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Publication : Targeting survivin overcomes drug resistance in acute lymphoblastic leukemia.

First Author  Park E Year  2011
Journal  Blood Volume  118
Issue  8 Pages  2191-9
PubMed ID  21715311 Mgi Jnum  J:176902
Mgi Id  MGI:5293171 Doi  10.1182/blood-2011-04-351239
Citation  Park E, et al. (2011) Targeting survivin overcomes drug resistance in acute lymphoblastic leukemia. Blood 118(8):2191-9
abstractText  Relapse of drug-resistant acute lymphoblastic leukemia (ALL) has been associated with increased expression of survivin/BIRC5, an inhibitor of apoptosis protein, suggesting a survival advantage for ALL cells. In the present study, we report that inhibition of survivin in patient-derived ALL can eradicate leukemia. Targeting survivin with shRNA in combination with chemotherapy resulted in no detectable minimal residual disease in a xenograft model of primary ALL. Similarly, pharmacologic knock-down of survivin using EZN-3042, a novel locked nucleic acid antisense oligonucleotide, in combination with chemotherapy eliminated drug-resistant ALL cells. These findings show the importance of survivin expression in drug resistance and demonstrate that survivin inhibition may represent a powerful approach to overcoming drug resistance and preventing relapse in patients with ALL.
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