The role of PML in hematopoietic and leukemic stem cell maintenance
Fumio Nakahara1, Cary N Weiss, Keisuke Ito
1Ruth L. and David S. Gottesman Institute for Stem Cell and Regenerative Medicine Research, Departments of Cell Biology and Medicine, Albert Einstein Cancer Center, Albert Einstein College of Medicine, Bronx, NY, 10461, USA.
Abstract:
The tumor suppressor promyelocytic leukemia (PML) was first identified as a component of PML-RARα fusion protein, one of the initiating cytogenetic abnormalities in acute promyelocytic leukemia. PML is now known to have diverse functions regulating the DNA-damage response, apoptosis, senescence, and angiogenesis. Recent investigations have identified PML as a regulator of metabolic pathways in stem cell compartments, including the hematopoietic system, and have provided researchers with new strategies for controlling stem cell maintenance and differentiation. Studies of PML in leukemia-initiating cells demonstrate that PML is also an essential component of their maintenance, which has drawn tremendous attention to PML from scientists in various stem cell fields. Here, we review research into PML and its associated pathways, including recent studies of PML as it relates to stem cell biology, as well as our finding that PML regulates fatty acid oxidation, which is essential to the maintenance of normal hematopoietic stem cells. We also discuss the therapeutic potential of controlling PML-associated pathways. In particular, we describe promising evidence for the use of arsenic trioxide in the treatment of chronic myeloid leukemia.
Insights
The tumor suppressor promyelocytic leukemia (PML) protein is crucial for maintaining normal hematopoietic stem cells by regulating fatty acid oxidation. Targeting PML pathways offers new therapeutic strategies for leukemia and other stem cell-related diseases.
Area of Science:
- Molecular Biology
- Stem Cell Biology
- Oncology
Background:
- The promyelocytic leukemia (PML) tumor suppressor was initially identified in acute promyelocytic leukemia.
- PML plays diverse roles in DNA damage response, apoptosis, senescence, and angiogenesis.
- PML is increasingly recognized as a regulator of metabolic pathways in stem cell compartments.
Purpose of the Study:
- To review research on PML and its associated pathways in stem cell biology.
- To highlight the role of PML in regulating metabolic pathways essential for stem cell maintenance.
- To discuss the therapeutic potential of targeting PML-associated pathways.
Main Methods:
- Literature review of PML research in stem cell biology and leukemia.
- Analysis of PML's role in metabolic regulation, specifically fatty acid oxidation.
- Examination of therapeutic strategies involving PML-associated pathways.
Main Results:
- PML is essential for the maintenance of normal hematopoietic stem cells.
- PML regulates fatty acid oxidation, a key process for hematopoietic stem cell maintenance.
- PML is also critical for the maintenance of leukemia-initiating cells.
Conclusions:
- PML is a key regulator of stem cell maintenance and metabolism.
- Targeting PML-associated pathways, such as fatty acid oxidation, presents therapeutic opportunities.
- Arsenic trioxide shows promise for treating chronic myeloid leukemia by targeting PML pathways.
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