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Intracellular Phosphoflow Cytometry of Acute Myeloid Leukemia Patient-Derived Xenotransplants
Published on: June 6, 2025
AMP-dependent kinase/mammalian target of rapamycin complex 1 signaling in T-cell acute lymphoblastic leukemia:
C Grimaldi1, F Chiarini, G Tabellini
1Department of Human Anatomy, University of Bologna, Bologna, Italy.
Abstract:
The mammalian target of rapamycin (mTOR) serine/threonine kinase is the catalytic subunit of two multi-protein complexes, referred to as mTORC1 and mTORC2. Signaling downstream of mTORC1 has a critical role in leukemic cell biology by controlling mRNA translation of genes involved in both cell survival and proliferation. mTORC1 activity can be downmodulated by upregulating the liver kinase B1/AMP-activated protein kinase (LKB1/AMPK) pathway. Here, we have explored the therapeutic potential of the anti-diabetic drug, metformin (an LKB1/AMPK activator), against both T-cell acute lymphoblastic leukemia (T-ALL) cell lines and primary samples from T-ALL patients displaying mTORC1 activation. Metformin affected T-ALL cell viability by inducing autophagy and apoptosis. However, it was much less toxic against proliferating CD4(+) T-lymphocytes from healthy donors. Western blot analysis demonstrated dephosphorylation of mTORC1 downstream targets. Unlike rapamycin, we found a marked inhibition of mRNA translation in T-ALL cells treated with metformin. Remarkably, metformin targeted the side population of T-ALL cell lines as well as a putative leukemia-initiating cell subpopulation (CD34(+)/CD7(-)/CD4(-)) in patient samples. In conclusion, metformin displayed a remarkable anti-leukemic activity, which emphasizes future development of LKB1/AMPK activators as clinical candidates for therapy in T-ALL.
Insights
Metformin, an activator of the LKB1/AMPK pathway, effectively combats T-cell acute lymphoblastic leukemia (T-ALL) by inhibiting mTORC1 signaling. This anti-diabetic drug shows significant anti-leukemic activity with reduced toxicity to healthy T-cells.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Mammalian target of rapamycin (mTOR) signaling is crucial for leukemic cell survival and proliferation.
- The liver kinase B1/AMP-activated protein kinase (LKB1/AMPK) pathway can downmodulate mTORC1 activity.
- Metformin, an anti-diabetic drug, activates the LKB1/AMPK pathway.
Purpose of the Study:
- To investigate the therapeutic potential of metformin against T-cell acute lymphoblastic leukemia (T-ALL).
- To assess metformin's effects on T-ALL cell viability, apoptosis, and mRNA translation.
- To evaluate metformin's impact on leukemia-initiating cell subpopulations.
Main Methods:
- Treatment of T-ALL cell lines and primary patient samples with metformin.
- Western blot analysis to assess mTORC1 downstream target phosphorylation.
- Evaluation of mRNA translation inhibition and cell viability assays.
- Assessment of toxicity against healthy T-lymphocytes.
Main Results:
- Metformin reduced T-ALL cell viability by inducing autophagy and apoptosis.
- Metformin treatment led to dephosphorylation of mTORC1 downstream targets.
- Significant inhibition of mRNA translation was observed in metformin-treated T-ALL cells.
- Metformin selectively targeted leukemia-initiating cells in patient samples.
- Metformin exhibited lower toxicity towards healthy T-lymphocytes.
Conclusions:
- Metformin demonstrates significant anti-leukemic activity in T-ALL.
- Metformin's mechanism involves mTORC1 inhibition and mRNA translation suppression.
- LKB1/AMPK activators, like metformin, represent promising therapeutic candidates for T-ALL treatment.
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