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Blood, 1 April 2004, Vol. 103, No. 7, pp. 2761-2770.
Prepublished online as a Blood First Edition Paper on November 26, 2003; DOI 10.1182/blood-2003-09-3037.

Submitted September 4, 2003
Accepted November 17, 2003
Interruption of the NF- b pathway by Bay 11-7082 promotes UCN-01-mediated mitochondrial dysfunction and apoptosis in human multiple myeloma cells
Yun Dai, Xin-Yan Pei, Mohamed Rahmani, Daniel H Conrad, Paul Dent, and Steven Grant*
Department of Medicine, Virginia Commonwealth University, Richmond, VA, USA; Department of Biochemistry, Virginia Commonwealth University, Richmond, VA, USA; Department of Pharmacology, Virginia Commonwealth University, Richmond, VA, USA
Department of Microbiology, Virginia Commonwealth University, Richmond, VA, USA
Department of Radiation Oncology, Virginia Commonwealth University, Richmond, VA, USA
* Corresponding author; email: stgrant{at}hsc.vcu.edu.
Interactions between pharmacologic NF- B inhibitors (e.g., Bay 11-7082, SN-50) and the checkpoint abrogator UCN-01 have been examined in human multiple myeloma (MM) cells. Exposure of U266 cells to Bay 11-7082 (Bay) in combination with UCN-01 resulted in abrogation of NF- B/DNA binding activity and synergistic induction of apoptosis. Comparable synergism was observed in other MM cell lines and patient-derived CD138+ cells, as well as between an inhibitory peptide of NF- B (SN50) and UCN-01. Bay/UCN-01-mediated lethality involved mitochondrial dysfunction, cleavage of caspases, and PARP degradation. While Bay modestly blocked UCN-01-induced ERK phosphorylation, co-administration activated JNK and cdc2/cdk1, and downregulated Mcl-1, XIAP and Bcl-xL. Transfection with a constitutively activated MEK1/GFP construct failed to block apoptosis induced by Bay/UCN-01 but significantly attenuated MEK inhibitor (U0126)/ UCN-01-induced lethality. Inhibition of JNK activation by SP600125 or D-JNKI1 peptide markedly reduced Bay/UCN-01-mediated mitochondrial dysfunction and apoptosis as well as downregulation of Mcl-1, XIAP and Bcl-xL, but not cdc2/cdk1 activation. Stable transfection of cells with dominant-negative caspase 9 dramatically diminished Bay/UCN-01 lethality without altering JNK and cdc2/cdk1 activation. Lastly, neither IL-6 nor fibronectin-mediated adherence conferred resistance to Bay/UCN-01-induced apoptosis. Together, these findings suggest that a strategy combining UCN-01 with disruption of the IKK/I B/NF- B pathway warrants attention in MM.

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