B-cell acute lymphoblastic leukemia (B-ALL) accounts for nearly one fifth of all childhood cancers and current challenges in BALL treatment include resistance, relapse and late-onset side effects due to the chemotherapy. To overcome these hurdles, novel therapies need to be investigated. One promising target is Polo-like kinase 1 (Plk1), a key regulator of the cell cycle. In this study, the Plk family expression is investigated in primary peripheral blood and bone marrow mononuclear cells from ten pediatric BALL patients. For the first time, short interfering RiboNucleic Neutrals (siRNNs) that enter cells without a transfection reagent are used to target Plk1 mRNA in primary cells from pediatric BALL patients. Our results show that the expression of Plk1 and Plk4 is significantly higher in pediatric BALL patients compared to healthy donors. Moreover, treatment of primary peripheral blood and bone marrow mononuclear cells from pediatric BALL patients, cultured ex vivo, with Plk1-targeting siRNNs results in cleavage of Plk1 mRNA. Importantly, the Plk1 knockdown is specific and does not affect other Plk members in contrast to many small molecule Plk1 inhibitors. Thus, Plk1 is a potential therapeutic target in pediatric BALL and selective targeting of Plk1 can be achieved by the use of siRNNs. B-cell acute lymphoblastic leukemia (B-ALL) is one of the most common hematological malignancies among children and corresponds to approximately 85% of all pediatric ALL cases 1. Although more than 80% of pediatric BALL patients reach complete remission after the primary induction therapy, there are still many patients who suffer from resistance and relapse. An aggressive form of the disease causes relapse in 10-15% of treated children and 2% are refractory to the induction therapy 2. The event-free survival of patients with first relapse remains poor and many pediatric patients suffer from therapy-related side effects several years after treatment. Thus, novel therapies need to be investigated to improve outcome and to reduce toxic side effects in patients with pediatric BALL. The Polo-like kinase family (Plk) consists of five serine/threonine kinases. Four members of the family, Plk1-4, are directly involved in cell cycle regulation in both normal and tumor cells, whereas the fifth member, Plk5, has a truncated, inactive kinase domain and is primarily expressed in brain tissue 3. Several structural features are shared within the Plk family including a kinase domain with an ATP-binding pocket and a polo-box domain 4. Inhibitors targeting either of the domains have been investigated in many preclinical studies 5. The most well-studied member, Polo-like kinase 1 (Plk1), has a number of distinct roles in cell cycle regulation such as G2/M transition, mitotic spindle assembly and cytokinesis that all promote cell cycle progression 6-8. Due to these functions, Plk1 expression is high in actively dividing tissues and often overexpressed both in solid tumor and hematologic malignancies 9-12. Similarly to Plk1, Plk4 was recently found...