Alkyl phospholipid perifosine induces myeloid hyperplasia in a murine myeloma model

Laurence Catley1, Teru Hideshima, Dharminder Chauhan

  • 1Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Mass., USA. laurence.catley@mater.org.au

Abstract

Insights

Perifosine, an alkyl-lysophospholipid, promotes white blood cell production and bone marrow activity in mice with multiple myeloma. This suggests potential for treating myeloid suppression in cancer patients.

Area of Science:

  • Pharmacology
  • Oncology
  • Hematology

Background:

  • Alkyl-lysophospholipids represent a novel class of antitumor agents.
  • Perifosine demonstrates in vitro and in vivo apoptosis induction in multiple myeloma (MM) cells.

Purpose of the Study:

  • To investigate the effects of perifosine on peripheral blood, bone marrow, and spleen in mice with plasmacytomas.

Main Methods:

  • Immunocompromised mice bearing myeloma cell lines were treated with oral perifosine (daily or weekly) or vehicle.
  • Terminal blood, bone marrow, and spleen analyses were performed using a Coulter counter and light microscopy.

Main Results:

  • Perifosine treatment led to increased white blood cell (WBC) counts, primarily neutrophilia, and elevated platelet counts compared to controls.
  • Mice treated with perifosine exhibited marrow hypercellularity and splenic white pulp expansion.

Conclusions:

  • Perifosine induces myeloid hyperplasia, contrasting with the myeloid suppression typical of cytotoxic agents.
  • These findings support the clinical investigation of perifosine for multiple myeloma patients, particularly given its MM cytotoxicity and potential to mitigate myeloid suppression.

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