Evidence map›Paper›PMID 22533681›Full record

Trial reportBritish journal of haematology2012

Halofuginone inhibits multiple myeloma growth in vitro and in vivo and enhances cytotoxicity of conventional and novel agents.

Merav Leiba, Jana Jakubikova, Steffen Klippel, Constantine S Mitsiades, Teru Hideshima, Yu-Tzu Tai, Adi Leiba, Mark Pines, Paul G Richardson, Arnon Nagler and 1 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in British journal of haematology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.2field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Article
  3. New uses of halofuginone to treat cancer.Journal of pharmaceutical analysis · 2025
    Review
  4. Article
  5. Halofuginone Inhibits Osteoclastogenesis and Enhances Osteoblastogenesis by Regulating Th17/Treg Cell Balance in Multiple Myeloma Mice with Bone Lesions.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2024
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Halofuginone - the multifaceted molecule.Molecules (Basel, Switzerland) · 2015
    Review
  16. Review
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 3 countries.

Merav LeibaDepartment of Medical Oncology, The LeBow Institute for Myeloma Therapeutics and Jerome Lipper Multiple Myeloma Center, Harvard Medical School, Dana-Farber Cancer Institute, Boston, MA 02115, USA.
Jana Jakubikova
Steffen Klippel
Constantine S Mitsiades
Teru Hideshima
Yu-Tzu Tai
Adi Leiba
Mark Pines
Paul G Richardson
Arnon Nagler
Kenneth C Anderson
Dana-Farber Cancer Institute · USAgricultural Research Organization · ILCancer Research Institute of the Slovak Academy of Sciences · SKHarvard University · USSheba Medical Center · IL

Funding

Trageting the Multiple Myeloma EpigenomeP50CA100707 · NCI · DANA-FARBER CANCER INSTITUTE · PI ANDERSON, KENNETH C. · 2003 to 2023
$45.0M
Role of Cytokines in Myeloma PathogenesisR01CA050947 · NCI · DANA-FARBER CANCER INSTITUTE · PI ANDERSON, KENNETH C., MITSIADES, CONSTANTINE S. · 1991 to 2018
$5.1M
NCI NIH HHS P50 CA100707NCI NIH HHS R01 CA050947
6 · The paper itself

Abstract

Multiple Myeloma (MM), a malignancy of plasma cells, remains incurable despite the use of conventional and novel therapies. Halofuginone (HF), a synthetic derivative of quinazolinone alkaloid, has recently been shown to have anti-cancer activity in various preclinical settings. This study demonstrated the anti-tumour activity of HF against a panel of human MM cell lines and primary patient-derived MM cells, regardless of their sensitivity to conventional therapy or novel agents. HF showed anti-MM activity in vivo using a myeloma xenograft mouse model. HF suppressed proliferation of myeloma cells alone and when co-cultured with bone marrow stromal cells. Similarly, HF induced apoptosis in MM cells even in the presence of insulin-like growth factor 1 or interleukin 6. Importantly, HF, even at high doses, did not induce cytotoxicity against CD40 activated peripheral blood mononuclear cells from normal donors. HF treatment induced accumulation of cells in the G(0) /G(1) cell cycle and induction of apoptotic cell death associated with depletion of mitochondrial membrane potential; cleavage of poly (ADP-ribose) polymerase and caspases-3, 8 and 9 as well as down-regulation of anti-apoptotic proteins including Mcl-1 and X-IAP. Multiplex analysis of phosphorylation of diverse components of signalling cascades revealed that HF induced changes in P38MAPK activation; increased phosphorylation of c-jun, c-jun NH(2)-terminal kinase (JNK), p53 and Hsp-27. Importantly, HF triggered synergistic cytotoxicity in combination with lenalidomide, melphalan, dexamethasone, and doxorubicin. Taken together, these preclinical studies provide the preclinical framework for future clinical studies of HF in MM.

Indexed as

AnimalsAntineoplastic AgentsApoptosisCaspasesCell Line, TumorDose-Response Relationship, DrugDrug SynergismFemaleG1 PhaseHumansJNK Mitogen-Activated Protein KinasesMaleMembrane Potential, MitochondrialMiceMice, SCIDMultiple MyelomaAntineoplastic AgentsCaspaseshalofuginoneJNK Mitogen-Activated Protein KinasesMcl1 protein, mouseMyeloid Cell Leukemia Sequence 1 Proteinp38 Mitogen-Activated Protein KinasesPiperidinesProto-Oncogene Proteins c-bcl-2QuinazolinonesTP53 protein, humanTumor Suppressor Protein p53XIAP protein, humanX-Linked Inhibitor of Apoptosis Protein

Identifiers

PMID22533681
PMCPMC4414398
OpenAlexW1986880818

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.