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Modeling Chemotherapy Resistant Leukemia In Vitro
Published on: February 9, 2016
Hedgehog Signaling Regulates Hypoxia-Associated Metabolic Adaptation in Myeloid Leukemia In Vitro Cell Models
Irene Filippi1, Sara Monaci1, Carlo Aldinucci1
1Department of Molecular and Developmental Medicine, University of Siena, 53100 Siena, Italy.
International Journal of Molecular Sciences
|July 28, 2026
Summary
Hedgehog signaling impacts cancer cell survival and metabolism. Inhibiting Smoothened (Smo) in myeloid malignancy models reduced proliferation and altered glucose metabolism, suggesting a link to the AMPK-mTOR pathway.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Metabolism
Background:
- Hedgehog (Hh) signaling is crucial for cell survival and responses to microenvironmental cues in various cancers.
- Its specific role in metabolic adaptation within the hypoxic bone marrow microenvironment of myeloid malignancies is not well understood.
Purpose of the Study:
- To investigate the role of Hedgehog (Hh) signaling, specifically Smoothened (Smo) activity, in metabolic adaptation to hypoxia in myeloid malignancy cell models.
- To elucidate the functional link between Smo activity, cellular metabolism, and the AMPK-mTOR signaling axis.
Main Methods:
- Cultured myeloid malignancy cell lines (K562, KU812, U937) under normoxic and hypoxic conditions.
- Treated cells with Smo antagonist (Cyclopamine) or agonist (SAG).
- Assessed cell proliferation, apoptosis, autophagy, glycolysis-associated proteins, and metabolic parameters using viability assays, Western blotting, immunofluorescence, and biochemical assays; utilized CRISPR/Cas9 for Smo knockout validation.
Main Results:
- Smo inhibition decreased cell proliferation and increased apoptosis markers (PARP cleavage) while decreasing BNIP3 expression under both oxygen conditions.
- Smo inhibition downregulated key glycolytic proteins including GLUT1, HK2, LDH, MCT1, CAIX, and CAXII.
- Metabolic analyses showed reduced glucose consumption, lactate production, and ATP levels following Smo inhibition, linked to AMPK-mTOR pathway modulation.
Conclusions:
- Hedgehog signaling plays a significant role in hypoxia-driven metabolic adaptation in myeloid malignancy cell models.
- Smo activity is functionally linked to glycolytic remodeling and influences the AMPK-mTOR signaling pathway, offering potential therapeutic targets.
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