecht, The Netherlands
Department of Hematology, University Medical Center Utrecht, Utrecht, The Netherlands
* Corresponding author; email: a.bloem{at}azu.nl.
HMG-CoA reductase is the rate-limiting enzyme of the mevalonate pathway leading to the formation of cholesterol and isoprenoids like farnesylpyrophosphate (FPP) and geranylgeranylpyrophosphate (GGPP). Inhibition of HMG-CoA reductase by lovastatin induced apoptosis in plasma cell lines and tumor cells from patients with multiple myeloma. Here we show that co-treatment with mevalonate or geranylgeranyl moieties, but not farnesyl groups, rescued myeloma cells from lovastatin-induced apoptosis. Also inhibition of geranylgeranylation by specific inhibition of geranylgeranyl transferase I (GGTase I) resulted in induction of apoptosis of myeloma cells. Apoptosis triggered by inhibition of geranylgeranylation was associated with reduction of Mcl-1 protein expression, collapse of the mitochondrial transmembrane potential, expression of the mitochondrial membrane protein 7A6, cytochrome c release from mitochondria into the cytosol, and stimulation of caspase-3 activity. These results imply that protein geranylgeranylation is critical for the regulation of myeloma tumor cell survival, possibly through the regulation of Mcl-1 expression. Our results show that pharmacological agents such as lovastatin or GGTase inhibitors may be useful in the treatment of multiple myeloma.

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