2012
DOI: 10.1016/j.cell.2012.08.038
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Relative Mitochondrial Priming of Myeloblasts and Normal HSCs Determines Chemotherapeutic Success in AML

Abstract: Summary Despite decades of successful use of cytotoxic chemotherapy in acute myelogenous leukemia (AML), the biological basis for its differential success among individuals and for the existence of a therapeutic index has remained obscure. Rather than taking a genetic approach favored by many, we took a functional approach to ask how differential mitochondrial readiness for apoptosis (“priming”) might explain individual variation in clinical behavior. We found that mitochondrial priming measured by BH3 profili… Show more

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Cited by 304 publications
(337 citation statements)
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References 37 publications
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“…Bcl‐xl and Bcl‐2 increased in HUVECs, IMR90 cells, and MEFs but not preadipocytes, suggesting that senescent HUVECs, IMR90 cells, and MEFs might depend more on this pro‐survival pathway than N‐resistant preadipocytes. Consistent with this, Bcl‐2 family molecular signatures, including Bcl‐xl, Bcl‐2, Noxa, and Bcl‐w, correctly predict susceptibility to N of 70% of small‐cell lung cancers and 81% of leukemias and lymphomas (Tahir et al ., 2010; Vo et al ., 2012). These same Bcl‐2 family molecular signatures are features of senescent HUVECs, IMR90 cells (Fig.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Bcl‐xl and Bcl‐2 increased in HUVECs, IMR90 cells, and MEFs but not preadipocytes, suggesting that senescent HUVECs, IMR90 cells, and MEFs might depend more on this pro‐survival pathway than N‐resistant preadipocytes. Consistent with this, Bcl‐2 family molecular signatures, including Bcl‐xl, Bcl‐2, Noxa, and Bcl‐w, correctly predict susceptibility to N of 70% of small‐cell lung cancers and 81% of leukemias and lymphomas (Tahir et al ., 2010; Vo et al ., 2012). These same Bcl‐2 family molecular signatures are features of senescent HUVECs, IMR90 cells (Fig.…”
Section: Resultsmentioning
confidence: 99%
“…N is senolytic in HUVECs, IMR90 cells, and MEFs, but not in senescent human primary preadipocytes. Based on these senescent cell type‐specific effects of N and its ability to treat cancers with specific Bcl‐2 family signatures (Tahir et al ., 2010; Vo et al ., 2012), we also tested signatures of Bcl‐2 family member proteins and found these signatures do indeed correlate with susceptibilities of different senescent cell types to N. This suggests that the molecular signatures of different types of senescent cells may be of utility in predicting responsiveness to Bcl‐2 family inhibitors or potentially to other classes of senolytic drugs.…”
Section: Introductionmentioning
confidence: 82%
“…[39][40][41][42] In particular, the present study utilizes full-length BH3-only proteins, which differ in the strengths of their protein-protein interactions compared with isolated BH3 peptides, 49 and places those BH3-only proteins in the context of cellular signaling networks 2,45 rather than isolated mitochondria. Thus, although BH3 profiling is being explored as a strategy to predict sensitivity or resistance of particular cell lines or cancers to specific treatments, 50 measurement of BH3-only tolerance has the potential to provide insight into endogenous signaling networks within intact cells that include BCL2 family members bound to surfaces other than the MOM.…”
Section: Discussionmentioning
confidence: 99%
“…41,42 This assay involves treating mitochondria or permeabilized cells with isolated BH3 peptides and measuring cytochrome c release or mitochondrial depolarization. In a recent modification termed 'dynamic BH3 profiling,' cells are exposed to potential anticancer drugs versus diluent and assayed for BIM BH3 peptideinduced mitochondrial depolarization.…”
mentioning
confidence: 99%
“…This property correlates with the success of clinical induction and refines the prognostic information obtained from cytogenetic and genetic markers. Furthermore, chemosensitive and chemoresistant myeloblasts but not normal hematopoietic stem cells (HSCs) showed BCL-2 dependency in BH3 profiling [26]. This provides the basis for the use of BCL-2 antagonists for the development of new therapeutic strategies for treating AML patients.…”
Section: Drugs Targeting Bcl-2 Protein Familymentioning
confidence: 99%