Acute myeloid leukemia (AML) is a heterogeneous group of hematopoietic malignancies with variable response to treatment. AMLs bearing MLL (mixed lineage leukemia) rearrangements are associated with intermediate or poor survival. MicroRNAs (miRNAs), a class of small noncoding RNAs, have been postulated to be important gene expression regulators virtually in all biological processes, including leukemogenesis. Through a large-scale, genomewide miRNA expression profiling assay of 85 human AML and 15 normal control samples, we show that among 48 miRNAs that are significantly differentially expressed between MLL-and non-MLLrearranged AML samples, only one (miR-495) is expressed at a lower level in MLL-rearranged AML than in non-MLL-rearranged AML; meanwhile, miR-495 is also significantly down-regulated in MLLrearranged AML samples compared with normal control samples. Through in vitro colony-forming/replating assays and in vivo bone marrow transplantation studies, we show that forced expression of miR-495 significantly inhibits MLL-fusion-mediated cell transformation in vitro and leukemogenesis in vivo. In human leukemic cells carrying MLL rearrangements, ectopic expression of miR-495 greatly inhibits cell viability and increases cell apoptosis. Furthermore, our studies demonstrate that PBX3 and MEIS1 are two direct target genes of miR-495, and forced expression of either of them can reverse the effects of miR-495 overexpression on inhibiting cell viability and promoting apoptosis of human MLL-rearranged leukemic cells. Thus, our data indicate that miR-495 likely functions as a tumor suppressor in AML with MLL rearrangements by targeting essential leukemia-related genes.L eukemia arises as a result of genetic lesions that cause uncontrolled proliferation in cells of the hematopoietic lineage (1, 2). Chromosome translocations are frequently observed in both acute myeloid leukemia (AML) (2-4) and other hematologic malignancies. The MLL (mixed lineage leukemia; HRX, ALL-1, Htrx) gene, located at 11q23, is frequently involved in chromosome translocations with more than 60 different partner genes (5-8). The critical feature of these chromosomal rearrangements is the generation of an in-frame fusion transcript consisting of 5′ MLL and 3′ sequences of the gene on the partner chromosome (7,8). MLL-rearranged leukemia occurs in approximately 10% of patients with de novo or treatment-related acute leukemia (9-11). MLL-rearranged leukemia is classified as a disease with an intermediate or poor risk of prognosis (1, 12).The most well-studied downstream target genes of MLL fusion proteins are HOXA9 and MEIS1 (13-15), and their aberrant overexpression has been shown to be required for the induction and maintenance of MLL-rearranged leukemia (16-21). HOX proteins can form heterodimers or heterotrimers with members of the three-amino-acid loop extension family of cofactors, including PBX and MEIS proteins, to regulate the transcription of multiple downstream targets directly (22)(23)(24). Similar to HOXA9 and MEIS1, overexpression of...