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Blood, 1 November 2004, Vol. 104, No. 9, pp. 2886-2892.
Prepublished online as a Blood First Edition Paper on June 24, 2004; DOI 10.1182/blood-2004-05-1760.


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Submitted May 7, 2004
Accepted June 11, 2004

VEGF induces MCL-1 upregulation and protects multiple myeloma cells against apoptosis

Steven Le Gouill, Klaus Podar, Martine Amiot, Teru Hideshima, Dharminder Chauhan, Kenji Itshitsuka, Shaji Kumar, Noopur Raje, Paul G Richardson, Jean-Luc Harousseau, and Kenneth C Anderson*

Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA; U601, INSERM U0601, Institut de Biologie, Nantes, France, Metropolitan; Service d'Hematologie Clinique, Hotel-Dieu CHU de Nantes, Nantes, Cedex 01, France, Metropolitan
Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
U601, INSERM U0601, Institut de Biologie, Nantes, France, Metropolitan

* Corresponding author; email: Kenneth_anderson{at}dfci.harvard.edu.

Interleukin-6 (IL-6) triggers multiple myeloma (MM) cell proliferation and protects against apoptosis by upregulating Myeloid-cell-leukemia 1 (Mcl-1). Vascular endothelial growth factor (VEGF) induces modest proliferation of MM cells and induces IL-6 secretion in a paracrine loop involving MM cells and bone marrow stromal cells. Using murine embryonic fibroblast cell line as a model (Mcl-1wt/wt and Mcl-1{Delta}/null MEFs), we here demonstrate that deletion of Mcl-1 reduces fetal bovine serum (FBS), VEGF, and IL-6 induced-proliferation. We also show that VEGF upregulates Mcl-1 expression in a time and dose manner in 3 human MM cell lines and MM patient cells. Importantly, we demonstrate that the pan-VEGF inhibitor, GW654652, inhibits VEGF induced-upregulation of Mcl-1, and as with Mcl-1 siRNA is associated with decreased proliferation and induction of apoptosis. Finally, we show that VEGF protects MM patient cells against FBS starvation-induced apoptosis. Our studies therefore demonstrate that VEGF-induced MM cell proliferation and survival is mediated via Mcl-1, providing the preclinical framework for novel therapeutics targeting both Mcl-1 and/or VEGF to improve patient outcome in MM.


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