A novel orally active proteasome inhibitor induces apoptosis in multiple myeloma cells with mechanisms distinct from Bortezomib

Cancer Cell. 2005 Nov;8(5):407-19. doi: 10.1016/j.ccr.2005.10.013.

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

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Animals
  • Antineoplastic Agents / pharmacology
  • Apoptosis / drug effects
  • Boronic Acids / pharmacology*
  • Boronic Acids / therapeutic use
  • Bortezomib
  • Caspases / metabolism
  • Cell Movement / drug effects
  • Cell Proliferation / drug effects
  • Drug Synergism
  • Genes, bcl-2
  • Humans
  • Lactones / administration & dosage
  • Lactones / chemistry
  • Lactones / pharmacology*
  • Lymphocytes / drug effects
  • Mice
  • Mitochondria / drug effects
  • Mitochondria / metabolism
  • Multiple Myeloma / drug therapy*
  • NF-kappa B / metabolism
  • Plasmacytoma / drug therapy
  • Protease Inhibitors / pharmacology*
  • Proteasome Endopeptidase Complex / pharmacology
  • Pyrazines / pharmacology*
  • Pyrazines / therapeutic use
  • Pyrroles / administration & dosage
  • Pyrroles / chemistry
  • Pyrroles / pharmacology*
  • Tumor Cells, Cultured

Substances

  • Antineoplastic Agents
  • Boronic Acids
  • Lactones
  • NF-kappa B
  • Protease Inhibitors
  • Pyrazines
  • Pyrroles
  • Bortezomib
  • marizomib
  • Caspases
  • Proteasome Endopeptidase Complex