PMID- 32416059 OWN - NLM STAT- MEDLINE DCOM- 20210427 LR - 20210427 IS - 1875-9777 (Electronic) IS - 1875-9777 (Linking) VI - 26 IP - 6 DP - 2020 Jun 4 TI - Disrupting Mitochondrial Copper Distribution Inhibits Leukemic Stem Cell Self-Renewal. PG - 926-937.e10 LID - S1934-5909(20)30149-1 [pii] LID - 10.1016/j.stem.2020.04.010 [doi] AB - Leukemic stem cells (LSCs) rely on oxidative metabolism and are differentially sensitive to targeting mitochondrial pathways, which spares normal hematopoietic cells. A subset of mitochondrial proteins is folded in the intermembrane space via the mitochondrial intermembrane assembly (MIA) pathway. We found increased mRNA expression of MIA pathway substrates in acute myeloid leukemia (AML) stem cells. Therefore, we evaluated the effects of inhibiting this pathway in AML. Genetic and chemical inhibition of ALR reduces AML growth and viability, disrupts LSC self-renewal, and induces their differentiation. ALR inhibition preferentially decreases its substrate COX17, a mitochondrial copper chaperone, and knockdown of COX17 phenocopies ALR loss. Inhibiting ALR and COX17 increases mitochondrial copper levels which in turn inhibit S-adenosylhomocysteine hydrolase (SAHH) and lower levels of S-adenosylmethionine (SAM), DNA methylation, and chromatin accessibility to lower LSC viability. These results provide insight into mechanisms through which mitochondrial copper controls epigenetic status and viability of LSCs. CI - Copyright (c) 2020 Elsevier Inc. All rights reserved. FAU - Singh, Rashim Pal AU - Singh RP AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Jeyaraju, Danny V AU - Jeyaraju DV AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Voisin, Veronique AU - Voisin V AD - The Donnelly Centre, University of Toronto, Toronto, ON, Canada. FAU - Hurren, Rose AU - Hurren R AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Xu, Changjiang AU - Xu C AD - The Donnelly Centre, University of Toronto, Toronto, ON, Canada. FAU - Hawley, James R AU - Hawley JR AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Barghout, Samir H AU - Barghout SH AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Khan, Dilshad H AU - Khan DH AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Gronda, Marcela AU - Gronda M AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Wang, Xiaoming AU - Wang X AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Jitkova, Yulia AU - Jitkova Y AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Sharon, David AU - Sharon D AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Liyanagae, Sanduni AU - Liyanagae S AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - MacLean, Neil AU - MacLean N AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Seneviratene, Ayesh K AU - Seneviratene AK AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Mirali, Sara AU - Mirali S AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Borenstein, Adina AU - Borenstein A AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Thomas, Geethu E AU - Thomas GE AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Soriano, Joelle AU - Soriano J AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Orouji, Elias AU - Orouji E AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Minden, Mark D AU - Minden MD AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Arruda, Andrea AU - Arruda A AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Chan, Steven M AU - Chan SM AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Bader, Gary D AU - Bader GD AD - The Donnelly Centre, University of Toronto, Toronto, ON, Canada. FAU - Lupien, Mathieu AU - Lupien M AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. FAU - Schimmer, Aaron D AU - Schimmer AD AD - Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. Electronic address: aaron.schimmer@uhn.ca. LA - eng GR - CIHR/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200515 PL - United States TA - Cell Stem Cell JT - Cell stem cell JID - 101311472 RN - 789U1901C5 (Copper) SB - IM MH - Cell Differentiation MH - *Cell Self Renewal MH - Copper MH - Humans MH - *Leukemia, Myeloid, Acute MH - Neoplastic Stem Cells OTO - NOTNLM OT - ALR OT - AML OT - COX17 OT - LSCs OT - copper COIS- Declaration of Interests A.D.S. has received honoraria or consulting fees from Novartis, Jazz, Otsuka, and Takeda Pharmaceuticals and research support from Medivir AB and Takeda. A.D.S. owns stock in Abbvie Pharmaceuticals and is named on a patent application for the use of DNT cells for the treatment of leukemia. D.V.J is currently an employee of Celgene/Bristol-Myers Squibb (BMS). M.D.M. has received consulting fees from Astellas, Abbvie, Celgene/BMS, and GlaxoSmithKline (GSK). S.M.C. has received honoraria from Celgene and Agios. S.M.C. has received research funding from Agios, Celgene, and Abbvie Pharmaceuticals. EDAT- 2020/05/18 06:00 MHDA- 2021/04/28 06:00 CRDT- 2020/05/17 06:00 PHST- 2019/05/03 00:00 [received] PHST- 2020/02/27 00:00 [revised] PHST- 2020/04/15 00:00 [accepted] PHST- 2020/05/18 06:00 [pubmed] PHST- 2021/04/28 06:00 [medline] PHST- 2020/05/17 06:00 [entrez] AID - S1934-5909(20)30149-1 [pii] AID - 10.1016/j.stem.2020.04.010 [doi] PST - ppublish SO - Cell Stem Cell. 2020 Jun 4;26(6):926-937.e10. doi: 10.1016/j.stem.2020.04.010. Epub 2020 May 15.