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Blood, 1 December 2004, Vol. 104, No. 12, pp. 3697-3704.
Prepublished online as a Blood First Edition Paper on August 3, 2004; DOI 10.1182/blood-2003-12-4114.


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Submitted December 3, 2003
Accepted July 15, 2004

Over-expression of the NOTCH Ligand JAG2 in Malignant Plasma Cells from Multiple Myeloma Patients and Cell Lines

Christiane Houde, Yulin Li, Lynda Song, Kevin Barton, Qing Zhang, John Godwin, Sucha Nand, Amir Toor, Serhan Alkan, N V Smadja, Herve Avet-Loiseau, Carmen S Lima, Lucio Miele, and Lionel J Coignet*

Department of Pathology, Loyola University Medical Center, Cardinal Bernardin Cancer Center, Maywood, IL, USA; Department of Cancer Genetics, Roswell Park Cancer Institute, Buffalo, NY, USA
Department of Cancer Genetics, Roswell Park Cancer Institute, Buffalo, NY, USA
Department of Medicine, Loyola University Medical Center, Cardinal Bernardin Cancer Center, Maywood, IL, USA
Department of Pathology, Loyola University Medical Center, Cardinal Bernardin Cancer Center, Maywood, IL, USA
Cytogenetic Laboratory, Hopital St-Antoine, Paris, France
Laboratoire d'Hematologie, Institut de Biologie, Nantes, France
Hematology and Hemotherapy Center, State University of Campinas, Universitaria 'Zeferino Vaz', Campinas, Sao Paulo, Brazil
Department of Pathology, Loyola University Medical Center, Cardinal Bernardin Cancer Center, Maywood, IL, USA; Department of Medicine, Loyola University Medical Center, Cardinal Bernardin Cancer Center, Maywood, IL, USA; Department of Cancer Genetics, Roswell Park Cancer Institute, Buffalo, NY, USA

* Corresponding author; email: lionel.coignet{at}roswellpark.org.

The NOTCH ligand, JAG2, was found to be over-expressed in malignant plasma cells from Multiple Myeloma (MM) patients and cell lines but not in non-malignant plasma cells from tonsils, bone marrow from normal individuals, or patients with other malignancies. In addition, JAG2 over-expression was detected in 5/5 patients with Monoclonal Gammopathy of Undetermined Significance (MGUS), an early phase of myeloma disease progression. This overexpression appears to be a consequence of hypomethylation of the JAG2 promoter in malignant plasma cells. An in vitro co-culture assay was used to demonstrate that JAG2 induced the secretion of IL6, VEGF and IGF1 in stromal cells. Further, the induction of IL6 secretion was blocked in vitro by interference with anti-Notch1 monoclonal antibodies raised against the binding sequence of Notch1 with JAG2. Taken together, these results indicate that JAG2 over-expression may be an early event in the pathogenesis of multiple myeloma involving IL-6 production.


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