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Updated: Oct 20, 2025

Author Spotlight: Oxygen-Independent Assays to Measure Mitochondrial Function in Mammals
Published on: May 19, 2023
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.
Abstract:
Acute myeloid leukemia (AML) cells are highly dependent on oxidative phosphorylation (OxPhos) for survival, and they continually adapt to fluctuations in nutrient and oxygen availability in the bone marrow (BM) microenvironment. We investigated how the BM microenvironment affects the response to OxPhos inhibition in AML by using a novel complex I OxPhos inhibitor, IACS-010759. Cellular adhesion, growth, and apoptosis assays, along with measurements of expression of mitochondrial DNA and generation of mitochondrial reactive oxygen species indicated that direct interactions with BM stromal cells triggered compensatory activation of mitochondrial respiration and resistance to OxPhos inhibition in AML cells. Mechanistically, inhibition of OxPhos induced transfer of mitochondria derived from mesenchymal stem cells (MSCs) to AML cells via tunneling nanotubes under direct-contact coculture conditions. Inhibition of OxPhos also induced mitochondrial fission and increased functional mitochondria and mitophagy in AML cells. Mitochondrial fission is known to enhance cell migration, so we used electron microscopy to observe mitochondrial transport to the leading edge of protrusions of AML cells migrating toward MSCs. We further demonstrated that cytarabine, a commonly used antileukemia agent, increased mitochondrial transfer of MSCs to AML cells triggered by OxPhos inhibition. Our findings indicate an important role of exogenous mitochondrial trafficking from BM stromal cells to AML cells as well as endogenous mitochondrial fission and mitophagy in the compensatory adaptation of leukemia cells to energetic stress in the BM microenvironment.
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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