Abstract
Bortezomib therapy has proven successful for the treatment of relapsed and/or refractory multiple myeloma (MM); however, prolonged treatment is associated with toxicity and development of drug resistance. Here, we show that the novel proteasome inhibitor NPI-0052 induces apoptosis in MM cells resistant to conventional and Bortezomib therapies. NPI-0052 is distinct from Bortezomib in its chemical structure, effects on proteasome activities, mechanisms of action, and toxicity profile against normal cells. Moreover, NPI-0052 is orally bioactive. In animal tumor model studies, NPI-0052 is well tolerated and prolongs survival, with significantly reduced tumor recurrence. Combining NPI-0052 and Bortezomib induces synergistic anti-MM activity. Our study therefore provides the rationale for clinical protocols evaluating NPI-0052, alone and together with Bortezomib, to improve patient outcome in MM.
Publication types
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Comparative Study
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
MeSH terms
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Administration, Oral
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Animals
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Antineoplastic Agents / pharmacology
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Apoptosis / drug effects
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Boronic Acids / pharmacology*
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Boronic Acids / therapeutic use
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Bortezomib
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Caspases / metabolism
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Cell Movement / drug effects
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Cell Proliferation / drug effects
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Drug Synergism
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Genes, bcl-2
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Humans
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Lactones / administration & dosage
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Lactones / chemistry
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Lactones / pharmacology*
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Lymphocytes / drug effects
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Mice
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Mitochondria / drug effects
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Mitochondria / metabolism
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Multiple Myeloma / drug therapy*
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NF-kappa B / metabolism
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Plasmacytoma / drug therapy
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Protease Inhibitors / pharmacology*
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Proteasome Endopeptidase Complex / pharmacology
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Pyrazines / pharmacology*
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Pyrazines / therapeutic use
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Pyrroles / administration & dosage
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Pyrroles / chemistry
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Pyrroles / pharmacology*
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Tumor Cells, Cultured
Substances
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Antineoplastic Agents
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Boronic Acids
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Lactones
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NF-kappa B
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Protease Inhibitors
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Pyrazines
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Pyrroles
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Bortezomib
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marizomib
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Caspases
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Proteasome Endopeptidase Complex