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Updated: Mar 8, 2026

Intracellular Phosphoflow Cytometry of Acute Myeloid Leukemia Patient-Derived Xenotransplants
Published on: June 6, 2025
mTOR up-regulation of PFKFB3 is essential for acute myeloid leukemia cell survival
1Department of Hematology, Peking University People's Hospital, Beijing, China; Institute of Hematology, Peking University, Beijing, China; Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Beijing, China; Collaborative Innovation Center of Hematology, Peking University, Beijing, China.
Abstract:
Although mTOR (mammalian target of rapamycin) activation is frequently observed in acute myeloid leukemia (AML) patients, the precise function and the downstream targets of mTOR are poorly understood. Here we revealed that PFKFB3, but not PFKFB1, PFKFB2 nor PFKFB4 was a novel downstream substrate of mTOR signaling pathway as PFKFB3 level was augmented after knocking down TSC2 in THP1 and OCI-AML3 cells. Importantly, PFKFB3 silencing suppressed glycolysis and cell proliferation of TSC2 silencing OCI-AML3 cells and activated apoptosis pathway. These results suggested that mTOR up-regulation of PFKFB3 was essential for AML cells survival. Mechanistically, Rapamycin treatment or Raptor knockdown reduced the expression of PFKFB3 in TSC2 knockdown cells, while Rictor silencing did not have such effect. Furthermore, we also revealed that mTORC1 up-regulated PFKFB3 was dependent on hypoxia-inducible factor 1α (HIF1α), a positive regulator of glycolysis. Moreover, PFKFB3 inhibitor PFK15 and rapamycin synergistically blunted the AML cell proliferation. Taken together, PFKFB3 was a promising drug target in AML patients harboring mTOR hyper-activation.
Insights
Mammalian target of rapamycin (mTOR) hyper-activation in acute myeloid leukemia (AML) drives cancer cell survival by up-regulating PFKFB3. Inhibiting PFKFB3 offers a promising therapeutic strategy for AML patients.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Mammalian target of rapamycin (mTOR) pathway activation is common in acute myeloid leukemia (AML).
- The specific roles and downstream targets of mTOR in AML remain largely uncharacterized.
- Understanding mTOR signaling is crucial for developing targeted AML therapies.
Purpose of the Study:
- To identify novel downstream targets of mTOR signaling in AML.
- To investigate the functional significance of PFKFB3 in AML cell proliferation and survival.
- To explore PFKFB3 as a potential therapeutic target in AML.
Main Methods:
- Utilized cell lines (THP1, OCI-AML3) with TSC2 knockdown to study mTOR signaling.
- Investigated the effect of PFKFB3 silencing on glycolysis and cell proliferation.
- Examined the impact of rapamycin, Raptor, and Rictor modulation on PFKFB3 expression.
- Assessed the role of hypoxia-inducible factor 1α (HIF1α) in mTOR-mediated PFKFB3 regulation.
Main Results:
- PFKFB3 was identified as a novel downstream substrate of mTOR signaling, with its expression augmented upon TSC2 knockdown.
- Silencing PFKFB3 suppressed glycolysis and proliferation in AML cells and induced apoptosis.
- mTORC1-mediated upregulation of PFKFB3 was dependent on HIF1α.
- Combined inhibition of PFKFB3 and mTOR synergistically reduced AML cell proliferation.
Conclusions:
- mTOR-driven upregulation of PFKFB3 is essential for AML cell survival.
- PFKFB3 represents a promising therapeutic target for AML patients with mTOR hyper-activation.
- Targeting the mTOR-PFKFB3 axis offers a potential strategy for AML treatment.
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