Directly targeting c-Myc contributes to the anti-multiple myeloma effect of anlotinib

Yang Cao1, Huizhuang Shan2, Meng Liu2

  • 1Department of Hematology, The First People's Hospital of Changzhou, Third Affiliated Hospital of Soochow University, 213003, Changzhou, Jiangsu Province, P.R. China.

Cell Death & Disease
|April 15, 2021
PubMed

Insights

Anlotinib, a novel multi-targeted tyrosine kinase inhibitor, shows significant anti-multiple myeloma (MM) effects by inducing cell death and overcoming drug resistance. This study provides a strong rationale for its potential clinical use in treating MM.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Multiple myeloma (MM) remains incurable due to relapse and chemotherapy resistance.
  • Novel therapeutic strategies are crucial for effective MM treatment.
  • Anlotinib, a multi-targeted tyrosine kinase inhibitor (TKI), has shown antitumor potential but its efficacy in MM was unknown.

Purpose of the Study:

  • To investigate the anti-MM effects of anlotinib.
  • To explore the underlying molecular mechanisms of anlotinib in MM.
  • To evaluate anlotinib's efficacy against bortezomib-resistant MM cells.

Main Methods:

  • In vitro cytotoxicity assays on MM cell lines.
  • In vivo studies using a mouse xenograft model of MM.
  • Analysis of cell cycle, apoptosis, and key signaling pathways.
  • Identification of direct molecular targets of anlotinib.

Main Results:

  • Anlotinib demonstrated significant cytotoxicity against MM cells, even in the bone marrow microenvironment.
  • Anlotinib suppressed tumor growth in a mouse xenograft model.
  • Anlotinib induced cell cycle arrest and apoptosis, with c-Myc identified as a direct target.
  • Anlotinib showed efficacy against bortezomib-resistant MM cells.

Conclusions:

  • Anlotinib exhibits potent anti-MM activity in vitro and in vivo.
  • Anlotinib's mechanism involves c-Myc degradation, leading to apoptosis.
  • Anlotinib is a promising candidate for clinical application in treating multiple myeloma, including resistant cases.

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