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Blood, 15 August 2006, Vol. 108, No. 4, pp. 1346-1352.
Prepublished online as a Blood First Edition Paper on April 25, 2006; DOI 10.1182/blood-2005-12-007971.


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Submitted December 21, 2005
Accepted April 5, 2006

Mcl-1L cleavage is involved in TRAIL-R1 and TRAIL-R2 mediated apoptosis induced by HGS-ETR1 and HGS-ETR2 human mAb in myeloma cells

Emmanuelle Menoret, Patricia Gomez-Bougie, Alexandrine Geffroy-Luseau, Sylvanne Daniels, Philippe Moreau, Steven Le Gouill, Jean-Luc Harousseau, Regis Bataille, Martine Amiot, and Catherine Pellat-Deceunynck*

INSERM, U601; Universite de Nantes, Nantes Atlantique Universites, UFR Medecine, Nantes, France
Universite de Nantes,Nantes Atlantique Universites,UFR Medecine et Techniques Medicales, France

* Corresponding author; email: cpellat{at}nantes.inserm.fr.

We evaluated the ability of two human mAbs directed against TRAILR1 (HGS-ETR1) and TRAILR2 (HGS-ETR2) to kill human myeloma cells. HGS-ETR1 and HGS-ETR2 mAbs killed 15 and 9 human myeloma cell lines, HMCL (n=22), respectively. Killing of HMCL was not prevented by IL-6, the major survival and growth factor for these HMCL. Killing induced by either HGS-ETR1 or ETR2 was correlated with cleavage of Mcl-1L, a major molecule for myeloma survival. Mcl-1L cleavage and Anti-TRAILR HMCL killing were dependent on caspase activation. Kinetic studies showed that cleavage of Mcl-1L occurred very early (<1 hr) and became drastic once caspase 3 was activated. Our data show that both the extrinsic (caspase 8, Bid) and intrinsic (caspase 9) pathways are activated by anti-TRAIL mAb. Finally, we show that HGS-ETR1 mAb, and to a less extend HGS-ETR2, were able to induce killing of primary myeloma cells. Of note, HGS-ETR1 mAb was able to induce cell death of medullary and extramedullary myeloma cells collected from patients at relapse. Taken together our data clearly support clinical trials of anti-TRAILR1 mAb in MM, especially for patients at relapse, at the time of drug resistance.


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