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Investigating the Influence of Probiotics on Cell Proliferation in Hematological Malignancies Christos N. Sarantopoulos Mentor: Martina Berger Cancer is a group of diseases that is characteristic of unregulated and uncontrollable cell growth. We focused on the cell proliferation of IM-9 cells which are a multiple myeloma cancer cell line (blood cancer) and identify the pathways leading to inhibition of cell proliferation. A cell is induced into cell death (Apoptosis) through two pathways, the Intrinsic Pathway and the Extrinsic Pathway. The Intrinsic Pathway, also known as the Mitochondrial Pathway, is induced from inside the cell as a response to stress factors such as DNA damage and loss of cell-survival factors. In literature it can be observed that probiotics have the ability to inhibit proliferation by affecting the mitochondrial apoptotic pathways. We tested this hypothesis and tried to stop cancer cell proliferation by experimenting with IM-9 cells and several probiotic bacteria that have previously been isolated from the saliva of healthy individuals. We identified two of the bacteria that are able to inhibit cell growth in IM-9 cells. The IM-9 cells were cultured with live bacteria and with the supernatant of the bacterial culture. IM-9 cells were inhibited by live bacteria, however after several cultures with the same bacteria IM-9 cells were able to adapt and kill the bacteria. IM-9 cells exposed to supernatant were never able to adapt to the harmful effects of the supernatant. The supernatant was free of bacteria. At the moment, the pathway of cell proliferation inhibition in cancer cells in the presence of bacteria and supernatent is not identified. The mitochondrial pathways of apoptosis will be examined next. We can demonstrate that bacteria/probiotics can influence cancer cell proliferation and could have tremendous potential in the regulation of cell proliferation in cancer cells and thus as a cancer treatment.