Inhibition of
histone deacetylase (HDAC) is a promising mechanism for novel, anti-myeloma agents. We investigated the effects of the novel
HDAC inhibitor resminostat on
multiple myeloma (MM) cells in vitro.
Resminostat is a potent inhibitor of HDACs 1, 3 and 6 [50% inhibitory concentration (IC50)=43-72 nmol/l] representing HDAC classes I and II and induces hyperacetylation of
histone H4 in MM cells. Low micromolar concentrations of
resminostat abrogated cell growth and strongly induced apoptosis (IC50=2.5-3 micromol/l in 3 out of 4 MM cell lines) in MM cell lines as well as primary MM cells. At 1 micromol/l,
resminostat inhibited proliferation and induced G0/G1 cell cycle arrest in 3 out of 4 MM cell lines accompanied with decreased levels of
cyclin D1, cdc25a, Cdk4 and pRb as well as upregulation of p21.
Resminostat decreased phosphorylation of 4E-BP1 and
p70S6k indicating an interference with Akt pathway signalling. Treatment with
resminostat resulted in increased
protein levels of Bim and Bax and decreased levels of Bcl-xL.
Caspases 3, 8 and 9 were activated by
resminostat. Furthermore, synergistic effects were observed for combinations of
resminostat with
melphalan and the
proteasome inhibitors bortezomib and
S-2209. In conclusion, we have identified potent anti-myeloma activity for this novel
HDAC inhibitor.