CDK6 is required for leukemia formation in vivo. (A) Experimental setup: Cdk6+/+ and Cdk6−/− BM cells were cocultivated on BCR-ABLp210 producer cells and 2 × 106 cells were injected i.v. in nonirradiated NSG mice. (B) Kaplan-Meier plot depicting disease onset of NSGs injected with Cdk6+/+ or Cdk6−/− BCR-ABLp210+ leukemic cells (n = 6 and n = 7, respectively). Only 1 of 7 mice injected with Cdk6−/− BCR-ABLp210+ cells became diseased. All mice injected with Cdk6+/+ BCR-ABLp210+ cells became diseased within 3 months (***P < .001). (C) 2 × 106 BM cells of diseased animals were transplanted in a second transplantation round and disease onset was monitored. None of the mice injected with Cdk6−/− BCR-ABLp210+ cells became diseased, but all mice injected with Cdk6+/+ BCR-ABLp210+ cells became diseased rapidly within 3 weeks (n = 5 and n = 6, respectively; ****P < .0001). (D) The experiment (Figure 6C) was terminated after 60 days and Cdk6−/− nondiseased animals were euthanized. Contribution of Cdk6−/− BCR-ABLp210+–transformed cells (BM) was compared with diseased control animals at the time of terminal disease (n = 3 per genotype, ***P < .001). (E) Frequencies of BM BCR-ABLp210+ LSKs of Cdk6−/− animals compared with Cdk6+/+ (diseased) animals. Cdk6−/− BCR-ABLp210+ LSKs were detectable in the BM (n = 3 per genotype).