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Blood, 15 November 2006, Vol. 108, No. 10, pp. 3441-3449.
Prepublished online as a Blood First Edition Paper on June 13, 2006May 25, 2006; DOI 10.1182/blood-2006-04-016055.


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Submitted April 14, 2006
Accepted May 1, 2006

Aggresome induction by proteasome inhibitor bortezomib and {alpha}-tubulin hyperacetylation by tubulin deacetylase (TDAC) inhibitor LBH589 are synergistic in myeloma cells

Laurence Catley, Ellen Weisberg, Tanyel Kiziltepe, Yu-Tzu Tai, Teru Hideshima, Paola Neri, Pierfrancesco Tasssone, Peter Atadja, Dharminder Chauhan, Nikhil C Munshi, and Kenneth C Anderson*

Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School
Novartis Institutes for Biomedical Research, Oncology Research

* Corresponding author; email: kenneth_anderson{at}dfci.harvard.edu.

Histone deacetylase (HDAC) inhibitors have shown cytotoxicity as single agents in pre-clinical studies for multiple myeloma (MM) cells. LBH589 is a novel hydroxamic acid derivative that at low nanomolar concentrations induces apoptosis in MM cells resistant to conventional therapies via caspase activation and poly (ADP-ribose) polymerase (PARP) cleavage. Significant synergistic cytotoxicity was observed with LBH589 in combination with bortezomib against MM cells which were sensitive and resistant to Dexamethasone (Dex), as well as primary patient MM cells. LBH589 at low nanomolar concentrations also induced {alpha}-tubulin hyperacetylation. Aggresome formation was observed in the presence of bortezomib, and the combination of LBH589 plus bortezomib induced the formation of abnormal bundles of hyeracetylated {alpha}-tubulin but with diminished aggresome size and apoptotic nuclei. These data confirm the potential clinical benefit of combining HDAC inhibitors with proteasome inhibitors, and provide insight into the mechanisms of synergistic anti-MM activity of bortezomib in combination with LBH589.


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