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Blood, 15 December 2007, Vol. 110, No. 13, pp. 4373-4384.
Prepublished online as a Blood First Edition Paper on September 4, 2007; DOI 10.1182/blood-2006-07-038026.
Previous Article | Next Article 
Submitted July 27, 2006
Accepted July 17, 2007
Inhibition of adhesive interaction between multiple myeloma and bone marrow stromal cells by PPAR crosstalk with NF- B and c/EBP
Li Hua Wang*, Xiao Yi Yang, Xiaohu Zhang, and William L Farrar
Basic Research Program, SAIC-Frederick, Inc., National Cancer Institute at Frederick, Frederick, MD, United States
Cancer Stem Cell Section, Laboratory of Cancer Prevention, National Cancer Institute at Frederick, Frederick, MD, United States
* Corresponding author; email: lhwang{at}ncifcrf.gov.
Binding of multiple myeloma (MM) cells to bone marrow stromal cells (BMSCs) triggers expression of adhesive molecules and secretion of interleukin-6 (IL-6), promoting MM cell growth, survival, drug resistance, and migration, which highlights the possibility of developing and validating novel anti-MM therapeutic strategies targeting MM cells-host BMSC interactions and their sequelae. Recently, we have found that expression of the peroxisome proliferator-activated receptor (PPAR ) and its ligands can potently inhibit IL-6-regulated MM cell growth. Here we demonstrate that PPAR agonists 15-d-PGJ2 and troglitazone significantly suppress cell-cell adhesive events, including expression of adhesion molecules and IL-6 secretion from BMSCs triggered by adhesion of MM cells, as well as overcome drug-resistance by a PPAR -dependent mechanism. The synthetic and natural PPAR agonists have diverging and overlapping mechanisms blocking transactivation of transcription factors NF- B and 5'-CCAAT/enhancer binding protein (C/EBP ). Both 15-d-PGJ2 and troglitazone blocked C/EBP transcriptional activity by forming PPAR complexes with C/EBP . 15-d-PGJ2 and troglitazone also blocked NF- B activation by recruiting the co-activator PGC-1 from p65/p50 complexes. Additionally, 15-d-PGJ2 had a non-PPAR -dependent effect by inactivation of phosphorylation of IKK and I B. These studies provide the framework for PPAR -based pharmacological strategies targeting adhesive interactions of MM cells with the bone marrow microenvironment.

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