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Proteasome and heat shock protein 70 (HSP70) inhibitors as therapeutic alternative in multiple myeloma
Angela Isabel Pereira Eugênio1, Veruska Lia Fook-Alves1, Mariana Bleker de Oliveira1
1Discipline of Hematology e Hemotherapy, Department of Clinical and Experimental Oncology, Universidade Federal de São Paulo, UNIFESP, São Paulo, SP, Brazil.
Abstract:
HSP70 connects multiple signaling pathways that work synergistically to protect tumor cells from death by proteotoxic stress and represents a possible target to establish a new approach for multiple myeloma treatment. Therefore, bioluminescent cell lines RPMI8226-LUC-PURO and U266-LUC-PURO were treated with HSP70 (VER155008) and/or proteasome (bortezomib) inhibitors and immunodeficient mice were used for subcutaneous xenograft models to evaluate tumor growth reduction and tumor growth inhibition after treatment. Bioluminescence imaging was used to follow tumor response. Treatment with bortezomib showed ∼60% of late apoptosis in RPMI8226-LUC-PURO (without additional benefit of VER155008 in this cell line). However, U266-LUC-PURO showed ∼60% of cell death after treatment with VER155008 (alone or with bortezomib). RPMI8226-LUC-PURO xenograft presented tumor reduction by bioluminescence imaging after treatment with bortezomib, VER155008 or drug combination compared to controls. Treatment with bortezomib, alone or combined with VER155008, showed inhibition of tumor growth assessed by bioluminescence imaging after one week in both RPMI8226-LUC-PURO and U266-LUC-PURO cell lines when compared to controls. In conclusion, our study shows that the combination of proteasome and HSP70 inhibitors induced cell death in tumor cells in vitro (late apoptosis induction) and in vivo (inhibition of tumor growth) with special benefit in U266-LUC-PURO, bearing 17p deletion.
Insights
Heat shock protein 70 (HSP70) and proteasome inhibitors show promise for multiple myeloma treatment. Combining HSP70 (VER155008) and proteasome (bortezomib) inhibitors effectively reduced tumor growth in vivo.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Heat shock protein 70 (HSP70) pathways protect tumor cells from proteotoxic stress.
- HSP70 is a potential therapeutic target for multiple myeloma.
- Proteasome inhibitors like bortezomib are established treatments for multiple myeloma.
Purpose of the Study:
- To investigate the efficacy of HSP70 inhibitor VER155008, proteasome inhibitor bortezomib, and their combination in multiple myeloma treatment.
- To evaluate tumor growth reduction and inhibition in vitro and in vivo models.
Main Methods:
- Bioluminescent multiple myeloma cell lines (RPMI8226-LUC-PURO, U266-LUC-PURO) were treated with VER155008 and/or bortezomib.
- Subcutaneous xenograft models in immunodeficient mice were established to assess tumor growth.
- Bioluminescence imaging was utilized to monitor tumor response and growth inhibition.
Main Results:
- Bortezomib induced significant late apoptosis (~60%) in RPMI8226-LUC-PURO cells.
- VER155008, alone or with bortezomib, induced significant cell death (~60%) in U266-LUC-PURO cells.
- Both single agents and the combination treatment reduced tumor growth in vivo across both cell lines, with notable efficacy in U266-LUC-PURO cells (bearing 17p deletion).
Conclusions:
- The combination of proteasome and HSP70 inhibitors demonstrates synergistic potential in inducing cancer cell death.
- This combination therapy shows efficacy in inhibiting multiple myeloma tumor growth both in vitro and in vivo.
- The U266-LUC-PURO cell line, particularly with 17p deletion, showed a pronounced benefit from the combined treatment strategy.
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