Evidence map›Paper›PMID 34120146›Full record

ArticleLeukemia2021

Metabolic alterations mediated by STAT3 promotes drug persistence in CML.

Sweta B Patel, Travis Nemkov, Davide Stefanoni, Gloria A Benavides, Mahmoud A Bassal, Brittany L Crown, Victoria R Matkins, Virginia Camacho, Valeriya Kuznetsova, Ashley T Hoang and 14 more

Open access · hybridAbstract read
In one paragraph

Article in Leukemia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
6.4field-weighted citation impact, top 3% of its field
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

35 citing papers in PubMed, 53 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. High-Throughput Metabolomics in Transfusion Medicine.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. RNA-binding proteins as versatile metabolic regulators.npj metabolic health and disease · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Low Renalase Levels in Newly Diagnosed CML: Dysregulation Sensitive to Modulation by Tyrosine Kinase Inhibitors.Pathophysiology : the official journal of the International Society for Pathophysiology · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

24 authors at 7 institutions in 2 countries.

Sweta B PatelDepartment of Medicine, Division of Hematology/Oncology, O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0001-7082-7204
Travis NemkovDepartment of Biochemistry and Molecular Genetics, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.ORCID http://orcid.org/0000-0001-8566-7119
Davide StefanoniDepartment of Biochemistry and Molecular Genetics, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Gloria A BenavidesDepartment of Pathology, Center for Free Radical Biology, University of Alabama at Birmingham, Birmingham, AL, USA.
Mahmoud A BassalDepartment of Systems Biology, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-4322-2968
Brittany L CrownDepartment of Medicine, Division of Hematology/Oncology, O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA.
Victoria R MatkinsDepartment of Medicine, Division of Hematology/Oncology, O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA.
Virginia CamachoDepartment of Medicine, Division of Hematology/Oncology, O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA.
Valeriya KuznetsovaDepartment of Medicine, Division of Hematology/Oncology, O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA.
Ashley T HoangDepartment of Medicine, Division of Hematology/Oncology, O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA.
Danielle E TenenDivision of Endocrinology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Samuel L WolockDivision of Endocrinology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Jihye ParkDicerna Pharmaceuticals, Inc., Lexington, MA, USA.
Li YingCancer Institute of Singapore, National University of Singapore, Singapore, Singapore.
Zongliang YueInformatics Institute, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Jake Y ChenInformatics Institute, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0001-8829-7504
Henry YangCancer Institute of Singapore, National University of Singapore, Singapore, Singapore.
Daniel G TenenCancer Institute of Singapore, National University of Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0002-6423-3888
Paul Brent FerrellDivision of Hematology/Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0000-0003-1140-9154
Rui LuDepartment of Medicine, Division of Hematology/Oncology, O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA.
Victor Darley-UsmarDepartment of Pathology, Center for Free Radical Biology, University of Alabama at Birmingham, Birmingham, AL, USA.
Angelo D'AlessandroDepartment of Biochemistry and Molecular Genetics, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Ravi BhatiaDepartment of Medicine, Division of Hematology/Oncology, O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0001-5740-2316
Robert S WelnerDepartment of Medicine, Division of Hematology/Oncology, O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA. rwelner@uab.edu.ORCID http://orcid.org/0000-0003-2498-9469
University of Alabama at Birmingham · USBeth Israel Deaconess Medical Center · USUniversity of Colorado Anschutz Medical Campus · USNational University of Singapore · SGDicerna Pharmaceuticals (United States) · USHarvard University · USVanderbilt University Medical Center · US

Funding

XRAY CRYSTALLOGRAPHYP30CA013148 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Robert S Welner · 1985 to 2026
$165.9M
Virology CoreP30AI027767 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Latesha Ellen Elopre · 1988 to 2026
$84.1M
Transcriptional and epigenetic heterogeneity of stem/progenitor cellsP01HL131477 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Fernando Camargo · 2017 to 2026
$24.6M
Mechanisms of regulation by RNA in acute myeloid leukemiaR35CA197697 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI TENEN, DANIEL G · 2015 to 2021
$7.1M
Resistance of CML stem cells to STI571 (Gleevec)R01CA095684 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BHATIA, RAVI · 2003 to 2017
$4.6M
Leukemia stem cell regulation and resistanceR01CA248794 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BHATIA, RAVI · 2021 to 2025
$2.1M
Investigating the role of the JAK/STAT3 Pathway in Clonal Proliferation and Immune Dysfunction in Myelodysplastic SyndromeK23HL138291 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI FERRELL, PAUL B · 2017 to 2021
$817k
NCI NIH HHS P30 CA013148NCI NIH HHS R01 CA095684NCI NIH HHS R01 CA248794NCI NIH HHS R35 CA197697NHLBI NIH HHS K23 HL138291NHLBI NIH HHS P01 HL131477NIAID NIH HHS P30 AI027767
6 · The paper itself

Abstract

Leukemic stem cells (LSCs) can acquire non-mutational resistance following drug treatment leading to therapeutic failure and relapse. However, oncogene-independent mechanisms of drug persistence in LSCs are incompletely understood, which is the primary focus of this study. We integrated proteomics, transcriptomics, and metabolomics to determine the contribution of STAT3 in promoting metabolic changes in tyrosine kinase inhibitor (TKI) persistent chronic myeloid leukemia (CML) cells. Proteomic and transcriptional differences in TKI persistent CML cells revealed BCR-ABL-independent STAT3 activation in these cells. While knockout of STAT3 inhibited the CML cells from developing drug-persistence, inhibition of STAT3 using a small molecule inhibitor sensitized the persistent CML cells to TKI treatment. Interestingly, given the role of phosphorylated STAT3 as a transcription factor, it localized uniquely to genes regulating metabolic pathways in the TKI-persistent CML stem and progenitor cells. Subsequently, we observed that STAT3 dysregulated mitochondrial metabolism forcing the TKI-persistent CML cells to depend on glycolysis, unlike TKI-sensitive CML cells, which are more reliant on oxidative phosphorylation. Finally, targeting pyruvate kinase M2, a rate-limiting glycolytic enzyme, specifically eradicated the TKI-persistent CML cells. By exploring the role of STAT3 in altering metabolism, we provide critical insight into identifying potential therapeutic targets for eliminating TKI-persistent LSCs.

Indexed as

Drug Resistance, NeoplasmMetabolomeTranscriptomeAnimalsApoptosisFemaleGlycolysisLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleMiceNeoplastic Stem CellsProtein Kinase InhibitorsSmall Molecule LibrariesSTAT3 Transcription FactorProtein Kinase InhibitorsSmall Molecule LibrariesStat3 protein, mouseSTAT3 Transcription Factor

Identifiers

PMID34120146
PMCPMC8632690
OpenAlexW3171658473

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Registered trials

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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.