PMID- 22021366 OWN - NLM STAT- MEDLINE DCOM- 20120214 LR - 20211203 IS - 1528-0020 (Electronic) IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 118 IP - 24 DP - 2011 Dec 8 TI - Antileukemic effects of AMPK activators on BCR-ABL-expressing cells. PG - 6399-402 LID - 10.1182/blood-2011-01-332783 [doi] AB - The mammalian target of rapamycin (mTOR) signaling pathway plays a critical role in growth and survival of BCR-ABL transformed cells. AMPK kinase is a metabolic sensor that exhibits suppressive effects on the mTOR pathway and negatively regulates mTOR activity. We report that AMPK activators, such as metformin and 5-aminoimidazole-4-carboxamide ribonucleotide, suppress activation of the mTOR pathway in BCR-ABL-expressing cells. Treatment with these inhibitors results in potent suppression of chronic myeloid leukemia leukemic precursors and Ph(+) acute lymphoblastic leukemia cells, including cells expressing the T315I-BCR-ABL mutation. Altogether, our data suggest that AMPK is an attractive target for the treatment of BCR-ABL-expressing malignancies and raise the potential for use of AMPK activators in the treatment of refractory chronic myeloid leukemia and Ph(+) acute lymphoblastic leukemia. FAU - Vakana, Eliza AU - Vakana E AD - Robert H. Lurie Comprehensive Cancer Center, Chicago, IL, USA. FAU - Altman, Jessica K AU - Altman JK FAU - Glaser, Heather AU - Glaser H FAU - Donato, Nicholas J AU - Donato NJ FAU - Platanias, Leonidas C AU - Platanias LC LA - eng GR - R01 CA121192/CA/NCI NIH HHS/United States GR - P30 CA060553/CA/NCI NIH HHS/United States GR - R01CA121192/CA/NCI NIH HHS/United States GR - R01CA77816/CA/NCI NIH HHS/United States GR - R01 CA077816/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20111021 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Antineoplastic Agents) RN - 0 (Mutant Proteins) RN - 0 (Prodrugs) RN - 0 (Recombinant Proteins) RN - 0 (Ribonucleotides) RN - 360-97-4 (Aminoimidazole Carboxamide) RN - 9100L32L2N (Metformin) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.10.2 (Fusion Proteins, bcr-abl) RN - EC 2.7.11.3 (AMP-Activated Protein Kinase Kinases) RN - F0X88YW0YK (AICA ribonucleotide) SB - IM MH - AMP-Activated Protein Kinase Kinases MH - Amino Acid Substitution MH - Aminoimidazole Carboxamide/analogs & derivatives/pharmacology MH - Antineoplastic Agents/*pharmacology MH - Apoptosis/drug effects MH - Bone Marrow Cells/drug effects/metabolism MH - Cell Line, Transformed MH - Cell Survival/drug effects MH - Cell Transformation, Neoplastic/*metabolism MH - Down-Regulation/drug effects MH - Drug Resistance, Neoplasm MH - Enzyme Activation/drug effects MH - Fusion Proteins, bcr-abl/genetics/*metabolism MH - Hematopoietic Stem Cells/drug effects/metabolism MH - Humans MH - Leukemia, Lymphoid/drug therapy/metabolism MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/blood/drug therapy/metabolism MH - Metformin/pharmacology MH - Molecular Targeted Therapy MH - Mutant Proteins/metabolism MH - Prodrugs/pharmacology MH - Protein Kinases/*chemistry MH - Recombinant Proteins/metabolism MH - Ribonucleotides/pharmacology PMC - PMC3236122 EDAT- 2011/10/25 06:00 MHDA- 2012/02/15 06:00 PMCR- 2012/12/08 CRDT- 2011/10/25 06:00 PHST- 2011/10/25 06:00 [entrez] PHST- 2011/10/25 06:00 [pubmed] PHST- 2012/02/15 06:00 [medline] PHST- 2012/12/08 00:00 [pmc-release] AID - S0006-4971(20)40508-7 [pii] AID - 2011/332783 [pii] AID - 10.1182/blood-2011-01-332783 [doi] PST - ppublish SO - Blood. 2011 Dec 8;118(24):6399-402. doi: 10.1182/blood-2011-01-332783. Epub 2011 Oct 21.