Multiple myeloma (MM) accounts for 1 % of all
cancer deaths. Although treated aggressively, almost all myelomas eventually recur and become resistant to treatment.
Atiprimod (2-(3-Diethylaminopropyl)-8,8-dipropyl-2-azaspiro[4,5]
decane dimaleate) has exerted anti-inflammatory activities and inhibited oeteoclast-induced
bone resorption in animal models and been well tolerated in patients with
rheumatoid arthritis in phase I clinical trials. Therefore, we investigated its activity in MM cells and its mechanism of action. We found that
Atiprimod inhibited proliferation of the myeloma cell lines U266-B1, OCI-MY5, MM-1, and MM-1R in a time- and dose-dependent manner.
Atiprimod blocked U266-B1 myeloma cells in the G(0)/G(1) phase, preventing cell cycle progression. Furthermore,
Atiprimod inhibited signal transducer and activator of transcription (STAT) 3 activation, blocking the signalling pathway of
interleukin-6, which contributes to myeloma cell proliferation and survival, and downregulated the antiapoptotic
proteins Bcl-2, Bcl-X(L), and Mcl-1. Incubation of U266-B1 myeloma cells with
Atiprimod induced apoptosis through the activation of
caspase 3 and subsequent cleavage of the
DNA repair enzyme poly(adenosine diphosphate-ribose) polymerase. Finally,
Atiprimod suppressed myeloma colony-forming cell proliferation in fresh marrow cells from five patients with newly diagnosed MM in a dose-dependent fashion. These data suggest that
Atiprimod has a role in future
therapies for MM.