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Prepublished online as a Blood First Edition Paper on May 15, 2003; DOI 10.1182/blood-2002-12-3899.
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Blood, 15 September 2003, Vol. 102, No. 6, pp. 2236-2239
NEOPLASIA Brief report
Inhibition of bcr-abl gene expression by small interfering RNA sensitizes for imatinib mesylate (STI571)
Lara Wohlbold,
Heiko van der Kuip,
Cornelius Miething,
Hans-Peter Vornlocher,
Cornelius Knabbe,
Justus Duyster, and
Walter E. Aulitzky
From the Dr Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart, Germany; 2nd Department of Internal Medicine, Oncology and Hematology, Robert Bosch Hospital, Stuttgart, Germany; Department of Internal Medicine III, Technical University of Munich, Germany; Ribopharma AG, Kulmbach, Germany; Department of Clinical Chemistry, Robert Bosch Hospital, Stuttgart, Germany.
Bcr-Abl proteins are effective inducers of the leukemic phenotype in chronic myeloid leukemia (CML) and distinct variants of acute lymphoblastic leukemia (ALL). Targeting bcr-abl by treatment with the selective tyrosine kinase inhibitor imatinib has proved to be highly efficient for controlling leukemic growth. However, it is unclear whether imatinib is sufficient to eradicate the disease because of primary or secondary resistance of leukemic cells. Therefore, targeting Bcr-Abl with an alternative approach is of great interest. We demonstrate that RNA interference (RNAi) with a breakpoint-specific short-interfering RNA (siRNA) is capable of decreasing Bcr-Abl protein expression and of antagonizing Bcr-Ablinduced biochemical activities. RNAi selectively inhibited Bcr-Abldependent cell growth. Furthermore, bcr-ablhomologous siRNA increased sensitivity to imatinib in Bcr-Abloverexpressing cells and in a cell line expressing the imatinib-resistant Bcr-Abl kinase domain mutation His396Pro, thereby antagonizing 2 of the major mechanisms of resistance to imatinib.

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