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Prepublished online as a Blood First Edition Paper on May 15, 2003; DOI 10.1182/blood-2002-12-3899.

Submitted December 27, 2002
Accepted May 8, 2003
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*
Department of Clinical Pharmacology, Dr. Margarete Fischer-Bosch Institute, Stuttgart, Germany
Department of Internal Medicine, Oncology and Hematology, Robert Bosch Hospital, Stuttgart, Germany
Department of Internal Medicine III, Technical University of Munich, Munich, Germany
Ribopharma AG, Kulmbach, Germany
Department of Clinical Chemistry, Robert Bosch Hospital, Stuttgart, Germany
* Corresponding author; email: walter.aulitzky{at}rbk.de.
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 not clear 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 to decrease Bcr-Abl protein expression and to antagonize Bcr-Abl-induced biochemical activities. RNAi selectively inhibited Bcr-Abl-dependent cell growth. Furthermore, bcr-abl homologous siRNA increased sensitivity to imatinib both in Bcr-Abl overexpressing cells and in a cell line expressing the imatinib resistant Bcr-Abl kinase domain mutation H396P thereby antagonizing two of the major mechanisms of resistance to imatinib.

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