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Blood, 15 March 2007, Vol. 109, No. 6, pp. 2293-2302.
Prepublished online as a Blood First Edition Paper on December 12, 2006; DOI 10.1182/blood-2006-02-003988.


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Submitted February 21, 2006
Accepted August 8, 2006

Resveratrol inhibits proliferation, induces apoptosis and overcomes chemoresistance through downregulation of STAT3 and nuclear factor-{kappa}B-regulated antiapoptotic and cell survival gene products in human multiple myeloma cells

Anjana Bhardwaj, Gautam Sethi, Saroj Vadhan-Raj, Carlos Bueso-Ramos, Yasunari Takada, Upasna Gaur, Asha S. Nair, Shishir Shishodia, and Bharat B. Aggarwal*

Dept. of Experimental Therapeutics, The University of Texas M. D. Anderson Cancer Center, Houston, TX
Dept. of Cytokine & Supportive Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, TX
Dept. of Hematopathology, The University of Texas M. D. Anderson Cancer Center, Houston, TX

* Corresponding author; email: aggarwal{at}mdanderson.org.

Whether resveratrol, a component of red grapes, berries and peanuts, could suppress the proliferation of multiple myeloma (MM) cells by interfering with NF-{kappa}B and STAT3 pathways, was investigated. Resveratrol inhibited the proliferation of human multiple myeloma cell lines regardless of whether they were sensitive or resistant to the conventional chemotherapy agents. This stilbene also potentiated the apoptotic effects of Velcade and thalidomide. Resveratrol induced apoptosis as indicated by accumulation of sub G1 population, increase in Bax release and activation of caspase-3. This correlated with downregulation of various proliferative and antiapoptotic gene products including cyclin D1, cIAP-2, XIAP, survivin, Bcl-2, Bcl-xL, Bfl-1/A1 and TRAF2. In addition, resveratrol downregulated the constitutive activation of AKT. These effects of resveratrol are mediated through suppression of constitutively active NF-{kappa}B through inhibition of I{kappa}B{alpha} kinase; and the phosphorylation of I{kappa}B{alpha} and of p65. Resveratrol inhibited both the constitutive and the interleukin 6-induced activation of STAT3. When examined CD 138+ plasma cells from MM patients, resveratrol inhibited constitutive activation of both NF-{kappa}B and STAT3 leading to downregulation of cell proliferation and potentiation of apoptosis induced by Velcade and thalidomide. These mechanistic findings suggest that resveratrol may have a potential in the treatment of multiple myeloma.


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