Fig. 4: Lenalidomide and bortezomib enhanced VIS832-induced MM cell lysis in a synergistic manner.

Indicated MM cell lines (a, b MM1S, MM1R; c, d RPMI8226, H929) were pretreated without (a, c) or with lenalidomide (len, b) or bortezomib (btz, d), and then drugs were washed out. Target MM cells were co-incubated with NK cells (E:Tā=ā4:1) in the presence of varying concentrations of VIS832 or control media (ctrl) in the 2-h calcein-AM release assay. a, c VIS832 was added together with Len (a) or btz (c) in the co-cultures of target MM cells with NK cells. Percentages of MM cell lysis were used to calculate the combination index (CI) (Fa-CI plot) shown below each graph. CIā<ā1 indicated a synergistic interaction. Fa, fraction affected. All assays included three independent experiments using NK cells from 3 healthy donors. Data are presented as means (% lysis)ā±āSDs (error bars). *Pā<ā0.05, **Pā<ā0.01, ***Pā<ā0.005, ****Pā<ā0.001.