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Updated: Nov 9, 2025

Repression of Multiple Myeloma Cell Growth In Vivo by Single-wall Carbon Nanotube SWCNT-delivered MALAT1 Antisense Oligos
Published on: December 13, 2018
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.
Abstract:
Despite the significant advances in the treatment of multiple myeloma (MM), this disease is still considered incurable because of relapse and chemotherapy resistance, underscoring the need to seek novel therapies with different mechanisms. Anlotinib, a novel multi-targeted tyrosine kinase inhibitor (TKI), has exhibited encouraging antitumor activity in several preclinical and clinical trials, but its effect on MM has not been studied yet. In this study, we found that anlotinib exhibits encouraging cytotoxicity in MM cells, overcomes the protective effect of the bone marrow microenvironment and suppresses tumor growth in the MM mouse xenograft model. We further examined the underlying molecular mechanism and found that anlotinib provokes cell cycle arrest, induces apoptosis and inhibits multiple signaling pathways. Importantly, we identify c-Myc as a novel direct target of anlotinib. The enhanced ubiquitin proteasomal degradation of c-Myc contributes to the cell apoptosis induced by anlotinib. In addition, anlotinib also displays strong cytotoxicity against bortezomib-resistant MM cells. Our study demonstrates the extraordinary anti-MM effect of anlotinib both in vitro and in vivo, which provides solid evidence and a promising rationale for future clinical application of anlotinib in the treatment of human MM.
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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