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Blood, 15 August 2008, Vol. 112, No. 4, pp. 1338-1345.
Prepublished online as a Blood First Edition Paper on May 30, 2008; DOI 10.1182/blood-2007-11-124156.


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Submitted November 20, 2007
Accepted March 17, 2008

Dexamethasone induced apoptotic mechanisms in myeloma cells investigated by analysis of mutant glucocorticoid receptors

Sanjai Sharma* and Alan Lichtenstein

Hematology Oncology, UCLA West LA VAMC, Los Angeles, CA, United States

* Corresponding author; email: sasharma{at}mednet.ucla.edu.

The mechanism by which the glucocorticoid (GC) dexamethasone (dex) induces apoptosis in multiple myeloma (MM) cells is unknown although previous work suggests that either transactivation through the glucocorticoid response element (GRE), transrepression of NF-{kappa}B, phosphorylation of RAFTK (Pyk2) or induction of Bim is important. We studied this question by ectopically expressing mutant glucocorticoid receptors ( GRs) in the dex-resistant MM1R cell line which has lost its GR. Lentiviral mediated re-expression of wild type GR restored GRE transactivation, NF-{kappa}B transrepression, RAFTK phosphorylation, Bim induction and dex-induced apoptosis. We then re-expressed four GR mutants, each possessing varying molecular effects, into MM1R cells. A perfect correlation was present between induction of GRE transactivation and induction of apoptosis. In contrast, NF-{kappa}B transrepression and RAFTK phosphorylation was not required for apoptosis. Although not required for dex-mediated apoptosis, NF-{kappa}B inhibition achieved by gene transfer suggested that NF-{kappa}B transrepression could contribute to apoptosis in dex-treated cells. Dex treatment of MM1R cells expressing a mutant incapable of inducing apoptosis, successfully resulted in RAFTK (Pyk2) phosphorylation and Bim induction indicating the latter GR-mediated events were not sufficient, to induce apoptosis. MM1R cells expressing mutant GRs will be helpful in defining the molecular mechanisms of dex-induced apoptosis of myeloma cells.


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