Evidence map›Paper›PMID 36220999›Full record

ArticleLeukemia2022

Autophagy inhibition impairs leukemia stem cell function in FLT3-ITD AML but has antagonistic interactions with tyrosine kinase inhibition.

Shaowei Qiu, Harish Kumar, Chengcheng Yan, Hui Li, Andrew J Paterson, Nicholas R Anderson, Jianbo He, Jing Yang, Min Xie, David K Crossman and 3 more

Open access · greenAbstract read
In one paragraph

Article in Leukemia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Metabolic dependencies of acute myeloid leukemia stem cells.International journal of hematology · 2024
    Review
  7. Article
  8. Review
  9. Review
  10. Review
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

13 authors at 2 institutions in 2 countries.

Shaowei QiuDivision of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.
Harish KumarDivision of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.
Chengcheng YanDivision of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.
Hui LiDivision of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.
Andrew J PatersonDivision of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.
Nicholas R AndersonDivision of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.
Jianbo HeDivision of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.
Jing YangDivision of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, USA.
Min XieDivision of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0002-2967-3490
David K CrossmanGenomics Core Facility, University of Alabama at Birmingham, Birmingham, AL, USA.
Rui LuDivision of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0003-1593-2612
Robert S WelnerDivision of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.
Ravi BhatiaDivision of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL, USA. rbhatia@uabmc.edu.ORCID http://orcid.org/0000-0001-5740-2316
University of Alabama at Birmingham · USUniversity of Alabama at Birmingham Hospital · US

Funding

XRAY CRYSTALLOGRAPHYP30CA013148 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Robert S Welner · 1985 to 2026
$165.9M
Microenvironmental Regulation of Leukemia Stem CellsR01CA172447 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BHATIA, RAVI · 2013 to 2023
$3.4M
Leukemia stem cell regulation and resistanceR01CA248794 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BHATIA, RAVI · 2021 to 2025
$2.1M
NCI NIH HHS P30 CA013148NCI NIH HHS R01 CA172447NCI NIH HHS R01 CA248794
6 · The paper itself

Abstract

The FLT3-ITD mutation is associated with poor prognosis in acute myeloid leukemia (AML). FLT3 tyrosine kinase inhibitors (TKIs) demonstrate clinical efficacy but fail to target leukemia stem cells (LSC) and do not generate sustained responses. Autophagy is an important cellular stress response contributing to hematopoietic stem cells (HSC) maintenance and promoting leukemia development. Here we investigated the role of autophagy in regulating FLT3-ITD AML stem cell function and response to TKI treatment. We show that autophagy inhibition reduced quiescence and depleted repopulating potential of FLT3-ITD AML LSC, associated with mitochondrial accumulation and increased oxidative phosphorylation. However, TKI treatment reduced mitochondrial respiration and unexpectedly antagonized the effects of autophagy inhibition on LSC attrition. We further show that TKI-mediated targeting of AML LSC and committed progenitors was p53-dependent, and that autophagy inhibition enhanced p53 activity and increased TKI-mediated targeting of AML progenitors, but decreased p53 activity in LSC and reduced TKI-mediated LSC inhibition. These results provide new insights into the role of autophagy in differentially regulating AML stem and progenitor cells, reveal unexpected antagonistic effects of combined oncogenic tyrosine kinase inhibition and autophagy inhibition in AML LSC, and suggest an alternative approach to target AML LSC quiescence and regenerative potential.

Indexed as

Leukemia, Myeloid, AcuteProtein-Tyrosine KinasesAutophagyfms-Like Tyrosine Kinase 3HumansMutationProtein Kinase InhibitorsStem CellsTumor Suppressor Protein p53FLT3 protein, humanfms-Like Tyrosine Kinase 3Protein Kinase InhibitorsProtein-Tyrosine KinasesTumor Suppressor Protein p53

Identifiers

PMID36220999
PMCPMC9617791
OpenAlexW4304184427

What OpenQuestion holds

Textmetadata
LicenceTDM
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.