Prior work indicates that IL-6 can stimulate c-Myc expression in multiple myeloma (MM) cells, which is independent of effects on transcription and due to enhanced translation mediated by an internal ribosome entry site in the 5-UTR of the c-Myc RNA. The RNA-binding protein hnRNP A1 (A1) was also critical to IL-6-stimulated translation. Because A1 shuttles between nucleus and cytoplasm, we investigated whether the ability of IL-6 to enhance Myc translation was mediated by stimulation of A1 shuttling. In MM cell lines and primary specimens, IL-6 increased A1 cytoplasmic localization. In contrast, there was no effect on the total cellular levels of A1. Use of a dominant negative A1 construct, which prevents endogenous A1 from nucleus-to-cytoplasm transit, prevented the ability of IL-6 to enhance Myc internal ribosome entry site activity, Myc protein expression, and MM cell growth. IL-6-stimulated cytoplasmic localization was mediated by alterations in the C-terminal M9 peptide of A1, and this correlated with the ability of IL-6 to induce serine phosphorylation of this domain. A p38 kinase inhibitor prevented IL-6-induced A1 phosphorylation. Thus, IL-6 activates c-Myc translation in MM cells by inducing A1 phosphorylation and cytoplasmic localization in a p38-dependent fashion. These data suggest A1 as a potential therapeutic target in MM.Our previous work (1) demonstrated that IL-6 could enhance c-Myc protein expression in multiple myeloma (MM) 2 cells independent of any effect on Myc transcription. This was not due to altered c-Myc protein stability or the mammalian target of rapamycin-dependent stimulation of cap-dependent translation. In contrast, it resulted from an up-regulation of Myc IRES activity and cap-independent translation. IRESes are structures in the 5Ј-UTR of transcripts that can promote translation and are especially important when RNA leaders are highly structured or when cap-dependent translation is inhibited (2, 3). The three-dimensional IRES structure recruits the 40 S ribosomal subunit to the mRNA for translation initiation. The Myc IRES is well characterized (4, 5). In addition, there are trans-acting proteins that facilitate Myc IRES function via binding to the RNA at sites in the 5Ј-UTR and inducing conformational changes that facilitate recruitment of the IRES to the ribosome (4). Several publications (6, 7) document a myeloma-specific up-regulation of Myc IRES function.The ability of IL-6 to stimulate Myc IRES function in MM cells, up-regulate rapamycin-resistant Myc translation and expression, and stimulate MM cell proliferation were all prevented by knockdown of hnRNP A1, an RNA-binding protein (1). Because other studies (8 -10) demonstrate that hnRNP A1 (A1) can function as an IRES-trans-activating factor (ITAF), regulating Myc IRES activity, these results collectively indicate that IL-6-up-regulated c-Myc translation in MM cells was dependent on enhanced A1 ITAF function.hnRNP A1 is a shuttling protein with movement from nucleus to cytoplasm (11), and a recent study (12) demonstrated ...