Fluorizoline (fluo) efficiently induces apoptosis in chronic lymphocytic leukemia (CLL) cells in vitro. (A–C) Cytotoxic dose response of fluo on primary human CLL cells (A), CLL cell lines MEC-1 (B) and JVM-3 (C) was analyzed by CCK8 assay. Peripheral blood mononuclear cells (PBMC) from 7 CLL patients as well as the CLL cell lines MEC-1 and JVM-3 were treated with increasing doses of fluo ranging from 1 μM to 40 μM for 24 hours (h) (gray line), 48 h (blue line) or 72 h (red line). (D) Representative scatter plots illustrating annexin-V/7-AAD staining of cells after 24 h of treatment (left panel). MEC-1 (upper left plot), JVM-3 (upper right plot), primary CLL cells (lower left plot, patients CLL#8 to CLL#10), and normal B cells (lower right plot, donors B#1 to B#3) were treated with 5–20 μM fluo or with equivalent volume of the vehicle dimethylsulfoxide (DMSO) for 24 h and stained with annexin V-APC and 7-AAD prior to analysis by flow cytometry. Viable cells (annexin V-APC negative/7-AAD negative, blue gate) were determined and are expressed as percentage of total cell population. Data represent average percentage of live cells (right panel) from independent experiments (n=3). *P<0.05, **P < 0.01; ***P < 0.001; ****P<0.0001. (E) MEC-1, JVM-3 and primary CLL cells (patients CLL#8, CLL#11 and CLL#12) were treated with 5 μM to 40 μM fluorizoline or with equivalent volume of the vehicle DMSO (Ctrl) for 24 h, lysed and proteins were analyzed by western blot with the indicated antibodies. HSC70 protein served as a loading control. (F) The expression of PHB1 and PHB2 was analyzed by western blot in total cell lysates from normal B cells (donors B#4 to B#7), MEC-1 and JVM-3 cells, and primary CLL B cells (patients CLL#1, CLL#2 and CLL#13 to CLL#16). HSC70 protein served as a loading control.