Abstract

Microenvironmental factors may promote metastatic dissemination of Multiple Myeloma (MM) especially to the skeleton, causing bone destruction. In this study, Cocco and colleagues investigated whether IL-27 may function as an antitumor agent by acting directly on MM cells and/or on osteoclasts/osteoblasts. They found that human IL-27 directly inhibited MM cell growth both in vitro and in vivo primarily through inhibition of angiogenesis. IL-27 also damped the differentiation and activity of osteoclasts, and stimulated osteoblast proliferation. These findings demonstrate that IL-27 may block MM progression and metastatic bone resorption, and could open new approaches for MM therapy.SF2/ASF is a pre-mRNA splicing factor recently described as an oncoprotein. In this study, Ezponda and colleagues explored its relevance in non–small cell lung cancer (NSCLC). They found that SF2/ASF was upregulated in a high percentage of NSCLC tumors. Further, siRNA-mediated downregulation of SF2/ASF was found to promote survival of NSCLC cells by enhancing expression of survivin (an anti-apoptotic protein widely upregulated in cancer). Also, both SF2/ASF and survivin were implicated in lung cancer progression, as the combined expression of both factors was associated with poor prognosis.Cisplatin is a commonly prescribed chemotherapeutic agent that causes dose-limiting nephrotoxicity. Franke and colleagues evaluated the role of renal organic cation transporters (Oct1, Oct2) in cisplatin nephrotoxicity, as determined by urinary N-acetyl-β-D-glucosaminidase (NAG) activity. Cisplatin-treated Oct1/Oct2 knockout mice demonstrated increased survival and reduced nephrotoxicity. The Oct2 inhibitor cimetidine decreased cisplatin-induced NAG changes in wild-type mice to levels seen in knockout mice, but had no effect on OCT2 function in cancer cells. These results suggest that cimetidine can inhibit OCT2-mediated uptake of cisplatin in the kidney, and subsequently ameliorate nephrotoxicity with minimal effects on uptake in tumors.Targeting the anti-apoptotic BCL2 family is a promising area for anticancer drug development. One such inhibitor, ABT-263, has recently entered clinical trials in hematological malignancies, including chronic lymphocytic leukemia (CLL). Vogler and colleagues show that although ABT-263 is a potent inducer of apoptosis in CLL cells, it is less potent than the structurally related ABT-737 due to higher albumin binding. When tested in whole blood to mimic the in vivo situation, the activity of both inhibitors decreased ∼100-fold largely due to albumin binding. These results suggest that modification of ABT-263 may yield a BCL2-inhibitor with greater bioavailability and more favorable pharmacokinetics.

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