Related Experiment Video
Updated: Jul 29, 2025

Intracellular Phosphoflow Cytometry of Acute Myeloid Leukemia Patient-Derived Xenotransplants
Published on: June 6, 2025
mTORC1/ERK1/2 Interplay Regulates Protein Synthesis and Survival in Acute Myeloid Leukemia Cell Lines
Concetta Anna Germano1, Giuseppe Clemente1, Antonello Storniolo1
1Department of Experimental Medicine, Sapienza University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.
Abstract:
mTOR is constitutively activated in acute myeloid leukemia (AML) cells, as indicated by the phosphorylation of its substrates, 4EBP1 and P70S6K. Here, we found that quercetin (Q) and rapamycin (Rap) inhibited P70S6K phosphorylation, partially dephosphorylated 4EBP1, and activated ERK1/2 in U937 and THP1, two leukemia cell lines. ERK1/2 inhibition by U0126 induced a stronger dephosphorylation of mTORC1 substrates and activated AKT. The concomitant inhibition of ERK1/2 and AKT further dephosphorylated 4EBP1 and further increased Q- or Rap-mediated cytotoxicity, compared to the single ERK1/2 or AKT inhibition in cells undergoing Q- or Rap-treatments. Moreover, quercetin or rapamycin reduced autophagy, particularly when used in combination with the ERK1/2 inhibitor, U0126. This effect was not dependent on TFEB localization in nuclei or cytoplasm or on the transcription of different autophagy genes, but did correlate with the reduction in protein translation due to a strong eIF2α-Ser51 phosphorylation. Thus, ERK1/2, by limiting 4EBP1 de-phosphorylation and eIF2α phosphorylation, behaves as a paladin of protein synthesis. Based on these findings, the combined inhibition of mTORC1, ERK1/2, and AKT should be considered in treatment of AML.
Insights
Quercetin and rapamycin inhibit mTORC1 signaling in acute myeloid leukemia (AML) cells. Combining these with ERK1/2 and AKT inhibitors enhances anti-leukemia effects by reducing protein synthesis.
Area of Science:
- Oncology
- Molecular Biology
- Cell Signaling
Background:
- Mammalian target of rapamycin (mTOR) is constitutively active in acute myeloid leukemia (AML).
- mTOR pathway activation drives leukemia cell proliferation and survival.
- Targeting mTOR is a potential therapeutic strategy for AML.
Purpose of the Study:
- To investigate the effects of quercetin and rapamycin on mTORC1 signaling in AML cell lines.
- To explore the role of ERK1/2 and AKT pathways in modulating mTORC1 activity and cytotoxicity.
- To evaluate the potential of combined inhibition strategies for AML treatment.
Main Methods:
- Treatment of U937 and THP1 AML cell lines with quercetin, rapamycin, U0126 (ERK1/2 inhibitor), and AKT inhibitors.
- Assessment of protein phosphorylation of mTORC1 substrates (4EBP1, P70S6K), ERK1/2, AKT, and eIF2α.
- Analysis of autophagy markers, TFEB localization, and autophagy gene transcription.
- Evaluation of cell viability and cytotoxicity.
Main Results:
- Quercetin and rapamycin inhibited P70S6K phosphorylation and partially dephosphorylated 4EBP1, while activating ERK1/2.
- ERK1/2 inhibition enhanced mTORC1 substrate dephosphorylation and activated AKT.
- Combined inhibition of ERK1/2 and AKT with quercetin or rapamycin increased cytotoxicity and reduced autophagy.
- Reduced protein translation, linked to eIF2α phosphorylation, correlated with decreased autophagy.
Conclusions:
- ERK1/2 acts as a suppressor of mTORC1 substrate dephosphorylation and eIF2α phosphorylation.
- Combined inhibition of mTORC1, ERK1/2, and AKT pathways demonstrates synergistic anti-leukemic effects.
- This multi-targeted approach warrants further investigation for AML therapeutic strategies.
Related Concept Videos
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
PI3K/mTOR/AKT Signaling Pathway
Abnormal Proliferation
Regulation of the Unfolded Protein Response
Mitogens and the Cell Cycle
Master Transcription Regulators

