Table 2.

Synergy between APO2/TRAIL and ATO in the induction of apoptosis in freshly isolated myeloma cells

MM patients (% myeloma cells in BM before sorting)% apoptotic cells
TRAIL,
day 1
ATO,
day 1
TRAIL plus
ATO, day 1
TRAIL,
day 2
ATO,
day 2
TRAIL plus
ATO, day 2
M1 (69) 30 34 71 37 39 94 
M2 (41) 17 33 69 38 47 95 
M3 (55) 18 20 55 29 42 87 
M4 (36) 30 26 70 42 45 92 
M5 (63) 29 43 68 38 66 97 
M6 (77) 20 46 77 44 64 99 
MM patients (% myeloma cells in BM before sorting)% apoptotic cells
TRAIL,
day 1
ATO,
day 1
TRAIL plus
ATO, day 1
TRAIL,
day 2
ATO,
day 2
TRAIL plus
ATO, day 2
M1 (69) 30 34 71 37 39 94 
M2 (41) 17 33 69 38 47 95 
M3 (55) 18 20 55 29 42 87 
M4 (36) 30 26 70 42 45 92 
M5 (63) 29 43 68 38 66 97 
M6 (77) 20 46 77 44 64 99 

Fresh myeloma cells were purified by flow sorting of CD38bright/CD45 bone marrow (BM) cells. Myeloma cells with a purity of more than 95% were obtained.33Sorted cells were cultured for 2 days with 4 μM ATO and/or 100 ng/mL APO2/TRAIL.

Apoptosis was determined by the annexin V method in cells treated with APO2/TRAIL alone, ATO alone, or with both drugs.

MI through M6 represent myeloma cells sorted from the BM of 6 MM patients. Background apoptosis in nontreated cells was less than 10%.

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