Targeting chemoresistance and mitochondria-dependent metabolic reprogramming in acute myeloid leukemia

Chemoresistance often complicates the management of cancer, as noted in the instance of acute myeloid leukemia (AML). Mitochondrial function is considered important for the viability of AML blasts and appears to also modulate chemoresistance. As mitochondrial metabolism is aberrant in AML, any disti...

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Main Authors: Lili Feng, Philip Y. Zhang, Wenda Gao, Jinming Yu, Simon C. Robson
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1244280/full
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author Lili Feng
Lili Feng
Philip Y. Zhang
Wenda Gao
Jinming Yu
Simon C. Robson
Simon C. Robson
author_facet Lili Feng
Lili Feng
Philip Y. Zhang
Wenda Gao
Jinming Yu
Simon C. Robson
Simon C. Robson
author_sort Lili Feng
collection DOAJ
description Chemoresistance often complicates the management of cancer, as noted in the instance of acute myeloid leukemia (AML). Mitochondrial function is considered important for the viability of AML blasts and appears to also modulate chemoresistance. As mitochondrial metabolism is aberrant in AML, any distinct pathways could be directly targeted to impact both cell viability and chemoresistance. Therefore, identifying and targeting those precise rogue elements of mitochondrial metabolism could be a valid therapeutic strategy in leukemia. Here, we review the evidence for abnormalities in mitochondria metabolic processes in AML cells, that likely impact chemoresistance. We further address several therapeutic approaches targeting isocitrate dehydrogenase 2 (IDH2), CD39, nicotinamide phosphoribosyl transferase (NAMPT), electron transport chain (ETC) complex in AML and also consider the roles of mesenchymal stromal cells. We propose the term “mitotherapy” to collectively refer to such regimens that attempt to override mitochondria-mediated metabolic reprogramming, as used by cancer cells. Mounting evidence suggests that mitotherapy could provide a complementary strategy to overcome chemoresistance in liquid cancers, as well as in solid tumors.
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spelling doaj.art-0f1b239aecf747c0a36e87eb315696612023-09-07T19:17:15ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-09-011310.3389/fonc.2023.12442801244280Targeting chemoresistance and mitochondria-dependent metabolic reprogramming in acute myeloid leukemiaLili Feng0Lili Feng1Philip Y. Zhang2Wenda Gao3Jinming Yu4Simon C. Robson5Simon C. Robson6Shandong Provincial Key Laboratory of Radiation Oncology, Cancer Research Center, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, ChinaCenter for Inflammation Research, Department of Anesthesia, Critical Care & Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United StatesCenter for Inflammation Research, Department of Anesthesia, Critical Care & Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United StatesAntagen Institute for Biomedical Research, Canton, MA, United StatesDepartment of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, ChinaCenter for Inflammation Research, Department of Anesthesia, Critical Care & Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United StatesDepartment of Medicine, Division of Gastroenterology/Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United StatesChemoresistance often complicates the management of cancer, as noted in the instance of acute myeloid leukemia (AML). Mitochondrial function is considered important for the viability of AML blasts and appears to also modulate chemoresistance. As mitochondrial metabolism is aberrant in AML, any distinct pathways could be directly targeted to impact both cell viability and chemoresistance. Therefore, identifying and targeting those precise rogue elements of mitochondrial metabolism could be a valid therapeutic strategy in leukemia. Here, we review the evidence for abnormalities in mitochondria metabolic processes in AML cells, that likely impact chemoresistance. We further address several therapeutic approaches targeting isocitrate dehydrogenase 2 (IDH2), CD39, nicotinamide phosphoribosyl transferase (NAMPT), electron transport chain (ETC) complex in AML and also consider the roles of mesenchymal stromal cells. We propose the term “mitotherapy” to collectively refer to such regimens that attempt to override mitochondria-mediated metabolic reprogramming, as used by cancer cells. Mounting evidence suggests that mitotherapy could provide a complementary strategy to overcome chemoresistance in liquid cancers, as well as in solid tumors.https://www.frontiersin.org/articles/10.3389/fonc.2023.1244280/fullacute myeloid leukemiachemoresistancemitochondrial metabolismmitotherapymetabolic reprogramming
spellingShingle Lili Feng
Lili Feng
Philip Y. Zhang
Wenda Gao
Jinming Yu
Simon C. Robson
Simon C. Robson
Targeting chemoresistance and mitochondria-dependent metabolic reprogramming in acute myeloid leukemia
Frontiers in Oncology
acute myeloid leukemia
chemoresistance
mitochondrial metabolism
mitotherapy
metabolic reprogramming
title Targeting chemoresistance and mitochondria-dependent metabolic reprogramming in acute myeloid leukemia
title_full Targeting chemoresistance and mitochondria-dependent metabolic reprogramming in acute myeloid leukemia
title_fullStr Targeting chemoresistance and mitochondria-dependent metabolic reprogramming in acute myeloid leukemia
title_full_unstemmed Targeting chemoresistance and mitochondria-dependent metabolic reprogramming in acute myeloid leukemia
title_short Targeting chemoresistance and mitochondria-dependent metabolic reprogramming in acute myeloid leukemia
title_sort targeting chemoresistance and mitochondria dependent metabolic reprogramming in acute myeloid leukemia
topic acute myeloid leukemia
chemoresistance
mitochondrial metabolism
mitotherapy
metabolic reprogramming
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1244280/full
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