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Blood, 15 December 2007, Vol. 110, No. 13, pp. 4464-4475.
Prepublished online as a Blood First Edition Paper on September 11, 2007; DOI 10.1182/blood-2007-02-074617.


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Submitted February 15, 2007
Accepted September 4, 2007

The new tumor suppressor gene inhibitor of growth family member 4 (ING4) regulates the production of pro-angiogenic molecules by myeloma cells and suppresses hypoxia inducible factor (HIF)-1{alpha} activity being involved in myeloma-induced angiogenesis

Simona Colla, Sara Tagliaferri, Francesca Morandi, Paolo Lunghi, Gaetano Donofrio, Davide Martorana, Cristina Mancini, Mirca Lazzaretti, Laura Mazzera, Lara Ravanetti, Sabrina Bonomini, Luca Ferrari, Claudia Miranda, Marco Ladetto, Tauro Maria Neri, Antonino Neri, Angela Greco, Marcellina Mangoni, Antonio Bonati, Vittorio Rizzoli, and Nicola Giuliani*

Hematology and Bone Marrow Transplantation Center, University of Parma, Parma, Italy
Department of Clinical Sciences, University of Parma, Parma, Italy
"Sezione Malattie Infettive, Dipartimento di Salute Animale", University of Parma, Parma, Italy
"Genetica Molecolare e Citogenetica", University of Parma, Parma, Italy
Pathology, University of Parma, Parma, Italy
"Dipartimento di Genetica, Biologia dei Microrganismi, Antropologia, Evoluzione", University of Parma, Parma, Italy
Department of Experimental Oncology, Fondazione IRCCS, "Istituto Nazionale dei Tumori", Milan, Italy
Chair of Hematology, University of Torino, Torino, Italy
Laboratorio di Genetica Molecolare, Centro di Ricerca Studio Leucemie, University of Milan, Fondazione Policlinico IRCCS, Milan, Italy

* Corresponding author; email: nicola.giuliani{at}unipr.it.

Angiogenesis has a critical role in the pathophysiology of multiple myeloma (MM), however the molecular mechanisms underlying this process are not completely elucidated. The new tumor suppressor gene inhibitor of growth family member 4 (ING4) has been recently implicated in solid tumors as a repressor of angiogenesis. In this study, we found that ING4 expression in MM cells was correlated with the expression of the pro-angiogenic molecules interleukin-8 (IL-8) and osteopontin (OPN). Moreover we demonstrate that ING4 suppression in MM cells up-regulated IL-8 and OPN, increasing the hypoxia inducible factor-1 (HIF-1){alpha} activity and its target gene NIP-3 expression in hypoxic condition. In turn, we show that the inhibition of HIF-1{alpha} by siRNA suppressed IL-8 and OPN production by MM cells under hypoxia. A direct interaction between ING4 and the HIF prolyl hydroxylase (HPH)-2 was also demonstrated. Finally we show that ING4 suppression in MM cells significantly increased vessel formation in vitro blunted by blocking IL-8 or OPN. These in vitro observations were confirmed in vivo by finding that MM patients with high IL-8 production and microvascular density (MVD) have significantly lower ING4 levels as compared to those with low IL-8 and MVD. Our data indicate that ING4 exerts an inhibitory effect on the production of pro-angiogenic molecules and consequently on MM-induced angiogenesis.


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