The effect and mode of action of the protein kinase C (PKC) inhibitor PKC412 on human multiple myeloma (MM) cell lines (HMCLs) and primary MM cells was explored. We found that PKC412 induced apoptosis of HMCLs and primary MM cells with variable efficacy; however, some activity was seen against all HMCLs and primary MM cells with at least 0.5 M PKC412. PARP cleavage and decreased PKC activity was observed in all HMCLs tested. Furthermore, PKC412 inhibited C-FOS transcription and nuclear protein expression, induced reactive oxygen species (ROS) production, and induced both sustained C-JUN expression and phosphorylation. The latter was inhibited by cotreatment with the JNK inhibitor SP600125, which similarly abrogated PKC412-induced apoptosis, suggesting that PKC412-induced apoptosis is a JNKdependent event. PKC412 treatment secondarily induced prosurvival stress responses as evidenced by activation of NFB and increased expression of the heat shock proteins HSP70 and HSP90.
IntroductionMultiple myeloma (MM) is a B-cell malignancy, which occurs predominantly at an older age and is still incurable despite progress in treatment. 1 The investigation of novel anticancer drugs for the treatment of this disease is therefore warranted. Protein kinase C (PKC) is a phospholipid-dependent, serine/threonine kinase responsible for signal transduction in response to growth factors, hormones, and neurotransmitters. 2 PKC plays an important role in cell-growth regulation and tumor promotion 3 and has also been implicated in metastasis 4 and chemotherapy-associated multidrug resistance. 5 Total PKC activity has been reported to be elevated in carcinomas of breast 6 and lung. 7 In MM, PKC has been implicated in the shedding of CD138 8 and the IL-6 receptor, 9 both of which are thought to play important roles in tumor progression. Eleven isoforms of PKC have been identified, and these have been separated into 3 subgroups: (1) the conventional calcium-dependent and DAG (diacylglycerol)-dependent PKCs (cPKCs: ␣,  I ,  II , ␥), (2) the nonconventional calcium-independent but DAG-dependent PKCs (nPKCs: ␦, ε, , , ), and (3) the atypical calcium-independent and DAGunresponsive PKCs (aPKCs: , ).The PKC inhibitor PKC412 (N-benzylstaurosporine) is a derivative of the naturally occurring alkaloid staurosporine and has been shown to inhibit the conventional isoforms of PKC (␣,  I ,  II , ␥). PKC412 has been shown to have an antitumor effect on human non-small-cell lung cancer cells 10 and myeloma cells 11,12 and has also been shown to inhibit growth factor-dependent C-FOS mRNA expression. 13 PKC412 has also shown antitumor activity in a murine model of myeloproliferative disease 14 as well as in an FGFR3 TDII-induced murine model of B-cell lymphoma. 11The AP-1 transcription factor consists of homodimers of Jun proteins or heterodimers of Fos and Jun proteins 15,16 and plays a key role in the regulation of expression of genes involved in DNA repair, cell proliferation, cell-cycle arrest, death by apoptosis, and tissue and extracellular matr...