Signal transduction pathways involving the c-Raf protein kinase are frequently activated in tumor cells. We have addressed the relevance of this activation by a loss-offunction approach. An anti-sense phosphorothioate oligonucleotide (ODN) speci®cally targeted against craf mRNA (Monia et al., 1996a) was used to block cRaf protein expression in four di erent cell lines derived from lung, cervical, prostate and colon carcinomas. Concomitant with the abrogation of c-Raf expression we observed the occurrence of classical apoptotic markers, including chromatin condensation, inter-nucleosomal DNA cleavage, annexin V binding and cleavage of PARP, which was followed by cell death, a ecting most of the cell population. This induction of apoptosis occurred independent of the p53 status of the cell. These ®ndings demonstrate that c-Raf can protect tumor cells from undergoing programmed cell death, and suggest that the interference with c-Raf expression or function by ODNs or speci®c drugs could represent a powerful means for improving the e cacy of anti-cancer therapy.Keywords: apoptosis; programmed cell death; Raf; antisense; phosphorothiate ODN The occurrence of pro-apoptotic lesions, including the deregulation of Myc or the loss of pRB, is a hallmark of oncogenesis (Evan et al., 1992). The onset of programmed cell death (PCD) is prevented, however, by the concomitant activation of anti-apoptotic mechanisms, such as the deregulation of speci®c signal transduction cascades, the loss of p53 (Kinzler and Vogelstein, 1994) or the activation of protective Bcl-2 family members (Korsmeyer, 1995;Reed, 1996; Kroemer, 1997). Any manipulation that would shift this intricate balance between pro-and anti-apoptotic pathways could have profound e ects on the fate of a tumor cell, either on its own or in combination with conventional anti-cancer drugs. Since the Raf-Ras pathway is activated in many human tumors, we have been interested in studying its role in controlling PCD in tumor cells. This interest was fostered by two recent reports (Monia et al., 1996a, b) which showed that an anti-sense phosphorothioate oligonucleotide (ODN) speci®cally targeted against c-raf mRNA (ISIS5132) had profound e ects on the growth of the human lung adenocarcinoma cell line A549 both in culture and on xenografts in nude mice. The underlying mechanisms remained, however, unclear.In a ®rst set of experiments, we investigated whether the anti-sense ODN ISIS5132 (Monia et al., 1996a) (subsequently referred to as AS) would also reduce the expression of c-Raf protein in, and a ect the growth of, other tumor cell lines. As shown by the immunoblot in Figure 1, treatment of the lung tumor line A549, the cervical carcinoma cell line HeLa, the prostate carcinoma cell line LNCaP or the colon tumor cell line SW620 with AS led to a dramatic reduction of cRaf protein to levels below the detection limit of the assay. In contrast, a mismatched version of this ODN (Monia et al., 1996a) (termed MM in the present study) had no detectable e ect relative to untreated cont...