ONYX-015 has been reported to kill selectively tumor cells lacking function
al p53. Genetic alterations of INK4a/ARF locus, which is a predominant even
t in malignant pleural mesothelioma, may result in loss of p141(ARF) and su
bsequent disruption of p53 pathway in cancer cells. In the present study, O
NYX-015 was able to kill three mesothelioma cell lines (H28, H513, and 211H
) with wild-type p53 but lacking p14(ARF). In contrast, MS-1 mesothelioma c
ells, which expressed both p53 and p14(ARF), were resistant to ONYX-015. In
troducing p14(ARF) gene into the H28 cell, a mesothelioma cell without p14
ARF expression, significantly increased the resistance of this cell line to
the cytolytic effect of ONYX-015. Our results suggest that human mesotheli
omas with wild-type p53 yet lacking p14(ARF) are potential candidates for O
NYX-015 therapy.