In vitro drug response of B-ALL arising from p19ARF-null HSCs versus pro-B cells. Primary recipients injected with p210BCR/ABL-expressing p19ARF-null HSC or pro-B cells were killed approximately 2 to 3 weeks after transplantation. EGFP+ B-ALL (B220+, CD19+, IgM−) cells were isolated by FACS and cultured in vitro (IMDM + 10% FBS + 55 micromolar 2-ME, no cytokines) for 2 to 3 weeks. Cells were then treated with dexamethasone (A,B) or imatinib mesylate (C,D) at the concentrations indicated, 106 cells per mL. After 48 hours of treatment, half of each sample was stained with PE-conjugated anti–annexin V antibody and 7AAD to evaluate apoptotic response by flow cytometry. Results are presented as percent of survival relative to untreated control (A,C). A small portion of each culture was plated in methycellulose medium (with murine SCF, IL-3, IL-6, Flt3 ligand, and IL-7) to evaluate the clonal potential of residual cells. Results are presented as percent of colonies relative to untreated control (B,D). Significance was determined with Student paired, 1-tailed t test (****P < .001; ***P < .005).