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Blood, 16 April 2009, Vol. 113, No. 16, pp. 3781-3791.
Prepublished online as a Blood First Edition Paper on November 19, 2008; DOI 10.1182/blood-2008-09-177774.
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Submitted September 8, 2008
Accepted November 10, 2008
Zalypsis: A novel marine-derived compound with potent antimyeloma activity that reveals high sensitivity of malignant plasma cells to DNA double strand breaks
Enrique M. Ocio*, Patricia Maiso, Xi Chen, Mercedes Garayoa, Stela Alvarez-Fernandez, Laura San-Segundo, David Vilanova, Lucia Lopez-Corral, Juan C. Montero, Teresa Hernandez-Iglesias, Enrique de Alava, Carlos Galmarini, Pablo Aviles, Carmen Cuevas, Jesus F. San-Miguel, and Atanasio Pandiella
Centro de Investigacion del Cancer, IBMCC/CSIC-Universidad de Salamanca, Salamanca, Spain
PharmaMar, Madrid, Spain
Hospital Universitario de Salamanca, Salamanca, Spain
* Corresponding author; email: emocio{at}usal.es.
Multiple Myeloma (MM) remains incurable, and new drugs with novel mechanisms of action are still needed. In this report, we have analyzed the action of Zalypsis, an alkaloid analogous to certain natural marine compounds, in MM. Zalypsis turned out to be the most potent antimyeloma agent we have tested so far, with IC50s from picomolar to low nanomolar ranges. It also showed remarkable ex vivo potency in plasma cells from patients and in MM cells in vivo xenografted in mice. Besides the induction of apoptosis and cell cycle arrest, Zalypsis provoked DNA double-strand-breaks (DSB), evidenced by an increase in phospho-Histone-H2AX and phospho-CHK2, followed by a striking overexpression of p53 in p53-wild type cell lines. In addition, in those cell lines in which p53 was mutated, Zalypsis also provoked DSB and induced cell death, although higher concentrations were required. Immunohistochemical studies in tumours also demonstrated Histone-H2AX phosphorylation and p53 overexpression. Gene expression profile studies were concordant with these results, revealing an important deregulation of genes involved in DNA-damage response. The potent in vitro and in vivo antimyeloma activity of Zalypsis uncovers the high sensitivity of tumour plasma cells to DSB, and strongly supports the use of this compound in MM patients.

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