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Atiprimod blocks STAT3 phosphorylation and induces apoptosis in multiple myeloma cells
M Amit-Vazina1, S Shishodia, D Harris
1Department of Bioimmunotherapy, The University of Texas M.D. Anderson Cancer Center, Houston, TX 77030, USA.
Abstract:
Multiple myeloma (MM) accounts for 1 % of all cancer deaths. Although treated aggressively, almost all myelomas eventually recur and become resistant to treatment. Atiprimod (2-(3-Diethylaminopropyl)-8,8-dipropyl-2-azaspiro[4,5] decane dimaleate) has exerted anti-inflammatory activities and inhibited oeteoclast-induced bone resorption in animal models and been well tolerated in patients with rheumatoid arthritis in phase I clinical trials. Therefore, we investigated its activity in MM cells and its mechanism of action. We found that Atiprimod inhibited proliferation of the myeloma cell lines U266-B1, OCI-MY5, MM-1, and MM-1R in a time- and dose-dependent manner. Atiprimod blocked U266-B1 myeloma cells in the G(0)/G(1) phase, preventing cell cycle progression. Furthermore, Atiprimod inhibited signal transducer and activator of transcription (STAT) 3 activation, blocking the signalling pathway of interleukin-6, which contributes to myeloma cell proliferation and survival, and downregulated the antiapoptotic proteins Bcl-2, Bcl-X(L), and Mcl-1. Incubation of U266-B1 myeloma cells with Atiprimod induced apoptosis through the activation of caspase 3 and subsequent cleavage of the DNA repair enzyme poly(adenosine diphosphate-ribose) polymerase. Finally, Atiprimod suppressed myeloma colony-forming cell proliferation in fresh marrow cells from five patients with newly diagnosed MM in a dose-dependent fashion. These data suggest that Atiprimod has a role in future therapies for MM.
Insights
Atiprimod effectively inhibits multiple myeloma cell proliferation and induces apoptosis by blocking key survival pathways. This drug shows promise for future multiple myeloma therapies, targeting resistant cancer cells.
Area of Science:
- Hematology
- Oncology
- Pharmacology
Background:
- Multiple myeloma (MM) is a fatal blood cancer with high recurrence and treatment resistance.
- Existing treatments for MM are aggressive, yet nearly all patients experience relapse.
- Atiprimod, previously studied for anti-inflammatory effects and bone resorption inhibition, is a potential therapeutic candidate.
Purpose of the Study:
- To investigate the anti-myeloma activity of Atiprimod.
- To elucidate the mechanism of action of Atiprimod in multiple myeloma cells.
Main Methods:
- Assessing Atiprimod's effect on myeloma cell line proliferation (U266-B1, OCI-MY5, MM-1, MM-1R).
- Analyzing cell cycle progression, STAT3 activation, and apoptosis markers (Bcl-2, Bcl-X(L), Mcl-1, caspase 3, PARP).
- Evaluating Atiprimod's impact on primary patient-derived myeloma cells.
Main Results:
- Atiprimod significantly inhibited proliferation in all tested myeloma cell lines in a dose- and time-dependent manner.
- Atiprimod induced G(0)/G(1) cell cycle arrest and apoptosis by downregulating antiapoptotic proteins and activating caspase 3.
- The drug suppressed proliferation of primary myeloma colony-forming cells from newly diagnosed patients.
Conclusions:
- Atiprimod demonstrates potent anti-myeloma activity through cell cycle arrest and apoptosis induction.
- Inhibition of the IL-6/STAT3 pathway and downregulation of antiapoptotic proteins are key mechanisms.
- Atiprimod shows potential as a novel therapeutic agent for multiple myeloma, including resistant forms.
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