Exogenous mitochondrial transfer and endogenous mitochondrial fission facilitate AML resistance to OxPhos inhibition

Kaori Saito1, Qi Zhang2, Haeun Yang1

  • 1Department of Clinical Laboratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.

Blood Advances
|September 10, 2021
PubMed

Insights

Acute myeloid leukemia (AML) cells resist oxidative phosphorylation (OxPhos) inhibition by acquiring mitochondria from bone marrow stromal cells. This mitochondrial transfer and internal adaptation help leukemia cells survive in the bone marrow microenvironment.

Area of Science:

  • Cancer Biology
  • Cellular Metabolism
  • Hematology

Background:

  • Acute myeloid leukemia (AML) cells rely heavily on oxidative phosphorylation (OxPhos) for energy.
  • The bone marrow (BM) microenvironment presents nutrient and oxygen fluctuations that AML cells must adapt to.
  • Understanding AML cell adaptation to metabolic stress is crucial for developing effective therapies.

Purpose of the Study:

  • To investigate how the bone marrow microenvironment influences AML cell response to OxPhos inhibition.
  • To elucidate the mechanisms by which AML cells adapt to metabolic stress induced by OxPhos inhibition within the BM microenvironment.

Main Methods:

  • Utilized a novel complex I OxPhos inhibitor (IACS-010759) in co-culture models of AML and bone marrow stromal cells (mesenchymal stem cells - MSCs).
  • Performed cellular adhesion, growth, and apoptosis assays.
  • Measured mitochondrial DNA expression, mitochondrial reactive oxygen species (ROS) generation, and utilized electron microscopy for mitochondrial transport analysis.
  • Assessed the impact of cytarabine on mitochondrial transfer.

Main Results:

  • Direct contact with BM stromal cells induced compensatory mitochondrial respiration and resistance to OxPhos inhibition in AML cells.
  • OxPhos inhibition triggered transfer of functional mitochondria from MSCs to AML cells via tunneling nanotubes.
  • AML cells exhibited increased mitochondrial fission, functional mitochondria, and mitophagy in response to OxPhos inhibition.
  • The chemotherapy agent cytarabine enhanced MSC-to-AML cell mitochondrial transfer under OxPhos inhibition.

Conclusions:

  • Exogenous mitochondrial trafficking from BM stromal cells to AML cells is a key adaptation mechanism.
  • Endogenous mitochondrial fission and mitophagy also play significant roles in AML cell adaptation to energetic stress.
  • These findings highlight novel therapeutic strategies targeting metabolic vulnerabilities and intercellular communication in AML.

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