The sensitivity of AML blast stem cells can be measured in cell cultur
e, using a clonogenic assay to determine survival after each of a grad
ed series of drug concentrations. For cytosine arabinoside, the dose-r
esponse curve is a simple negative exponential that can be described b
y a D-10 value, a measure of slope. This D-10 value can be affected by
regulatory molecules added to the cultures. All-trans retinoic acid (
ATRA) usually sensitizes cells, while hydrocortisone (HC) is protectiv
e. Growth factor responsive cells are more Ara-C sensitive in G-CSF th
an in GM-CSF or IL-3. The proto-oncogene bcl-2 may be part of the mech
anism by which drug sensitivity is regulated. Previous work has shown
that ATRA decreases bcl-2 RNA expression and the half-life of the prot
ein; in contrast, the protein from cells treated with HC is more stabl
e than controls. Growth factors were not shown to change either expres
sion of bcl-2 RNA or the stability of its protein. In this paper, we d
escribe experiments where OCI/AML-1 cells were grown in G-CSF and then
transferred to medium containing both G-CSF and the GM-CSF-IL-3 fusio
n protein pIXY. Steady-state levels of bcl-2 protein were measured by
Western blot and synthesis by incorporation of S-35 methionine into pr
otein. We observed that both measures doubled within 12-24 h after tra
nsfer from G-CSF in G-CSF with pIXY, but promptly returned to the prev
ious state when pIXY was withdrawn. We conclude that growth factors re
gulate that activity of bcl-2 post-transcriptionally by altering the r
ate of synthesis of the protein.