Gallic acid targets acute myeloid leukemia via Akt/mTOR-dependent mitochondrial respiration inhibition

Ruixin Gu1, Minqin Zhang1, Hu Meng2

  • 1Department of Traditional Chinese Medicine, Wuhan Forth Hospital, Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

Insights

Gallic acid induces apoptosis in acute myeloid leukemia (AML) cells by inhibiting mitochondrial respiration through the Akt/mammalian target of rapamycin (mTOR) pathway. This natural compound enhances standard chemotherapy efficacy, offering a potential combination therapy for leukemia.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Oncology

Background:

  • Gallic acid, a phenolic compound, exhibits anti-cancer properties, but its molecular mechanisms in acute myeloid leukemia (AML) remain unclear.
  • Understanding gallic acid's action is crucial for developing novel therapeutic strategies against AML.

Purpose of the Study:

  • To elucidate the molecular mechanisms underlying gallic acid's anti-leukemic effects in AML.
  • To investigate gallic acid's impact on mitochondrial respiration and its interaction with the Akt/mammalian target of rapamycin (mTOR) signaling pathway.
  • To evaluate gallic acid's potential as an adjunct therapy in AML treatment.

Main Methods:

  • Investigated gallic acid's effects on AML cell lines, primary mononuclear cells (MNC), and CD34 stem/progenitors.
  • Assessed apoptosis induction via caspase-dependent pathways.
  • Measured mitochondrial respiration, ATP production, and oxidative stress.
  • Utilized in vitro cell culture and in vivo xenograft models to evaluate combination therapy efficacy.
  • Examined the role of the Akt/mTOR signaling pathway using constitutively active Akt overexpression.

Main Results:

  • Gallic acid significantly induced apoptosis in AML cells and patient-derived samples through a caspase-dependent pathway.
  • Gallic acid inhibited mitochondrial respiration in a dose- and time-dependent manner, decreasing ATP production and increasing oxidative stress.
  • The Akt/mTOR signaling pathway was identified as a key mediator; Akt activation reversed gallic acid's effects on mTOR signaling, mitochondrial function, and apoptosis.
  • Gallic acid demonstrated synergistic effects with standard AML chemotherapeutic agents in both in vitro and in vivo models.

Conclusions:

  • Gallic acid exerts anti-leukemic effects in AML by suppressing mitochondrial respiration via the Akt/mTOR signaling pathway.
  • Gallic acid effectively induces apoptosis and enhances the efficacy of conventional chemotherapies in AML.
  • Combination therapy involving gallic acid holds promise for improving treatment outcomes in acute myeloid leukemia.

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