Abstract:Objective To investigate the effect of RNA silencing targeting homeotic genes A5 (HOXA5) on drug resistance of leukemia adriamycin-resistant cell strain K562/ADM. Methods Cells were divided into siRNA group from which cells received silencing RNA of HOXA5 and control group from which cells did receive any treatments. Western blot and qRT-PCR were performed to identify expression levels of HOXA5, p38 and p-p38. Drug resistance to Adriamycin was measured through CCK8 assay. Apoptosis and cellular cycle status were determined by FCM technology. Results Expression of HOXA5 in K562/ADM cells was up-regulated significantly compared with K562 cells. CCK8 assay, which suggested that dramatic increase of drug resistance to Adriamycin (4.94 fold) was witnessed in K562/ADM in comparison with that in K562 cells. Transfection of siRNA obviously deceased expression of HOXA5 in K562/ADM cells, thus IC50 of Adriamycin was deducted (2.55 fold) compared with that in control group. Both protein and mRNA levels of p-p38 in siRNA group were increased dramatically when compared with control group. Compared with control group, number of cells in G0/ G1 stage increased and decreased in S stage in siRNA group. Cellular apoptosis rate induced by ADM (2.5 μg/ml) in siRNA group increased significantly compared with control group. Conclusions siRNA silencing of HOXA5 reverses leukemia drug resistance to Adriamycin through activation of p38-MAPK signal pathway.