PMID- 23932230 OWN - NLM STAT- MEDLINE DCOM- 20140120 LR - 20151119 IS - 1879-0852 (Electronic) IS - 0959-8049 (Linking) VI - 49 IP - 17 DP - 2013 Nov TI - Inhibition of the tumour necrosis factor-alpha autocrine loop enhances the sensitivity of multiple myeloma cells to anticancer drugs. PG - 3708-17 LID - S0959-8049(13)00560-1 [pii] LID - 10.1016/j.ejca.2013.07.010 [doi] AB - Several autocrine soluble factors, including macrophage inflammatory protein-1alpha and tumour necrosis factor-alpha (TNF-alpha), promote the survival and growth of multiple myeloma (MM) cells. We hypothesised that inhibition of the TNF-alpha autocrine loop may enhance the cytotoxic effect of anticancer drugs in MM cell lines. In the present study, a TNF-alpha-neutralizing antibody suppressed cell proliferation and enhanced the cytotoxic effect of anticancer drugs on MM cells. In addition, combination treatment with the TNF-alpha-neutralizing antibody and the chemotherapy agent melphalan inhibited nuclear factor kappaB (NF-kappaB) p65 nuclear translocation and mammalian target of rapamycin (mTOR) activation and upregulated the expression of Bax and Bim. Treatment of ARH-77 cells with the NF-kappaB inhibitor dimethyl fumarate or the mTOR inhibitor rapamycin suppressed NF-kappaB p65 nuclear translocation and enhanced the cytotoxic effect of melphalan. Furthermore, infliximab, a monoclonal antibody against TNF-alpha, also enhanced the cytotoxic effect of anticancer drugs in ARH-77 cells. These results indicated that TNF-alpha-neutralizing antibodies or infliximab enhanced the cytotoxic effect of anticancer drugs by suppressing the TNF receptor/mTOR/NF-kappaB pathways. The inhibition of TNF-alpha may thus provide a new therapeutic approach to control tumour progression and bone destruction in MM patients. CI - Copyright (c) 2013 Elsevier Ltd. All rights reserved. FAU - Tsubaki, Masanobu AU - Tsubaki M AD - Division of Pharmacotherapy, Kinki University School of Pharmacy, Kowakae, Higashi-Osaka, Japan. FAU - Komai, Makiko AU - Komai M FAU - Itoh, Tatsuki AU - Itoh T FAU - Imano, Motohiro AU - Imano M FAU - Sakamoto, Kotaro AU - Sakamoto K FAU - Shimaoka, Hirotaka AU - Shimaoka H FAU - Ogawa, Naoki AU - Ogawa N FAU - Mashimo, Kenji AU - Mashimo K FAU - Fujiwara, Daichiro AU - Fujiwara D FAU - Takeda, Tomoya AU - Takeda T FAU - Mukai, Junji AU - Mukai J FAU - Sakaguchi, Katsuhiko AU - Sakaguchi K FAU - Satou, Takao AU - Satou T FAU - Nishida, Shozo AU - Nishida S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130807 PL - England TA - Eur J Cancer JT - European journal of cancer (Oxford, England : 1990) JID - 9005373 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Neutralizing) RN - 0 (Antineoplastic Agents) RN - 0 (Fumarates) RN - 0 (Tumor Necrosis Factor-alpha) RN - B72HH48FLU (Infliximab) RN - FO2303MNI2 (Dimethyl Fumarate) RN - Q41OR9510P (Melphalan) SB - IM MH - Antibodies, Monoclonal/pharmacology/therapeutic use MH - Antibodies, Neutralizing/pharmacology MH - Antineoplastic Agents/*therapeutic use MH - Autocrine Communication/drug effects MH - Dimethyl Fumarate MH - Drug Resistance, Neoplasm/*drug effects MH - Drug Synergism MH - Fumarates/*pharmacology/therapeutic use MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Infliximab MH - Melphalan/therapeutic use MH - Multiple Myeloma/*drug therapy/genetics MH - Tumor Cells, Cultured MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors OTO - NOTNLM OT - Multiple myeloma OT - NF-kappaB OT - TNF-alpha OT - mTOR EDAT- 2013/08/13 06:00 MHDA- 2014/01/21 06:00 CRDT- 2013/08/13 06:00 PHST- 2013/04/29 00:00 [received] PHST- 2013/06/25 00:00 [revised] PHST- 2013/07/15 00:00 [accepted] PHST- 2013/08/13 06:00 [entrez] PHST- 2013/08/13 06:00 [pubmed] PHST- 2014/01/21 06:00 [medline] AID - S0959-8049(13)00560-1 [pii] AID - 10.1016/j.ejca.2013.07.010 [doi] PST - ppublish SO - Eur J Cancer. 2013 Nov;49(17):3708-17. doi: 10.1016/j.ejca.2013.07.010. Epub 2013 Aug 7.