Despite recent advances in the first-line treatment of
multiple myeloma, almost all patients eventually experience relapse with
drug-resistant disease. New therapeutic modalities are needed, and to this end, SNS01, a therapeutic nanoparticle, is being investigated for treatment of
multiple myeloma. The antitumoral activity of SNS01 is based upon modulation of
eukaryotic translation initiation factor 5A (eIF5A), a highly conserved
protein that is involved in many cellular processes including proliferation, apoptosis, differentiation and
inflammation. eIF5A is regulated by post-translational
hypusine modification, and overexpression of hypusination-resistant mutants of eIF5A induces apoptosis in many types of
cancer cells. SNS01 is a
polyethylenimine (PEI)-based nanoparticle that contains both a B-cell-specific expression plasmid expressing a non-hypusinable mutant of eIF5A and a
small interfering RNA (
siRNA) which depletes endogenous hypusinated eIF5A. Reducing
hypusine-modified eIF5A levels was found to inhibit phosphorylation and activity of ERK MAPK and nuclear factor-κB (NF-κB), and thus sensitize myeloma cells to apoptosis resulting from transfection of a plasmid expressing eIF5A(K50R). SNS01 exhibited significant antitumoral activity in both KAS-6/1 (95% inhibition; P < 0.05) and RPMI 8226 (59% inhibition; P < 0.05)
multiple myeloma xenograft models following systemic administration. These results highlight the potential of using this approach as a new therapeutic strategy for
multiple myeloma.