000 02527 am a22003733u 4500
042 _adc
100 1 0 _aIanniciello, Angela
_eauthor
_91022
700 1 0 _aZarou, Martha M.
_eauthor
_91023
700 1 0 _aRattigan, Kevin M.
_eauthor
_91024
700 1 0 _aScott, Mary
_eauthor
_91025
700 1 0 _aDawson, Amy
_eauthor
_91026
700 1 0 _aDunn, Karen
_eauthor
_91027
700 1 0 _aBrabcova, Zuzana
_eauthor
_91028
700 1 0 _aKalkman, Eric R.
_eauthor
_91029
700 1 0 _aNixon, Colin
_eauthor
_91030
700 1 0 _aMichie, Alison M.
_eauthor
_91031
700 1 0 _aCopland, Mhairi
_eauthor
_91032
700 1 0 _aVetrie, David
_eauthor
_91033
700 1 0 _aAmbler, Martin
_eauthor
_91034
700 1 0 _aSaxty, Barbara
_eauthor
_91035
700 1 0 _aHelgason, G. Vignir
_eauthor
_91036
245 0 0 _aULK1 inhibition promotes oxidative stress-induced differentiation and sensitizes leukemic stem cells to targeted therapy
260 _c2021-09-29.
500 _a/pmc/articles/PMC7612079/
500 _a/pubmed/34586834
520 _aInhibition of autophagy has been proposed as a potential therapy for individuals with cancer. However, current lysosomotropic autophagy inhibitors have demonstrated limited efficacy in clinical trials. Therefore, validation of novel specific autophagy inhibitors using robust preclinical models is critical. In chronic myeloid leukemia (CML), minimal residual disease is maintained by persistent leukemic stem cells (LSCs), which drive tyrosine kinase inhibitor (TKI) resistance and patient relapse. Here, we show that deletion of autophagy-inducing kinase ULK1 (unc-51-like autophagy activating kinase 1) reduces growth of cell line and patient-derived xenografted CML cells in mouse models. Using primitive cells, isolated from individuals with CML, we demonstrate that pharmacological inhibition of ULK1 selectively targets CML LSCs ex vivo and in vivo, when combined with TKI treatment. The enhanced TKI sensitivity after ULK1-mediated autophagy inhibition is driven by increased mitochondrial respiration and loss of quiescence and points to oxidative stress-induced differentiation of CML LSCs, proposing an alternative strategy for treating patients with CML.
540 _a
540 _aexclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works
546 _aen
690 _aArticle
655 7 _aText
_2local
786 0 _nSci Transl Med
856 4 1 _uhttp://dx.doi.org/10.1126/scitranslmed.abd5016
_zConnect to this object online.
999 _c1650
_d1650