Copyright © 2007 Cell Press. All rights reserved.
Cancer Cell, Vol 12, 252-265, 11 September 2007

Article

Human C-Reactive Protein Binds Activating Fcγ Receptors and Protects Myeloma Tumor Cells from Apoptosis

Jing Yang,1 Michele Wezeman,1 Xiang Zhang,1 Pei Lin,2 Michael Wang,1 Jianfei Qian,1 Bo Wan,3 Larry W. Kwak,1 Long Yu,3 and Qing Yi1,3,

1 Department of Lymphoma and Myeloma, Division of Cancer Medicine, and the Center for Cancer Immunology Research, The University of Texas M.D. Anderson Cancer Center, Houston, TX 77030, USA
2 Department of Hematopathology, Division of Pathology, and Laboratory Medicine, The University of Texas M.D. Anderson Cancer Center, Houston, TX 77030, USA
3 State Key Laboratory of Genetics, Institute of Genetics, School of Life Science, Fudan University, Shanghai 200433, China

∗Corresponding author
Qing Yi
qyi@mdanderson.org


Summary


Elevated levels of C-reactive protein (CRP) are present in many disease situations including malignancies and may contribute to the pathogenesis of cardiovascular disorders. This study was undertaken in a myeloma setting to determine whether CRP affects tumor cell growth and survival. We show that CRP enhanced myeloma cell proliferation under stressed conditions and protected myeloma cells from chemotherapy drug-induced apoptosis in vitro and in vivo. CRP binds activating Fcγ receptors; activates PI3K/Akt, ERK, and NF-κB pathways; and inhibits caspase cascade activation induced by chemotherapy drugs. CRP also enhanced myeloma cell secretion of IL-6 and synergized with IL-6 to protect myeloma cells from chemotherapy drug-induced apoptosis. Thus, our results implicate CRP as a potential target for cancer treatment.

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