Scientific article
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Mitochondrial fusion is a therapeutic vulnerability of acute myeloid leukemia

Published inLeukemia, vol. 37, no. 4, p. 765-775
Publication date2023-04
First online date2023-02-04
Abstract

Mitochondrial metabolism recently emerged as a critical dependency in acute myeloid leukemia (AML). The shape of mitochondria is tightly regulated by dynamin GTPase proteins, which drive opposing fusion and fission forces to consistently adapt bioenergetics to the cellular context. Here, we showed that targeting mitochondrial fusion was a new vulnerability of AML cells, when assayed in patient-derived xenograft (PDX) models. Genetic depletion of mitofusin 2 (MFN2) or optic atrophy 1 (OPA1) or pharmacological inhibition of OPA1 (MYLS22) blocked mitochondrial fusion and had significant anti-leukemic activity, while having limited impact on normal hematopoietic cells ex vivo and in vivo. Mechanistically, inhibition of mitochondrial fusion disrupted mitochondrial respiration and reactive oxygen species production, leading to cell cycle arrest at the G0/G1transition. These results nominate the inhibition of mitochondrial fusion as a promising therapeutic approach for AML.

Keywords
  • Humans
  • Mitochondrial Dynamics / genetics
  • Mitochondria / metabolism
  • Reactive Oxygen Species / metabolism
  • Energy Metabolism
  • Leukemia, Myeloid, Acute / drug therapy
  • Leukemia, Myeloid, Acute / genetics
  • Leukemia, Myeloid, Acute / metabolism
  • Mitochondrial Proteins / metabolism
Citation (ISO format)
LARRUE, Clément et al. Mitochondrial fusion is a therapeutic vulnerability of acute myeloid leukemia. In: Leukemia, 2023, vol. 37, n° 4, p. 765–775. doi: 10.1038/s41375-023-01835-x
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Additional URL for this publicationhttps://www.nature.com/articles/s41375-023-01835-x
Journal ISSN0887-6924
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