Evidence map›Paper›PMID 34132194›Full record

ArticleeLife2021

Intrinsic OXPHOS limitations underlie cellular bioenergetics in leukemia.

Margaret Am Nelson, Kelsey L McLaughlin, James T Hagen, Hannah S Coalson, Cameron Schmidt, Miki Kassai, Kimberly A Kew, Joseph M McClung, P Darrell Neufer, Patricia Brophy and 4 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

42 citing papers in PubMed, 53 citations in OpenAlex.

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  13. Metabolomics of healthy hematopoietic stem cells and leukemic stem cells.Journal of clinical and translational research · 2025
    Article
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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

14 authors at 1 institution in 1 country.

Margaret Am Nelson *Department of Physiology, Brody School of Medicine, East Carolina University, Greenville, United States.
Kelsey L McLaughlin *Department of Physiology, Brody School of Medicine, East Carolina University, Greenville, United States.
James T HagenDepartment of Physiology, Brody School of Medicine, East Carolina University, Greenville, United States.
Hannah S CoalsonDepartment of Physiology, Brody School of Medicine, East Carolina University, Greenville, United States.
Cameron SchmidtDepartment of Physiology, Brody School of Medicine, East Carolina University, Greenville, United States.
Miki KassaiEast Carolina Diabetes and Obesity Institute, East Carolina University, Greenville, United States.
Kimberly A KewDepartment of Biochemistry and Molecular Biology, Brody School of Medicine, East Carolina University, Greenville, United States.
Joseph M McClungDepartment of Physiology, Brody School of Medicine, East Carolina University, Greenville, United States.
P Darrell NeuferEast Carolina Diabetes and Obesity Institute, East Carolina University, Greenville, United States.
Patricia BrophyEast Carolina Diabetes and Obesity Institute, East Carolina University, Greenville, United States.
Nasreen A VohraDepartment of Surgery, Brody School of Medicine, East Carolina University, Greenville, United States.
Darla LilesDepartment of Internal Medicine, Brody School of Medicine, East Carolina University, Greenville, United States.
Myles C CabotEast Carolina Diabetes and Obesity Institute, East Carolina University, Greenville, United States.
Kelsey H Fisher-WellmanDepartment of Physiology, Brody School of Medicine, East Carolina University, Greenville, United States.ORCID 0000-0002-0300-829X
East Carolina University · US

Funding

Women's Oncology Program - WONP30CA044579 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Thomas P. Loughran · 1987 to 2026
$72.1M
Tissue Repository and Animal Models CoreP01CA171983 · NCI · UNIVERSITY OF VIRGINIA · PI LOUGHRAN, THOMAS P. · 2013 to 2024
$19.9M
Bioenergetics of Metformin Action and AgingR01AG069679 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI NEUFER, P DARRELL · 2020 to 2024
$1.8M
Impact of organic cations on mitochondrial energetic driving forces and metabolic efficiencyR01DK110656 · NIDDK · EAST CAROLINA UNIVERSITY · PI NEUFER, P DARRELL · 2016 to 2019
$1.8M
Tissue Specific Impact of Organic Cations on Mitochondrial Energy TransductionF32DK127632 · NIDDK · EAST CAROLINA UNIVERSITY · PI SCHMIDT, CAMERON ALAN · 2021 to 2022
$94k
NCI NIH HHS P01 CA171983NCI NIH HHS P30 CA044579NIA NIH HHS R01 AG069679NIDDK NIH HHS F32 DK127632NIDDK NIH HHS R01 DK110656
6 · The paper itself

Abstract

Currently there is great interest in targeting mitochondrial oxidative phosphorylation (OXPHOS) in cancer. However, notwithstanding the targeting of mutant dehydrogenases, nearly all hopeful 'mito-therapeutics' cannot discriminate cancerous from non-cancerous OXPHOS and thus suffer from a limited therapeutic index. Using acute myeloid leukemia (AML) as a model, herein, we leveraged an in-house diagnostic biochemical workflow to identify 'actionable' bioenergetic vulnerabilities intrinsic to cancerous mitochondria. Consistent with prior reports, AML growth and proliferation was associated with a hyper-metabolic phenotype which included increases in basal and maximal respiration. However, despite having nearly 2-fold more mitochondria per cell, clonally expanding hematopoietic stem cells, leukemic blasts, as well as chemoresistant AML were all consistently hallmarked by intrinsic OXPHOS limitations. Remarkably, by performing experiments across a physiological span of ATP free energy, we provide direct evidence that leukemic mitochondria are particularly poised to consume ATP. Relevant to AML biology, acute restoration of oxidative ATP synthesis proved highly cytotoxic to leukemic blasts, suggesting that active OXPHOS repression supports aggressive disease dissemination in AML. Together, these findings argue against ATP being the primary output of leukemic mitochondria and provide proof-of-principle that restoring, rather than disrupting, OXPHOS may represent an untapped therapeutic avenue for combatting hematological malignancy and chemoresistance.

Indexed as

Leukemia, Myeloid, AcuteOxidative PhosphorylationAdenosine TriphosphateAdolescentAdultAgedEnergy MetabolismFemaleHumansMaleMiddle AgedMitochondriaYoung AdultAdenosine Triphosphateacute myeloid leukemiabiochemistrycancer bioenergeticscancer biologychemical biologyhumanmitochondriamitochondrial proteomicsOXPHOS

Identifiers

PMID34132194
PMCPMC8221809
OpenAlexW3164507051

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.