2022
DOI: 10.1038/s41467-022-30396-3
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Inhibition of mitochondrial complex I reverses NOTCH1-driven metabolic reprogramming in T-cell acute lymphoblastic leukemia

Abstract: T-cell acute lymphoblastic leukemia (T-ALL) is commonly driven by activating mutations in NOTCH1 that facilitate glutamine oxidation. Here we identify oxidative phosphorylation (OxPhos) as a critical pathway for leukemia cell survival and demonstrate a direct relationship between NOTCH1, elevated OxPhos gene expression, and acquired chemoresistance in pre-leukemic and leukemic models. Disrupting OxPhos with IACS-010759, an inhibitor of mitochondrial complex I, causes potent growth inhibition through induction … Show more

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Cited by 34 publications
(28 citation statements)
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“…Interestingly, an upregulation of DLL4 was found. DLL4 is one of the most important regulators of NOTCH1, which is a driving oncogene in T‐ALL [ 18 , 19 ]. Additionally, the proto‐oncogene MYCN was upregulated together with SOX2 and YAP1, both markers for stem cell self‐renewal, reprogramming and homeostasis, as well as mechanistically promoting proliferation, survival, invasion/metastasis, cancer stemness and drug resistance [ 20 , 21 ].…”
Section: Resultsmentioning
confidence: 99%
“…Interestingly, an upregulation of DLL4 was found. DLL4 is one of the most important regulators of NOTCH1, which is a driving oncogene in T‐ALL [ 18 , 19 ]. Additionally, the proto‐oncogene MYCN was upregulated together with SOX2 and YAP1, both markers for stem cell self‐renewal, reprogramming and homeostasis, as well as mechanistically promoting proliferation, survival, invasion/metastasis, cancer stemness and drug resistance [ 20 , 21 ].…”
Section: Resultsmentioning
confidence: 99%
“…The regulation of cellular metabolism by NOTCH has emerged in recent years as an exciting area of research. Although still quite unexplored, strong evidence supports the idea that NOTCH1 signaling promotes T-ALL growth by inducing the activation of anabolic pathways, including glycolysis, glutaminolysis, nucleotide biosynthesis, amino acids metabolism, ribosome biogenesis and protein activation [ 105 , 176 , 177 , 178 ]. On the contrary, NOTCH1 signaling inactivation switches metabolism to catabolic pathways, i.e., increased autophagy, ubiquitination and proteasomal degradation, and reduction in glycolytic and glutaminolytic flux [ 105 ].…”
Section: Molecular Collaborators Of Notch1 Signaling In T-all Pathoge...mentioning
confidence: 99%
“…To date, the best-known metabolic routes cooperating with oncogenic NOTCH1 signaling are MYC, PI3K/AKT, and RAS, and they will be discussed below. In addition, very recent studies have uncovered novel players involved in the metabolic reprogramming caused by aberrant NOTCH1 signals, such as the oxidative phosphorylation regulator mitochondrial complex I inhibitor [ 178 ] and the nucleotide biosynthesis regulator ubiquitin protein ligase E3 component N-recognin 7 (UBR7) [ 177 ]. Given that metabolic reprogramming is an essential mechanism of cancer cell outgrowth and dissemination [ 179 ], understanding the multiple levels of interconnections between NOTCH1 and metabolic pathways may help to delineate novel strategies to tackle exacerbated metabolic demand in T-ALL.…”
Section: Molecular Collaborators Of Notch1 Signaling In T-all Pathoge...mentioning
confidence: 99%
“…A research team identify oxidative phosphorylation as a critical pathway for leukaemia cell survival and demonstrate a direct relationship between notch receptor 1 and elevated oxidative phosphorylation gene expression. IACS‐010759, a mitochondrial complex I/oxidative phosphorylation inhibitor, has been investigated in clinical trials of acute myelocytic leukaemia and improved overall survival (NCT03291938 and NCT02882321) (Baran et al, 2022). An important study showing that presenilin 1 (PSEN1) selective inhibitor could be safer for treatment in T‐acute lymphoblastic leukaemia patients with NOTCH1 mutations.…”
Section: Adult T‐acute Lymphoblastic Leukaemia Targeted Therapymentioning
confidence: 99%