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Blood, 22 January 2009, Vol. 113, No. 4, pp. 846-855. Prepublished online as a Blood First Edition Paper on October 23, 2008; DOI 10.1182/blood-2008-04-151928.
Submitted April 15, 2008
Division of Clinical Oncology and Hematology, Department of Internal Medicine, Jikei University School of Medicine, Tokyo, Japan * Corresponding author; email: yutaka_okawa{at}dfci.harvard.edu.
Heat-shock protein 90 (Hsp90) acts as a molecular chaperone required for maintaining the conformational stability of client proteins regulating cell proliferation, survival and apoptosis. Here we investigate the biological significance of Hsp90 inhibition in multiple myeloma (MM) and other hematological tumors using an orally available novel small molecule inhibitor SNX-2112 which exhibits unique activities relative to 17-allyamino-17-demethoxy-geldanamycin (17-AAG). SNX-2112 triggers growth inhibition and is more potent than 17-AAG against MM and other malignancies. It induces apoptosis via caspase -8,-9,-3 and PARP cleavage. SNX-2112 inhibits cytokine (IL-6 and IGF-1) -induced Akt and ERK activation and also overcomes the growth advantages conferred by IL-6, IGF-1 and bone marrow stromal cells (BMSCs). Importantly, SNX-2112 inhibits tube formation by HUVEC via abrogation of eNOS/Akt pathway, and markedly inhibits osteoclast formation via downregulation of ERK/c-fos and PU.1. Finally, SNX-2112, delivered by its prodrug SNX-5422, inhibits MM cell growth and prolongs survival in a xenograft murine model. Our results indicate that blockade of Hsp90 by SNX-2112 not only inhibits MM cell growth, but also acts in the BM microenvironment to block angiogenesis and osteoclastogenesis. Taken together, our data provide the framework for clinical studies of SNX-2112 to improve patient outcome in MM and other hematological malignancies.
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