RT Journal Article T1 Cannabinoid derivatives exert a potent anti-myeloma activity both in vitro and in vivo. A1 Barbado, M Victoria A1 Medrano, Mayte A1 Caballero-Velazquez, Teresa A1 Alvarez-Laderas, Isabel A1 Sanchez-Abarca, Luis Ignacio A1 Garcia-Guerrero, Estefania A1 Martin-Sanchez, Jesus A1 Rosado, Ivan Valle A1 Piruat, Jose Ignacio A1 Gonzalez-Naranjo, Pedro A1 Campillo, Nuria Eugenia A1 Paez, Juan Antonio A1 Perez-Simon, Jose Antonio K1 apoptosis K1 cannabinoids K1 caspases K1 ceramides K1 multiple myeloma AB Although hematopoietic and immune system show high levels of the cannabinoid receptor CB2, the potential effect of cannabinoids on hematologic malignancies has been poorly determined. Here we have investigated their anti-tumor effect in multiple myeloma (MM). We demonstrate that cannabinoids induce a selective apoptosis in MM cell lines and in primary plasma cells of MM patients, while sparing normal cells from healthy donors, including hematopoietic stem cells. This effect was mediated by caspase activation, mainly caspase-2, and was partially prevented by a pan-caspase inhibitor. Their pro-apoptotic effect was correlated with an increased expression of Bax and Bak, a decrease of Bcl-xL and Mcl-1, a biphasic response of Akt/PKB and an increase in the levels of ceramide in MM cells. Inhibition of ceramide synthesis partially prevented apoptosis, indicating that these sphingolipids play a key role in the pro-apoptotic effect of cannabinoids in MM cells. Remarkably, blockage of the CB2 receptor also inhibited cannabinoid-induced apoptosis. Cannabinoid derivative WIN-55 enhanced the anti-myeloma activity of dexamethasone and melphalan overcoming resistance to melphalan in vitro. Finally, administration of cannabinoid WIN-55 to plasmacytoma-bearing mice significantly suppressed tumor growth in vivo. Together, our data suggest that cannabinoids may be considered as potential therapeutic agents in the treatment of MM. PB John Wiley & Sons, Inc. YR 2016 FD 2016-12-14 LK http://hdl.handle.net/10668/10558 UL http://hdl.handle.net/10668/10558 LA en NO Barbado MV, Medrano M, Caballero-Velázquez T, Álvarez-Laderas I, Sánchez-Abarca LI, García-Guerrero E, et al. Cannabinoid derivatives exert a potent anti-myeloma activity both in vitro and in vivo. Int J Cancer. 2017 Feb 1;140(3):674-685. DS RISalud RD Apr 8, 2025