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Blood, 1 May 2004, Vol. 103, No. 9, pp. 3521-3528.
Prepublished online as a Blood First Edition Paper on January 8, 2004; DOI 10.1182/blood-2003-10-3650.

Submitted October 24, 2003
Accepted December 23, 2003
Inhibition of fibroblast growth factor receptor 3 induces differentiation and apoptosis in t(4;14) myeloma
Suzanne Trudel, Scott Ely, Yildiz Farooqi, Maurizio Affer, Davide F Robbiani, Marta Chesi, and Peter L Bergsagel*
Department of Medicine, Weill Medical College of Cornell University, New York, NY, USA
Department of Pathology, Weill Medical College of Cornell University, New York, NY, USA
Immunology Program, Graduate School of Medical Sciences of Cornell University, New York, NY, USA; Department of Medicine, Weill Medical College of Cornell University, New York, NY, USA
Department of Medicine, Weill Medical College of Cornell University, New York, NY, USA; Immunology Program, Graduate School of Medical Sciences of Cornell University, New York, NY, USA
* Corresponding author; email: plbergsa{at}med.cornell.edu.
We have previously shown that dysregulation of Fibroblast Growth Factor Receptor 3 (FGFR3) by the t(4;14) translocation is a primary event in multiple myeloma (MM) and that activating mutations of FGFR3 are acquired in some cases. We describe here inhibition of wild-type (WT) and constitutively activated mutant FGFR3 autophosphorylation by the small molecule inhibitor, PD173074. Inhibition of FGFR3 in human myeloma cell lines was associated with decreased viability and tumor cell growth arrest. Further, morphologic, phenotypic and functional changes typical of plasma cell (PC) differentiation, including increase in light chain secretion and expression of CD31 were observed and this was followed by apoptosis. Finally, using a mouse model of FGFR3 myeloma, we demonstrate a delay in tumor progression and prolonged survival of PD173074 treated mice. These results indicate that inhibition of FGFR3, even in advanced disease associated with multiple genetic changes, may allow the cell to complete its developmental program and render it sensitive to apoptotic signals. In addition, this represents the validation of a therapeutic target in MM that may benefit patients who have a very poor prognosis with currently available treatments.

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