Progressive remodeling of the bone marrow microenvironment is recognized as an integral aspect of leukemogenesis. Expanding acute myeloid leukemia (AML) clones not only alter stroma composition, but also actively constrain hematopoiesis, representing a significant source of patient morbidity and mortality. Recent studies revealed the surprising resistance of longâterm hematopoietic stem cells (LTâHSC) to elimination from the leukemic niche. Here, we examine the fate and function of residual LTâHSC in the BM of murine xenografts with emphasis on the role of AMLâderived extracellular vesicles (EV). AMLâEV rapidly enter HSC, and their trafficking elicits protein synthesis suppression and LTâHSC quiescence. Mechanistically, AMLâEV transfer a panel of miRNA, including miRâ1246, that target the mTOR subunit Raptor, causing ribosomal protein S6 hypoâphosphorylation, which in turn impairs protein synthesis in LTâHSC. While HSC functionally recover from quiescence upon transplantation to an AMLânaive environment, they maintain relative gains in repopulation capacity. These phenotypic changes are accompanied by DNA doubleâstrand breaks and evidence of a sustained DNAâdamage response. In sum, AMLâEV contribute to nicheâdependent, reversible quiescence and elicit persisting DNA damage in LTâHSC.