Primary specimens from children with newly diagnosed or relapsed B-ALL were obtained prior to initiating treatment after receiving informed consent (University of Iowa IRB protocol #201707711). Cells were obtained from either peripheral blood or bone marrow and isolated by Histopaque density gradient separation. Freshly isolated cells were used for all experiments involving primary specimens.
NALM6, SUP-B15, and RCH-ACV cells were tested with dexamethasone (Sigma-Alrich, St. Louis, MO, USA, D4902-1g) in combination with ERK1/2 inhibitor SCH772984 (SelleckChem, Houston, TX, USA, #S7101).