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Blood, 15 December 2004, Vol. 104, No. 13, pp. 4181-4187.
Prepublished online as a Blood First Edition Paper on August 10, 2004; DOI 10.1182/blood-2004-03-1153.
Previous Article | Next Article 
Submitted March 30, 2004
Accepted July 14, 2004
In vivo anti-tumor effects of the mTOR inhibitor, CCI-779, against human multiple myeloma cells in a xenograft model
Patrick Frost, Farhad Moatomed, Bao Hoang, Yijiang Shi, Joseph Gera, Huajun Yan, Philip Frost, Jay Gibbons, and Alan Lichtenstein*
Department of Medicine and Pathology, UCLA-West Los Angeles VA Medical Center, Los Angeles, CA, USA
Department of Medicine, UCLA-West Los Angeles VA Medical Center, Los Angeles, CA, USA
Research, Wyeth-Ayerst, Pearl River, NY, USA
* Corresponding author; email: alan.lichtenstein{at}med.va.gov.
In vitro studies indicates therapeutic potential of mTOR inhibitors in treating multiple myeloma. To provide further support for this potential, we used the rapamycin analog, CCI-779, in a myeloma xenograft model. CCI-779, given as 10 intraperitoneal injections, induced significant, dose-dependent, anti-tumor responses against subcutaneous growth of 8226, OPM-2 and U266 cell lines. Effective doses of CCI-779 were associated with modest toxicity, only inducing transient thrombocytopenia and leukopenia. Immunohistochemical studies demonstrated the anti-tumor responses were associated with inhibition of proliferation and angiogenesis, induction of apoptosis and reduction in tumor cell size. Although CCI-779-mediated inhibition of the p70S6 kinase mTOR substrate was equal in 8226 and OPM-2 tumor nodules, OPM-2 tumor growth was considerably more sensitive to inhibition of proliferation, angiogenesis and induction of apoptosis. Furthermore, the OPM-2 tumors from treated mice were more likely to show a down-regulated expression of cyclin D1 and c-myc and upregulated p27 expression. As prior work suggested that heightened AKT activity in OPM-2 tumors might induce hypersensitivity to mTOR inhibition, we directly tested this by stably transfecting a constitutively active AKT allele into U266 cells. The in vivo growth of these later cells was remarkably more sensitive to CCI-779 than growth of control U266 cell.

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