The mitochondria as an emerging target of self-renewal in T-cell acute lymphoblastic leukemia

Acute lymphocytic leukemia (ALL) is the most common leukemia in children, with the T-cell subtype (T-ALL) accounting for 15% of those cases. Despite advancements in the treatment of T-ALL, patients still face a dismal prognosis following their first relapse. Relapse can be attributed to the inabilit...

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Main Authors: Majd A. Al-Hamaly, Evelyn Winter, Jessica S. Blackburn
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Cancer Biology & Therapy
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Online Access:https://www.tandfonline.com/doi/10.1080/15384047.2025.2460252
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author Majd A. Al-Hamaly
Evelyn Winter
Jessica S. Blackburn
author_facet Majd A. Al-Hamaly
Evelyn Winter
Jessica S. Blackburn
author_sort Majd A. Al-Hamaly
collection DOAJ
description Acute lymphocytic leukemia (ALL) is the most common leukemia in children, with the T-cell subtype (T-ALL) accounting for 15% of those cases. Despite advancements in the treatment of T-ALL, patients still face a dismal prognosis following their first relapse. Relapse can be attributed to the inability of chemotherapy agents to eradicate leukemia stem cells (LSC), which possess self-renewal capabilities and are responsible for the long-term maintenance of the disease. Mitochondria have been recognized as a therapeutic vulnerability for cancer stem cells, including LSCs. Mitocans have shown promise in T-ALL both in vitro and in vivo, with some currently in early-phase clinical trials. However, due to challenges in studying LSCs in T-ALL, our understanding of how mitochondrial function influences self-renewal remains limited. This review highlights the emerging literature on targeting mitochondria in diverse T-ALL models, emphasizing specific mitochondrial vulnerabilities linked to LSC self-renewal and their potential to significantly improve T-ALL treatment.
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institution Kabale University
issn 1538-4047
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language English
publishDate 2025-12-01
publisher Taylor & Francis Group
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series Cancer Biology & Therapy
spelling doaj-art-3544357a0c9743b3a6603cdb3ed9c3c52025-02-05T06:01:24ZengTaylor & Francis GroupCancer Biology & Therapy1538-40471555-85762025-12-0126110.1080/15384047.2025.2460252The mitochondria as an emerging target of self-renewal in T-cell acute lymphoblastic leukemiaMajd A. Al-Hamaly0Evelyn Winter1Jessica S. Blackburn2Pharmacology and Nutritional Sciences, University of Kentucky, Lexington, KY, USADepartment of Agriculture, Biodiversity and Forestry, Federal University of Santa Catarina, Curitibanos, BrazilMarkey Cancer Center, University of Kentucky, Lexington, KY, USAAcute lymphocytic leukemia (ALL) is the most common leukemia in children, with the T-cell subtype (T-ALL) accounting for 15% of those cases. Despite advancements in the treatment of T-ALL, patients still face a dismal prognosis following their first relapse. Relapse can be attributed to the inability of chemotherapy agents to eradicate leukemia stem cells (LSC), which possess self-renewal capabilities and are responsible for the long-term maintenance of the disease. Mitochondria have been recognized as a therapeutic vulnerability for cancer stem cells, including LSCs. Mitocans have shown promise in T-ALL both in vitro and in vivo, with some currently in early-phase clinical trials. However, due to challenges in studying LSCs in T-ALL, our understanding of how mitochondrial function influences self-renewal remains limited. This review highlights the emerging literature on targeting mitochondria in diverse T-ALL models, emphasizing specific mitochondrial vulnerabilities linked to LSC self-renewal and their potential to significantly improve T-ALL treatment.https://www.tandfonline.com/doi/10.1080/15384047.2025.2460252MitochondriaOXPHOSmetabolismself-renewalleukemia stem cellscancer stem cells
spellingShingle Majd A. Al-Hamaly
Evelyn Winter
Jessica S. Blackburn
The mitochondria as an emerging target of self-renewal in T-cell acute lymphoblastic leukemia
Cancer Biology & Therapy
Mitochondria
OXPHOS
metabolism
self-renewal
leukemia stem cells
cancer stem cells
title The mitochondria as an emerging target of self-renewal in T-cell acute lymphoblastic leukemia
title_full The mitochondria as an emerging target of self-renewal in T-cell acute lymphoblastic leukemia
title_fullStr The mitochondria as an emerging target of self-renewal in T-cell acute lymphoblastic leukemia
title_full_unstemmed The mitochondria as an emerging target of self-renewal in T-cell acute lymphoblastic leukemia
title_short The mitochondria as an emerging target of self-renewal in T-cell acute lymphoblastic leukemia
title_sort mitochondria as an emerging target of self renewal in t cell acute lymphoblastic leukemia
topic Mitochondria
OXPHOS
metabolism
self-renewal
leukemia stem cells
cancer stem cells
url https://www.tandfonline.com/doi/10.1080/15384047.2025.2460252
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