Evidence map›Paper›PMID 40203117›Full record

ArticleScience advances2025

Acute myeloid leukemia mitochondria hydrolyze ATP to support oxidative metabolism and resist chemotherapy.

James T Hagen, McLane M Montgomery, Raphael T Aruleba, Brett R Chrest, Polina Krassovskaia, Thomas D Green, Emely A Pacheco, Miki Kassai, Tonya N Zeczycki, Cameron A Schmidt and 13 more

Abstract read
In one paragraph

Article in Science advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Specific FbioRxiv : the preprint server for biology · 2026
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  6. Review
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  14. Article
  15. Article
  16. Article
  17. Metabolomics of healthy hematopoietic stem cells and leukemic stem cells.Journal of clinical and translational research · 2025
    Article
  18. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors.

James T HagenDepartment of Physiology, Brody School of Medicine, East Carolina University, Greenville, NC, USA.ORCID 0000-0002-0587-5370
McLane M MontgomeryDepartment of Physiology, Brody School of Medicine, East Carolina University, Greenville, NC, USA.ORCID 0000-0002-8253-6858
Raphael T ArulebaDepartment of Cancer Biology, Atrium Health Wake Forest Baptist Comprehensive Cancer, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Brett R ChrestDepartment of Cancer Biology, Atrium Health Wake Forest Baptist Comprehensive Cancer, Wake Forest University School of Medicine, Winston-Salem, NC, USA.ORCID 0009-0006-0936-7660
Polina KrassovskaiaDepartment of Cancer Biology, Atrium Health Wake Forest Baptist Comprehensive Cancer, Wake Forest University School of Medicine, Winston-Salem, NC, USA.ORCID 0000-0002-6271-3036
Thomas D GreenDepartment of Cancer Biology, Atrium Health Wake Forest Baptist Comprehensive Cancer, Wake Forest University School of Medicine, Winston-Salem, NC, USA.ORCID 0009-0008-5435-6957
Emely A PachecoDepartment of Cancer Biology, Atrium Health Wake Forest Baptist Comprehensive Cancer, Wake Forest University School of Medicine, Winston-Salem, NC, USA.ORCID 0009-0000-5873-5008
Miki KassaiEast Carolina Diabetes and Obesity Institute, East Carolina University, Greenville, NC, USA.
Tonya N ZeczyckiDepartment of Biochemistry and Molecular Biology, Brody School of Medicine, East Carolina University, Greenville, NC, USA.ORCID 0000-0002-5216-1960
Cameron A SchmidtEast Carolina Diabetes and Obesity Institute, East Carolina University, Greenville, NC, USA.ORCID 0000-0001-6628-6329
Debajit BhowmickBrody School of Medicine at East Carolina University, Flow Cytometry Core, Greenville, NC, USA.ORCID 0000-0002-4905-569X
Su-Fern TanDepartment of Medicine, Hematology/Oncology, University of Virginia School of Medicine, Charlottesville, VA, USA.ORCID 0000-0002-8301-0823
David J FeithDepartment of Medicine, Hematology/Oncology, University of Virginia School of Medicine, Charlottesville, VA, USA.ORCID 0000-0003-4981-1691
Charles E ChalfantDepartment of Medicine, Hematology/Oncology, University of Virginia School of Medicine, Charlottesville, VA, USA.ORCID 0000-0002-5844-5235
Thomas P LoughranDepartment of Medicine, Hematology/Oncology, University of Virginia School of Medicine, Charlottesville, VA, USA.ORCID 0000-0001-6612-1428
Darla LilesDepartment of Internal Medicine, Brody School of Medicine, East Carolina University, Greenville, NC, USA.
Mark D MindenPrincess Margaret Cancer Centre, University Health Network, Toronto, Canada.ORCID 0000-0002-9089-8816
Aaron D SchimmerPrincess Margaret Cancer Centre, University Health Network, Toronto, Canada.ORCID 0000-0003-4023-3899
Md Salman ShakilDepartment of Chemical Biology, Ernest Mario School of Pharmacy, Rutgers University, Piscataway, NJ, USA.ORCID 0000-0002-8922-9500
Matthew J McBrideDepartment of Chemical Biology, Ernest Mario School of Pharmacy, Rutgers University, Piscataway, NJ, USA.ORCID 0000-0001-9846-3385
Myles C CabotEast Carolina Diabetes and Obesity Institute, East Carolina University, Greenville, NC, USA.
Joseph M McClungSection of Molecular Medicine, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Kelsey H Fisher-WellmanDepartment of Cancer Biology, Atrium Health Wake Forest Baptist Comprehensive Cancer, Wake Forest University School of Medicine, Winston-Salem, NC, USA.ORCID 0000-0002-0300-829X

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
Tissue Repository and Animal Models CoreP01CA171983 · NCI · UNIVERSITY OF VIRGINIA · PI CHALFANT, CHARLES E. · 2013 to 2024
$19.9M
NCI NIH HHS P01 CA171983NCI NIH HHS P30 CA016086
6 · The paper itself

Abstract

OxPhos inhibitors have struggled to show a clinical benefit because of their inability to distinguish healthy from cancerous mitochondria. Herein, we describe an actionable bioenergetic mechanism unique to acute myeloid leukemia (AML) mitochondria. Unlike healthy cells that couple respiration to ATP synthesis, AML mitochondria support inner-membrane polarization by consuming ATP. Matrix ATP consumption allows cells to survive bioenergetic stress. Thus, we hypothesized AML cells may resist chemotherapy-induced cell death by reversing the ATP synthase reaction. In support, BCL-2 inhibition with venetoclax abolished OxPhos flux without affecting mitochondrial polarization. In surviving AML cells, sustained mitochondrial polarization depended on matrix ATP consumption. Mitochondrial ATP consumption was further enhanced in AML cells made refractory to venetoclax, consequential to down-regulations in the endogenous F

Indexed as

Adenosine TriphosphateDrug Resistance, NeoplasmLeukemia, Myeloid, AcuteMitochondriaAntineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicCell Line, TumorEnergy MetabolismHumansMitochondrial Proton-Translocating ATPasesOxidative PhosphorylationProto-Oncogene Proteins c-bcl-2SulfonamidesAdenosine TriphosphateAntineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicMitochondrial Proton-Translocating ATPasesProto-Oncogene Proteins c-bcl-2Sulfonamidesvenetoclax

Identifiers

PMID40203117
PMCPMC11980858

What OpenQuestion holds

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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.