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Blood, 1 June 2005, Vol. 105, No. 11, pp. 4470-4476.
Prepublished online as a Blood First Edition Paper on February 10, 2005; DOI 10.1182/blood-2004-09-3794.
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Submitted October 7, 2004
Accepted January 18, 2005
In vitro and in vivo activity of atiprimod (N-N-diethl-8,8-dipropyl-2-azaspiro [4.5] decane-2-propanamine) inhibits human multiple myeloma cell growth in the bone marrow milieu
Makoto Hamasaki, Teru Hideshima, Pierfrancesco Tassone, Paola Neri, Kenji Ishitsuka, Hiroshi Yasui, Norihiko Shiraishi, Noopur Raje, Shaji Kumar, Donald H Picker, Gary S Jacob, Paul G Richardson, Nikhil C Munshi, and Kenneth C Anderson*
Department of Medical Oncology, Dana-Farber Cancer Institute, Jerome Lipper Multiple Myeloma Center, Boston, MA, USA
Callisto Pharmaceuticals Inc., New York, NY, USA
* Corresponding author; email: kenneth_anderson{at}dfci.harvard.edu.
Atiprimod (N-N-diethl-8,8-dipropyl-2-azaspiro [4.5] decane-2-propanamine) is an orally-bioavailable cationic amphiphilic compound which significantly inhibits production of interleukin (IL)-6 and inflammation in rat arthritis and autoimmune animal models. We here characterize the effect of Atiprimod on human multiple myeloma (MM) cells. Atiprimod significantly inhibited growth and induced caspase mediated apoptosis in drug-sensitive and drug-resistant MM cell lines, as well as patient MM cells. Neither IL-6, insulin-like growth factor (IGF)-1 nor adherence of MM cells to bone marrow stromal cells (BMSCs) protects against Atiprimod-induced apoptosis. Both conventional (dexamethasone, doxorubicin, melphalan) and novel (arsenic trioxide) agents augment apoptosis induced by Atiprimod. Atiprimod inhibits STAT3 and Akt, but not ERK1/2, phosphorylation triggered by IL-6; and also inhibits I B and NF B p65 phosphorylation triggered by tumor necrosis factor (TNF)- . Importantly, Atiprimod inhibits both IL-6 and vascular endothelial growth factor (VEGF) secretion in BMSCs triggered by MM cell binding, and also inhibits angiogenesis on human umbilical vein cells (HUVEC). Finally, Atiprimod demonstrates in vivo antitumor activity against human MM cell growth in SCID mice. These results therefore show that Atiprimod both induces MM cell apoptosis and inhibits cytokine secretion in the BM milieu, providing the framework for clinical trials to improve patient outcome in MM.

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