Objective To investigate the association of Cytosolic 5'-lucleotidase H (CN-H ) geneexpressions with drug resistant in long-term subcultured human leukemia HL-60 cells. Methods RealTime PCR was used to determinate the CN—n mRNA expressions in initial culture of HL-60 snd drug resisitant HL-60R cells and in their different passages (5,10,20, 30,40 and 50) . Results In the initial culture, the CN—n mRNA expression levels in HL-60 and HL-60/R cells were 0. 23 ±0. 04 and 0.47 ±0.05 (P <0. 05) . In the long-term subcultured passages (10,20,30,40,50), the CN-H mRNA expression levels exhibited no change in both HL-60 and HL-60/R cells (P >0.05) . The CN-H mRNA expression levels in HL-60/R cell passages (10,20,30,40,50) were significantly higher than those in HL-60 cell passages (P <0.05) . Conclusion CN-H mRNA expression is higher in HL-60/Rcells than that in HL-60 cells, and the difference continuously exists after long-term cultured, which suggests that the CN-H expression is closely related to the development of drug resistance after long term use of Ara-C.