Preclinical studies of fibroblast growth factor receptor 3 as a therapeutic target in multiple myeloma

JL Paterson, Z Li, XY Wen… - British journal of …, 2004 - Wiley Online Library
JL Paterson, Z Li, XY Wen, E Masih‐Khan, H Chang, JB Pollett, S Trudel, AK Stewart
British journal of haematology, 2004Wiley Online Library
Dysregulation of fibroblast growth factor receptor 3 (FGFR3) by the translocation t (4;
14)(p16; q32) occurs in 15% of multiple myeloma (MM) patients and confers a growth and
survival advantage to malignant plasma cells. As FGFR3 is a molecular target, we assessed
the therapeutic potential of the FGFR‐specific tyrosine kinase inhibitors SU5402 and
SU10991 in MM. SU5402 inhibited FGFR3 phosphorylation in vitro and in murine MM
tumour models. B cells dependent on FGFR3 for survival were specifically sensitive to …
Summary
Dysregulation of fibroblast growth factor receptor 3 (FGFR3) by the translocation t(4;14)(p16;q32) occurs in 15% of multiple myeloma (MM) patients and confers a growth and survival advantage to malignant plasma cells. As FGFR3 is a molecular target, we assessed the therapeutic potential of the FGFR‐specific tyrosine kinase inhibitors SU5402 and SU10991 in MM. SU5402 inhibited FGFR3 phosphorylation in vitro and in murine MM tumour models. B cells dependent on FGFR3 for survival were specifically sensitive to SU5402. A panel of 11 human myeloma cell lines was studied, five bearing the t(4;14) translocation. The KMS11 human myeloma cell line, which expresses constitutively active mutant FGFR3, displayed an 85% decrease in S‐phase cells, a 95% increase in G0/G1 cells, and 4·5‐fold increase in apoptotic cells after 72 h treatment with 10 μmol/l SU5402. Activated extracellular signal‐regulated kinases  1 and 2 and signal transducer and activator of transcription 3 were rapidly down‐regulated after SU5402 treatment. In human myeloma cell lines expressing wild‐type FGFR3 the stimulating effect of aFGF ligand was abrogated by SU5402 treatment. Myeloma cells lacking the t(4;14) or with the t(4;14) and a secondary RAS mutation did not respond to therapy. These findings support the development of clinical trials of early intervention with FGFR3 inhibitors in t(4;14) myeloma.
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