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Blood, 15 January 2006, Vol. 107, No. 2, pp. 669-678.
Prepublished online as a Blood First Edition Paper on September 15, 2005; DOI 10.1182/blood-2005-01-0306.


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Submitted January 24, 2005
Accepted August 26, 2005

IGF-1 receptor tyrosine kinase inhibition by the cyclolignan PPP induces G2/M-phase accumulation and apoptosis in multiple myeloma cells

Thomas Stromberg, Simon Ekman, Leonard Girnita, Lina Y Dimberg, Olle Larsson, Magnus Axelson, Johan Lennartsson, Ulf Hellman, Kristina Carlson, Anders Osterborg, Karin Vanderkerken, Kenneth Nilsson, and Helena Jernberg-Wiklund*

Department of Genetics and Pathology, Rudbeck Laboratory, Uppsala University, Uppsala, Sweden
Cancer Center Karolinska, Karolinska Institute, Stockholm, Sweden
Department of Clinical Chemistry, Karolinska Hospital, Stockholm, Sweden
Ludwig Institute for Cancer Research, Uppsala Biomedical Center (BMC), Uppsala, Sweden
Department of Hematology, University Hospital, Uppsala, Sweden
Department of Hematology and Oncology, Karolinska Hospital, Stockholm, Sweden
Department of Hematology and Immunology, Vrije Universiteit Brussel (VUB), Brussels, Belgium

* Corresponding author; email: helena.jernberg_wiklund{at}genpat.uu.se.

Emerging evidence suggests the insulin-like growth factor-1 receptor (IGF-1R) to be an important mediator of tumor cell survival and resistance to cytotoxic therapy in multiple myeloma (MM). Recently, members of the cyclolignan family have been shown to selectively inhibit the receptor tyrosine kinase (RTK) activity of the IGF-1R {beta}-chain. The effects of the cyclolignan picropodophyllin (PPP) were studied in vitro using a panel of 13 MM cell lines and freshly purified tumor cells from 10 MM patients. PPP clearly inhibited growth in all MM cell lines and primary MM samples cultured in the presence or absence of bone marrow stromal cells. PPP induced a profound accumulation of cells in the G2/M-phase and an increased apoptosis. Importantly, IGF-1, IGF-2, insulin or IL-6 did not reduce the inhibitory effects of PPP. As demonstrated by in vitro kinase assays, PPP downregulated the IGF-1 RTK activity without inhibiting the insulin RTK activity. This conferred decreased phosphorylation of Erk1/2 and reduced cyclin dependent kinase (CDK1) activity. In addition, the expression of mcl-1 and survivin was reduced. Taken together, we suggest that interfering with the IGF-1 RTK by using the cyclolignan PPP offers a novel and selective therapeutic strategy for MM.


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