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Blood, 1 June 2006, Vol. 107, No. 11, pp. 4484-4490. Prepublished online as a Blood First Edition Paper on February 23, 2006; DOI 10.1182/blood-2005-09-3926.
Submitted October 3, 2005
David Geffen School of Medicine, UCLA, Los Angeles, CA, USA; Greater Los Angeles VA Healthcare System, Los Angeles, CA, USA * Corresponding author; email: Alan.Lichtenstein{at}med.va.gov.
Oncogenic ras expression occurs in up to 40% of multiple myeloma (MM) cases and correlates with aggressive disease. Since activated ras induces cyclooxygenase-2 (COX-2) expression in other tumor models, we tested a role for COX-2 in mutant ras-containing MM cells. We used the ANBL-6 isogenic MM cell lines in which the IL-6-dependent parental line becomes cytokine-independent following transfection with mutated N-ras or K-ras. Both mutated N-ras and K-ras-expressing ANBL-6 cells demonstrated a selective upregulation of COX-2 expression and enhanced secretion of PGE2, a product of COX-2. Furthermore, in three primary marrow specimens, which contained MM cells expressing mutated ras, 15-40% of tumor cells were positive for COX-2 expression by immunohistochemistry. We used COX-2 inhibitors, NS398 and celecoxib, and neutralizing anti-PGE2 antibody to test whether COX-2/PGE2 was involved in the aggressive phenotype of MM ANBL-6 cells containing mutated ras. Although these interventions had no effect on IL-6-independent growth or adhesion to marrow stromal cells, they significantly inhibited the enhanced binding of mutant ras-containing MM cells to fibronectin and the enhanced resistance to melphalan. These results indicate a selective induction of COX-2 in MM cells containing ras mutations, which results in heightened binding to extracellular matrix protein and chemotherapeutic drug resistance.
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