Human papillomavirus (HPV) infection is strongly associated with the development of anogenital neoplasia, particularly cervical cancer. It has been estimated that 99.7% of all cervical carcinomas are attributable to infection with HPV, and types 16 and 18 account for the vast majority of such cases. Both of these Ôhigh riskÕ HPV types encode the oncoproteins E6 and E7, which exert multiple effects on many proteins involved in cell-cycle regulation, including p53. The nuclear export protein inhibitor leptomycin B (LMB) has been shown to cause the nuclear sequestration of p53 in cervical carcinoma cells. We demonstrate that LMB induces apoptosis selectively at nanomolar concentrations in primary human keratinocytes (PHKs) expressing HPV oncogenes. Both monolayer and organotypic raft cultures of transduced PHKs were highly susceptible to treatment with LMB. By contrast, although LMB stimulated p53 accumulation in normal PHKs, no significant induction of apoptosis was detected on Western blots or immunostained monolayer/raft cells, or following pulsed exposure to the drug. Furthermore, topical application of lM concentrations of LMB to mouse skin was non-toxic. These data suggest that the topical application of LMB to HPV-infected intra-epithelial lesions may represent a specific and effective therapeutic strategy against HPV-associated anogenital neoplasia. ' 2007 Wiley-Liss, Inc.Key words: human papillomavirus; leptomycin B; keratinocytes; oncogenes; apoptosis Leptomycin B (LMB), a secondary metabolite produced by Streptomyces spp., 1 inhibits the export of proteins containing a nuclear export signal (NES) from the nucleus to the cytoplasm. This is achieved through inactivation of the nuclear export receptor protein CRM1 (exportin 1) by covalent modification. 2,3 LMB therefore promotes nuclear accumulation of NES proteins, including the tumour suppressor protein p53. 4,5 Furthermore, LMB has been shown to cause nuclear sequestration and reactivation of p53 in cervical carcinoma cell lines containing human papillomavirus (HPV) and this was associated with induction of apoptosis. 6,7 By contrast, LMB treatment resulted in the reversible cell-cycle arrest of both rat fibroblasts 8 and normal human primary fibroblasts. 5,9 Although the effect of LMB on CRM1 is well documented, the specific molecular mechanism(s) by which LMB induces cellcycle arrest and apoptosis still remain unclear.Since the discovery of LMB in the early 1980s, there has been considerable interest in the use of the compound as a cancer therapeutic. LMB (alternatively termed CI-940, elactocin or PD 114, 720) and its hydroxy analogue (PD 114, 721) were shown to possess potent activity against 7 different tumour models. 10 Based on these encouraging findings, a phase I clinical trial was initiated to assess the systemic administration of LMB. However, the trial was later terminated because of unwanted side effects. 11 Nevertheless, although there are difficulties in using LMB systemically, topical therapeutic use may be feasible.Cervical cancer is the ...