PMID- 30595549 OWN - NLM STAT- MEDLINE DCOM- 20200227 LR - 20200309 IS - 2213-6711 (Electronic) IS - 2213-6711 (Linking) VI - 12 IP - 1 DP - 2019 Jan 8 TI - Hif-1alpha Deletion May Lead to Adverse Treatment Effect in a Mouse Model of MLL-AF9-Driven AML. PG - 112-121 LID - S2213-6711(18)30492-2 [pii] LID - 10.1016/j.stemcr.2018.11.023 [doi] AB - Relapse of acute myeloid leukemia (AML) remains a significant clinical challenge due to limited therapeutic options and poor prognosis. Leukemic stem cells (LSCs) are the cellular units responsible for relapse in AML, and strategies that target LSCs are thus critical. One proposed potential strategy to this end is to break the quiescent state of LSCs, thereby sensitizing LSCs to conventional cytostatics. The hypoxia-inducible factor (HIF) pathway is a main driver of cellular quiescence and a potential therapeutic target, with precedence from both solid cancers and leukemias. Here, we used a conditional knockout Hif-1alpha mouse model together with a standard chemotherapy regimen to evaluate LSC targeting in AML. Contrary to expectation, our studies revealed that Hif-1alpha-deleted-leukemias displayed a faster disease progression after chemotherapy. Our studies thereby challenge the general notion of cancer stem cell sensitization by inhibition of the HIF pathway, and warrant caution when applying HIF inhibition in combination with chemotherapy in AML. CI - Copyright (c) 2018 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Velasco-Hernandez, Talia AU - Velasco-Hernandez T AD - Division of Molecular Hematology, Lund Stem Cell Center, Lund University, BMC B12, Solvegatan 17, 22184 Lund, Sweden. Electronic address: tvelasco@carrerasresearch.org. FAU - Soneji, Shamit AU - Soneji S AD - Division of Molecular Hematology, Lund Stem Cell Center, Lund University, BMC B12, Solvegatan 17, 22184 Lund, Sweden. FAU - Hidalgo, Isabel AU - Hidalgo I AD - Division of Molecular Hematology, Lund Stem Cell Center, Lund University, BMC B12, Solvegatan 17, 22184 Lund, Sweden. FAU - Erlandsson, Eva AU - Erlandsson E AD - Division of Molecular Hematology, Lund Stem Cell Center, Lund University, BMC B12, Solvegatan 17, 22184 Lund, Sweden. FAU - Cammenga, Jorg AU - Cammenga J AD - Department of Hematology, Linkoping University Hospital, 58183 Linkoping, Sweden; Department of Clinical and Experimental Medicine, Linkoping University, 58183 Linkoping, Sweden. FAU - Bryder, David AU - Bryder D AD - Division of Molecular Hematology, Lund Stem Cell Center, Lund University, BMC B12, Solvegatan 17, 22184 Lund, Sweden; Sahlgrenska Cancer Center, Gothenburg University, 40530 Gothenburg, Sweden. Electronic address: david.bryder@med.lu.se. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20181227 PL - United States TA - Stem Cell Reports JT - Stem cell reports JID - 101611300 RN - 0 (Antineoplastic Agents) RN - 0 (Hypoxia-Inducible Factor 1) RN - 0 (MLL-AF9 fusion protein, mouse) RN - 0 (Oncogene Proteins, Fusion) SB - IM MH - Animals MH - Antineoplastic Agents/*adverse effects/therapeutic use MH - Gene Deletion MH - Hypoxia-Inducible Factor 1/*genetics/metabolism MH - Leukemia, Myeloid, Acute/drug therapy/*genetics MH - Mice MH - Myeloid Progenitor Cells/cytology/metabolism MH - Oncogene Proteins, Fusion/genetics MH - Protein Interaction Maps MH - Single-Cell Analysis PMC - PMC6335588 OTO - NOTNLM OT - HIF-1alpha OT - acute myeloid leukemia OT - chemotherapy OT - hypoxia OT - mouse model OT - single-cell transcriptional analysis EDAT- 2019/01/01 06:00 MHDA- 2020/02/28 06:00 PMCR- 2018/12/27 CRDT- 2019/01/01 06:00 PHST- 2018/09/11 00:00 [received] PHST- 2018/11/30 00:00 [revised] PHST- 2018/11/30 00:00 [accepted] PHST- 2019/01/01 06:00 [pubmed] PHST- 2020/02/28 06:00 [medline] PHST- 2019/01/01 06:00 [entrez] PHST- 2018/12/27 00:00 [pmc-release] AID - S2213-6711(18)30492-2 [pii] AID - 10.1016/j.stemcr.2018.11.023 [doi] PST - ppublish SO - Stem Cell Reports. 2019 Jan 8;12(1):112-121. doi: 10.1016/j.stemcr.2018.11.023. Epub 2018 Dec 27.