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Effect of bortezomib on human neuroblastoma: analysis of molecular mechanisms involved in cytotoxicity

Valérie Combaret1 email, Sandrine Boyault1 email, Isabelle Iacono1 email, Stéphanie Brejon1 email, Raphaël Rousseau2,3,4 email and Alain Puisieux1,4,5 email

Laboratoire de Recherche Translationnelle, Centre Léon Bérard, Lyon, France

Institut d'Hématologie-Oncologie Pédiatrique, Lyon, F-69008, France

Faculté de Médecine Lyon-Nord, Université Claude Bernard, Lyon 1, Lyon, France

Inserm, U590, Lyon, France

ISPB, Université de Lyon, Lyon 1, Lyon, France

author email corresponding author email

Molecular Cancer 2008, 7:50doi:10.1186/1476-4598-7-50

Published: 5 June 2008

Abstract

Background

Bortezomib, a specific and selective inhibitor of the 26S proteasome with antitumor activity against a wide range of malignancies, has been approved for the treatment of relapsed or refractory multiple myeloma and other cancers. Recently, bortezomib has been identified as an effective inhibitor of neuroblastoma cell growth and angiogenesis.

Results

In the present study, we demonstrate that some neuroblastoma cell lines are actually resistant to bortezomib. We have sought to characterize the main pathway by which proteasome inhibition leads to apoptosis, and to define the mechanism responsible for resistance to bortezomib in neuroblastoma cells. Our results show that SB202190, an inhibitor of mitogen-activated protein kinase (MAPK) p38, enhances the ability of bortezomib to induce apoptosis by preventing the phosphorylation of the heat shock protein (HSP) 27.

Conclusion

This study opens the way to further clinical investigations and suggests a potential benefit of using a combination of bortezomib with an inhibitor of p38 MAPK for the treatment of neuroblastoma relapse.


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