Evidence map›Paper›PMID 27791036›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

ATM/G6PD-driven redox metabolism promotes FLT3 inhibitor resistance in acute myeloid leukemia.

Mark A Gregory, Angelo D'Alessandro, Francesca Alvarez-Calderon, Jihye Kim, Travis Nemkov, Biniam Adane, Andrii I Rozhok, Amit Kumar, Vijay Kumar, Daniel A Pollyea and 6 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. High-Throughput Metabolomics in Transfusion Medicine.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  5. Article
  6. Article
  7. Metabolic Signature ofJournal of personalized medicine · 2025
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
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  16. Review
  17. Review
  18. Article
  19. A Leukemic Target with a Thousand Faces: The Mitochondria.International journal of molecular sciences · 2023
    Review
  20. Review

13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Mark A GregoryDepartment of Biochemistry and Molecular Genetics, University of Colorado, Aurora, CO 80045; School of Medicine, University of Colorado, Aurora, CO 80045; james.degregori@ucdenver.edu mark.gregory@ucdenver.edu.ORCID 0000-0001-5587-4686
Angelo D'AlessandroDepartment of Biochemistry and Molecular Genetics, University of Colorado, Aurora, CO 80045; School of Medicine, University of Colorado, Aurora, CO 80045.
Francesca Alvarez-CalderonSchool of Medicine, University of Colorado, Aurora, CO 80045; Integrated Department of Immunology, University of Colorado, Aurora, CO 80045.
Jihye KimSchool of Medicine, University of Colorado, Aurora, CO 80045; Department of Medicine, Division of Medical Oncology, University of Colorado, Aurora, CO 80045.
Travis NemkovDepartment of Biochemistry and Molecular Genetics, University of Colorado, Aurora, CO 80045; School of Medicine, University of Colorado, Aurora, CO 80045.
Biniam AdaneSchool of Medicine, University of Colorado, Aurora, CO 80045; Department of Medicine, Division of Hematology, University of Colorado, Aurora, CO 80045.
Andrii I RozhokDepartment of Biochemistry and Molecular Genetics, University of Colorado, Aurora, CO 80045; School of Medicine, University of Colorado, Aurora, CO 80045.
Amit KumarDepartment of Pharmaceutical Sciences, School of Pharmacy, University of Colorado, Aurora, CO 80045.
Vijay KumarDepartment of Pharmaceutical Sciences, School of Pharmacy, University of Colorado, Aurora, CO 80045.
Daniel A PollyeaSchool of Medicine, University of Colorado, Aurora, CO 80045; Department of Medicine, Division of Hematology, University of Colorado, Aurora, CO 80045.
Michael F WempeDepartment of Pharmaceutical Sciences, School of Pharmacy, University of Colorado, Aurora, CO 80045.
Craig T JordanSchool of Medicine, University of Colorado, Aurora, CO 80045; Department of Medicine, Division of Hematology, University of Colorado, Aurora, CO 80045.
Natalie J SerkovaSchool of Medicine, University of Colorado, Aurora, CO 80045; Department of Anesthesiology, University of Colorado, Aurora, CO 80045; Department of Radiology, University of Colorado, Aurora, CO 80045.
Aik Choon TanSchool of Medicine, University of Colorado, Aurora, CO 80045; Department of Medicine, Division of Medical Oncology, University of Colorado, Aurora, CO 80045; Cancer Biology Program, University of Colorado, Aurora, CO 80045.
Kirk C HansenDepartment of Biochemistry and Molecular Genetics, University of Colorado, Aurora, CO 80045; School of Medicine, University of Colorado, Aurora, CO 80045.
James DeGregoriDepartment of Biochemistry and Molecular Genetics, University of Colorado, Aurora, CO 80045; School of Medicine, University of Colorado, Aurora, CO 80045; Integrated Department of Immunology, University of Colorado, Aurora, CO 80045; Cancer Biology Program, University of Colorado, Aurora, CO 80045; Department of Pediatrics, Section of Hematology, Oncology, and Bone Marrow Transplantation, University of Colorado, Aurora, CO 80045 james.degregori@ucdenver.edu mark.gregory@ucdenver.edu.

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Medical Scientist Training ProgramT32GM008497 · NIGMS · UNIVERSITY OF COLORADO DENVER · PI WILSON, CARA C. · 1993 to 2022
$15.2M
Targeting Wnt/Ca2+ Pathway components and Bcr-Abl for the treatment of CMLK01CA133182 · NCI · UNIVERSITY OF COLORADO DENVER · PI GREGORY, MARK A · 2009 to 2011
$338k
Exploiting altered glucose utilization in Bcr-Abl+ LeukemiaF31CA157166 · NCI · UNIVERSITY OF COLORADO DENVER · PI ALVAREZ CALDERON, FRANCESCA · 2010 to 2013
$142k
NCATS NIH HHS UL1 TR001082NCI NIH HHS F31 CA157166NCI NIH HHS K01 CA133182NCI NIH HHS P30 CA046934NIGMS NIH HHS T32 GM008497
6 · The paper itself

Abstract

Activating mutations in FMS-like tyrosine kinase 3 (FLT3) are common in acute myeloid leukemia (AML) and drive leukemic cell growth and survival. Although FLT3 inhibitors have shown considerable promise for the treatment of AML, they ultimately fail to achieve long-term remissions as monotherapy. To identify genetic targets that can sensitize AML cells to killing by FLT3 inhibitors, we performed a genome-wide RNA interference (RNAi)-based screen that identified ATM (ataxia telangiectasia mutated) as being synthetic lethal with FLT3 inhibitor therapy. We found that inactivating ATM or its downstream effector glucose 6-phosphate dehydrogenase (G6PD) sensitizes AML cells to FLT3 inhibitor induced apoptosis. Examination of the cellular metabolome showed that FLT3 inhibition by itself causes profound alterations in central carbon metabolism, resulting in impaired production of the antioxidant factor glutathione, which was further impaired by ATM or G6PD inactivation. Moreover, FLT3 inhibition elicited severe mitochondrial oxidative stress that is causative in apoptosis and is exacerbated by ATM/G6PD inhibition. The use of an agent that intensifies mitochondrial oxidative stress in combination with a FLT3 inhibitor augmented elimination of AML cells in vitro and in vivo, revealing a therapeutic strategy for the improved treatment of FLT3 mutated AML.

Indexed as

Gene Expression Regulation, LeukemicAnimalsAntineoplastic AgentsAtaxia Telangiectasia Mutated ProteinsBenzothiazolesCell Line, TumorCell SurvivalDrug Resistance, NeoplasmDrug Therapy, CombinationFemalefms-Like Tyrosine Kinase 3Glucosephosphate DehydrogenaseHumansHydrazinesLeukemia, Myeloid, AcuteMice, Inbred NODAntineoplastic AgentsAtaxia Telangiectasia Mutated ProteinsATM protein, humanBenzothiazoleselesclomolFLT3 protein, humanfms-Like Tyrosine Kinase 3Glucosephosphate DehydrogenaseHydrazinesPhenylurea CompoundsProtein Kinase InhibitorsquizartinibRNA, Small Interferingacute myeloid leukemiaATMFLT3glutathionemetabolism

Identifiers

PMID27791036
PMCPMC5086999

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.