Mitochondrial abnormalities as a target of intervention in acute myeloid leukemia

Acute myeloid leukemia (AML) is an aggressive hematological malignancy; it is the most common acute leukemia in adults. AML prognosis is often poor, and relapse often occurs after initial remission. Recurrent genetic abnormalities underlying this disease and the presence of leukemic stem cells compl...

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Main Authors: Elissa Tjahjono, Megan R. Daneman, Bernadetta Meika, Alexey V. Revtovich, Natalia V. Kirienko
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2024.1532857/full
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author Elissa Tjahjono
Megan R. Daneman
Bernadetta Meika
Alexey V. Revtovich
Natalia V. Kirienko
author_facet Elissa Tjahjono
Megan R. Daneman
Bernadetta Meika
Alexey V. Revtovich
Natalia V. Kirienko
author_sort Elissa Tjahjono
collection DOAJ
description Acute myeloid leukemia (AML) is an aggressive hematological malignancy; it is the most common acute leukemia in adults. AML prognosis is often poor, and relapse often occurs after initial remission. Recurrent genetic abnormalities underlying this disease and the presence of leukemic stem cells complicate disease treatment. However, the complex metabolic reprogramming that enables the unrestrained cell growth seen in these cells may also be their Achilles’ heel. In these cells, mitophagy operates as a double-edged sword. On one hand, it provides a source of building blocks for further cell division and serves as a method for removing damaged organelles, promoting cell survival. However, the profound metabolic changes to mitochondria also render these organelles more sensitive to damage and place them precariously close to excess mitophagic activation. This review discusses the dual role mitophagy plays in AML survival, the importance of targeting mitophagy to treat AML, and current progress in the area. The discovery and mechanism of action of multiple compounds that were used to inhibit or stimulate mitophagy and their effects on AML survival are also described. Further, we explore the combination strategy of mitophagy-targeting compounds with existing and/or novel chemotherapeutics to eradicate AML and discuss strategies to uncover new drug targets and novel mitochondria-targeting drugs.
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spelling doaj-art-63612d952c184dcaba0da0b5332caea92025-01-20T07:19:57ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-01-011410.3389/fonc.2024.15328571532857Mitochondrial abnormalities as a target of intervention in acute myeloid leukemiaElissa TjahjonoMegan R. DanemanBernadetta MeikaAlexey V. RevtovichNatalia V. KirienkoAcute myeloid leukemia (AML) is an aggressive hematological malignancy; it is the most common acute leukemia in adults. AML prognosis is often poor, and relapse often occurs after initial remission. Recurrent genetic abnormalities underlying this disease and the presence of leukemic stem cells complicate disease treatment. However, the complex metabolic reprogramming that enables the unrestrained cell growth seen in these cells may also be their Achilles’ heel. In these cells, mitophagy operates as a double-edged sword. On one hand, it provides a source of building blocks for further cell division and serves as a method for removing damaged organelles, promoting cell survival. However, the profound metabolic changes to mitochondria also render these organelles more sensitive to damage and place them precariously close to excess mitophagic activation. This review discusses the dual role mitophagy plays in AML survival, the importance of targeting mitophagy to treat AML, and current progress in the area. The discovery and mechanism of action of multiple compounds that were used to inhibit or stimulate mitophagy and their effects on AML survival are also described. Further, we explore the combination strategy of mitophagy-targeting compounds with existing and/or novel chemotherapeutics to eradicate AML and discuss strategies to uncover new drug targets and novel mitochondria-targeting drugs.https://www.frontiersin.org/articles/10.3389/fonc.2024.1532857/fullacute myeloid leukemialeukemic stem cellsmitochondriaoxidative phosphorylationmitophagyglutaminolysis
spellingShingle Elissa Tjahjono
Megan R. Daneman
Bernadetta Meika
Alexey V. Revtovich
Natalia V. Kirienko
Mitochondrial abnormalities as a target of intervention in acute myeloid leukemia
Frontiers in Oncology
acute myeloid leukemia
leukemic stem cells
mitochondria
oxidative phosphorylation
mitophagy
glutaminolysis
title Mitochondrial abnormalities as a target of intervention in acute myeloid leukemia
title_full Mitochondrial abnormalities as a target of intervention in acute myeloid leukemia
title_fullStr Mitochondrial abnormalities as a target of intervention in acute myeloid leukemia
title_full_unstemmed Mitochondrial abnormalities as a target of intervention in acute myeloid leukemia
title_short Mitochondrial abnormalities as a target of intervention in acute myeloid leukemia
title_sort mitochondrial abnormalities as a target of intervention in acute myeloid leukemia
topic acute myeloid leukemia
leukemic stem cells
mitochondria
oxidative phosphorylation
mitophagy
glutaminolysis
url https://www.frontiersin.org/articles/10.3389/fonc.2024.1532857/full
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AT bernadettameika mitochondrialabnormalitiesasatargetofinterventioninacutemyeloidleukemia
AT alexeyvrevtovich mitochondrialabnormalitiesasatargetofinterventioninacutemyeloidleukemia
AT nataliavkirienko mitochondrialabnormalitiesasatargetofinterventioninacutemyeloidleukemia