Hepatocellular carcinoma (HCC) is known to be resistant to chemotherapy. 
Survivin, a member of the inhibitor of apoptosis proteins, is overexpressed in 
most cancers but is absent in most normal adult tissue. The aim of this study 
was to investigate whether expression of survivin contributes to resistance to 
cisplatin-induced apoptosis. We confirmed induction of survivin expression in 
hepatoma in the N-diethylnitrosamine (DEN) induced rat and in the rat hepatoma 
cell line (K-251). We examined cell proliferation after treatment with cisplatin 
(CDDP) in the presence and absence of siRNA or the phosphatidylinositol 3-kinase 
(PI3K) inhibitor LY294002 to suppress survivin or PI3K/Akt, respectively. 
Survivin was expressed in DEN-induced rat HCC with RT-PCR and Western blotting. 
Expression of survivin was observed primary in the nuclei and in the cytoplasm 
with immunohistochemistry. However, survivin was not detected in non-tumor 
tissues. Expression of survivin was also observed primarily in the nuclei and in 
the cytoplasm of the K-251 rat hepatoma cell line. CDDP induced survivin 
expression, which was blocked by siRNA. LY294002 also attenuated survivin 
expression induced by CDDP. Our results indicate that survivin expression via 
PI3K contributes to resistance to CDDP-induced apoptosis in a rat hepatoma cell 
line.