“…However, the degradation of PML/ RARa in RA-treated APL cells takes about 24 h, suggesting that the commitment to the di erentiation process occurs in the presence of PML/RARa expression and that the fusion protein might exert a direct e ect on the RA-signalling pathway in the presence of RA (Casini and Pelicci, 1998). Direct evidence for this hypothesis came from: (1) the demonstration that inhibition of PML/RARa degradation does not prevent RA-induced di erentiation ; (2) the identi®cation of RAresistant APL mutant cell clones with constitutive degradation of PML/RARa ; and (3) the demonstration that ectopic expression of PML/ RARa in cells that are poorly sensitive or resistant to RA restores RA-sensitivity (Grignani et al, 1993;Ruthardt et al, 1997). Notably, PML/RARa enhanced RA-response in U937 cells is also associated with the degradation of the fusion protein .…”