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Blood, 1 June 2002, Vol. 99, No. 11, pp. 4079-4086
NEOPLASIA
Biologic sequelae of nuclear factor- B blockade in
multiple myeloma: therapeutic applications
Nicholas Mitsiades,
Constantine S. Mitsiades,
Vassiliki Poulaki,
Dharminder Chauhan,
Paul G. Richardson,
Teru Hideshima,
Nikhil Munshi,
Steven P. Treon, and
Kenneth C. Anderson
From the Department of Adult Oncology, Dana Farber
Cancer Institute, Harvard Medical School; the Department of Medicine,
Harvard Medical School; and the Retina Research Laboratory,
Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston,
MA.
The transcription factor nuclear factor- B (NF- B)
confers significant survival potential in a variety of tumors. Several established or novel anti-multiple myeloma (anti-MM) agents, such as
dexamethasone, thalidomide, and proteasome inhibitors (PS-341), inhibit
NF- B activity as part of their diverse actions. However, studies to
date have not delineated the effects of specific inhibition of NF- B
activity in MM. We therefore investigated the effect of SN50, a
cell-permeable specific inhibitor of NF- B nuclear translocation and
activity, on MM cells. SN50 induced apoptosis in MM cell lines and
patient cells; down-regulated expression of Bcl-2, A1,
X-chromosome-linked inhibitor-of-apoptosis protein (XIAP),
cellular inhibitor-of-apoptosis protein 1 (cIAP-1), cIAP-2, and
survivin; up-regulated Bax; increased mitochondrial cytochrome c release into the cytoplasm; and activated
caspase-9 and caspase-3, but not caspase-8. We have previously
demonstrated that tumor necrosis factor- (TNF- ) is present
locally in the bone marrow microenvironment and induces
NF- B-dependent up-regulation of adhesion molecules on both MM cells
and bone marrow stromal cells, with resultant increased adhesion. In
this study, TNF- alone induced NF- B nuclear translocation, cIAP-1
and cIAP-2 up-regulation, and MM cell proliferation; in contrast, SN50
pretreatment sensitized MM cells to TNF- -induced apoptosis
and cleavage of caspase-8 and caspase-3, similar to our previous
finding of SN50-induced sensitization to apoptosis induced by the
TNF- family member TNF-related apoptosis-inducing ligand
(TRAIL)/Apo2L. Moreover, SN50 inhibited TNF- -induced
expression of another NF- B target gene, intercellular adhesion
molecule-1. Although the p38 inhibitor PD169316 did not directly kill
MM cells, it potentiated the apoptotic effect of SN50, suggesting an
interaction between the p38 and NF- B pathways. Our results therefore
demonstrate that NF- B activity in MM cells promotes tumor-cell
survival and protects against apoptotic stimuli. These studies provide
the framework for targeting NF- B activity in novel biologically
based therapies for MM.

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N. R. Jana, P. Dikshit, A. Goswami, and N. Nukina
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M. A. Guthridge, E. F. Barry, F. A. Felquer, B. J. McClure, F. C. Stomski, H. Ramshaw, and A. F. Lopez
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C. S. Mitsiades, N. S. Mitsiades, C. J. McMullan, V. Poulaki, R. Shringarpure, T. Hideshima, M. Akiyama, D. Chauhan, N. Munshi, X. Gu, et al.
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J.-L. Harousseau, J. Shaughnessy Jr., and P. Richardson
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Q. Wang, X. Wang, and B. M. Evers
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T. Hideshima, D. Chauhan, T. Hayashi, K. Podar, M. Akiyama, C. Mitsiades, N. MItsiades, B. Gong, L. Bonham, P. de Vries, et al.
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V. Poulaki, C. S. Mitsiades, C. McMullan, D. Sykoutri, G. Fanourakis, V. Kotoula, S. Tseleni-Balafouta, D. A. Koutras, and N. Mitsiades
Regulation of Vascular Endothelial Growth Factor Expression by Insulin-Like Growth Factor I in Thyroid Carcinomas
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C. S. Mitsiades, N. S. Mitsiades, R. T. Bronson, D. Chauhan, N. Munshi, S. P. Treon, C. A. Maxwell, L. Pilarski, T. Hideshima, R. M. Hoffman, et al.
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J. C. Pahler, S. Ruiz, I. Niemer, L. R. Calvert, M. Andreeff, M. Keating, S. Faderl, and D. J. McConkey
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P. G. Richardson, B. Barlogie, J. Berenson, S. Singhal, S. Jagannath, D. Irwin, S. V. Rajkumar, G. Srkalovic, M. Alsina, R. Alexanian, et al.
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L. F. Zerbini, Y. Wang, J.-Y. Cho, and T. A Libermann
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Y.-T. Tai, K. Podar, N. Mitsiades, B. Lin, C. Mitsiades, D. Gupta, M. Akiyama, L. Catley, T. Hideshima, N. C. Munshi, et al.
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S. K. Ghosh, C. Wood, L. H. Boise, A. M. Mian, V. V. Deyev, G. Feuer, N. L. Toomey, N. C. Shank, L. Cabral, G. N. Barber, et al.
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N. Mitsiades, C. S. Mitsiades, P. G. Richardson, V. Poulaki, Y.-T. Tai, D. Chauhan, G. Fanourakis, X. Gu, C. Bailey, M. Joseph, et al.
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F. Ravandi, M. Talpaz, and Z. Estrov
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J. F. Garcia, F. I. Camacho, M. Morente, M. Fraga, C. Montalban, T. A. C. Bellas, A. Castano, A. Diez, T. Flores, C. Martin, et al.
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M. Akiyama, T. Hideshima, T. Hayashi, Y.-T. Tai, C. S. Mitsiades, N. Mitsiades, D. Chauhan, P. Richardson, N. C. Munshi, and K. C. Anderson
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J. Ursini-Siegel, W. Zhang, A. Altmeyer, E. N. Hatada, R. K. G. Do, H. Yagita, and S. Chen-Kiang
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N. Mitsiades, C. S. Mitsiades, V. Poulaki, D. Chauhan, G. Fanourakis, X. Gu, C. Bailey, M. Joseph, T. A. Libermann, S. P. Treon, et al.
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R. LeBlanc, L. P. Catley, T. Hideshima, S. Lentzsch, C. S. Mitsiades, N. Mitsiades, D. Neuberg, O. Goloubeva, C. S. Pien, J. Adams, et al.
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