Non-Thermal Plasma Induces Antileukemic Effect Through mTOR Ubiquitination
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Updated: Dec 27, 2025

Intracellular Phosphoflow Cytometry of Acute Myeloid Leukemia Patient-Derived Xenotransplants
Published on: June 6, 2025
Sun-Yong Kim1,2, Hyo Jeong Kim1,2,3, Haeng Jun Kim1,2,3
1Department of Otolaryngology, Ajou University School of Medicine, Suwon 16499, Korea.
Abstract:
Non-thermal plasma (NTP) has been studied as a novel therapeutic tool for cancer that does not damage healthy cells. In this study, we show that NTP-treated solutions (NTS) can induce death in various leukemia cells through mechanistic target of rapamycin (mTOR) ubiquitination. Previously, we manufactured and demonstrated the efficacy of NTS in solid cancers. NTS did not exhibit any deleterious side effects, such as acute death or weight loss in nude mice. In the present study, NTS induced cell death in myeloid leukemia cells, including acute myeloid leukemia (AML) and chronic myeloid leukemia (CML). We found that mTOR was downregulated in NTS-treated cells via the ubiquitin-proteasome system (UPS). We also identified 'really interesting new gene' finger protein 126 (RNF126) as a novel binding protein for mTOR through protein arrays and determined the role of E3 ligase in NTS-induced mTOR ubiquitination. NTS-derived reactive oxygen species (ROS) affected RNF126 expression and lysosomal dysfunction. These findings suggest that NTS has potential antileukemic effects through RNF126-mediated mTOR ubiquitination with no deleterious side effects. Thus, NTS may represent a new therapeutic method for chemotherapy-resistant leukemia.
Insights
Non-thermal plasma solutions induce leukemia cell death by targeting mTOR ubiquitination. This novel approach shows potential as a safe therapy for leukemia, including chemotherapy-resistant types.
Area of Science:
- Biomedical Engineering
- Cancer Research
- Plasma Medicine
Background:
- Non-thermal plasma (NTP) is an emerging therapeutic modality for cancer treatment.
- Previous studies demonstrated NTP-treated solutions (NTS) efficacy in solid tumors with no observed adverse effects in mice.
Purpose of the Study:
- To investigate the efficacy of NTS in treating myeloid leukemia.
- To elucidate the molecular mechanisms underlying NTS-induced leukemia cell death, focusing on mechanistic target of rapamycin (mTOR) ubiquitination.
Main Methods:
- Treatment of acute myeloid leukemia (AML) and chronic myeloid leukemia (CML) cells with NTS.
- Analysis of mTOR downregulation via the ubiquitin-proteasome system (UPS).
- Identification of RNF126 as an mTOR binding protein using protein arrays and assessment of its role in ubiquitination.
Main Results:
- NTS effectively induced cell death in AML and CML cell lines.
- mTOR was downregulated in NTS-treated cells through the UPS.
- RNF126 was identified as a novel mTOR binding protein, crucial for NTS-induced mTOR ubiquitination.
- NTS-derived reactive oxygen species (ROS) influenced RNF126 expression and lysosomal function.
Conclusions:
- NTS exhibits potential antileukemic effects against myeloid leukemia via RNF126-mediated mTOR ubiquitination.
- The mechanism involves ROS-induced effects on RNF126 and lysosomal pathways.
- NTS represents a promising, safe therapeutic strategy for leukemia, potentially overcoming chemotherapy resistance.
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