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Blood, 14 May 2009, Vol. 113, No. 20, pp. 4894-4902.
Prepublished online as a Blood First Edition Paper on March 12, 2009; DOI 10.1182/blood-2008-08-173948.


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Submitted August 12, 2008
Accepted January 23, 2009

Increased signaling through p62 in the marrow microenvironment increases myeloma cell growth and osteoclast formation

Yuko Hiruma, Tadashi Honjo, Diane F. Jelinek, Jolene J. Windle, Jaekyoon Shin, G. David Roodman, and Noriyoshi Kurihara*

University of Pittsburgh, Medicine/Hematology-Oncology, Pittsburgh, PA, United States
Mayo Clinic, Department of Immunology, Rochester, MN, United States
Virginia Commonwealth University, Human and Molecular Genetics, Richmond, VA, United States
Sungkyunkwan University, School of Medicine, Suwon, Korea, Republic of
VA Pittsburgh Healthcare System, Medicine/Hematology-Oncology, Pittsburgh, PA, United States

* Corresponding author; email: kuriharan{at}upmc.edu.

Adhesive interactions between myeloma (MM) cells and marrow stromal cells activate multiple signaling pathways including NF-{kappa}B, p38 MAPK, and JNK in stromal cells, which promote tumor growth and bone destruction. Sequestosome-1 (p62), an adapter protein that has no intrinsic enzymatic activity, serves as a platform to facilitate formation of signaling complexes for these pathways. Therefore, we determined if targeting only p62 would inhibit multiple signaling pathways activated in the MM microenvironment and thereby decrease MM cell growth and osteoclast formation. Signaling through NF-{kappa}B and p38 MAPK was increased in primary stromal cells from MM patients. Increased IL-6 production by MM stromal cells was p38 MAPK dependent while increased VCAM-1 expression was NF-{kappa}B dependent. Knocking-down p62 in patient-derived stromal cells significantly decreased PKC{zeta}, VCAM-1, and IL-6 levels as well as decreased stromal cell support of MM cell growth. Similarly, marrow stromal cells from p62-/- mice produced much lower levels of IL-6, TNF-{alpha} and RANKL and supported MM cell growth and osteoclast formation to a much lower extent than normal cells. Thus, p62 is an attractive therapeutic target for MM.


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