PMID- 33409153 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210111 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 10 DP - 2020 TI - Mitochondrial Bioenergetics at the Onset of Drug Resistance in Hematological Malignancies: An Overview. PG - 604143 LID - 10.3389/fonc.2020.604143 [doi] LID - 604143 AB - The combined derangements in mitochondria network, function and dynamics can affect metabolism and ATP production, redox homeostasis and apoptosis triggering, contributing to cancer development in many different complex ways. In hematological malignancies, there is a strong relationship between cellular metabolism, mitochondrial bioenergetics, interconnections with supportive microenvironment and drug resistance. Lymphoma and chronic lymphocytic leukemia cells, e.g., adapt to intrinsic oxidative stress by increasing mitochondrial biogenesis. In other hematological disorders such as myeloma, on the contrary, bioenergetics changes, associated to increased mitochondrial fitness, derive from the adaptive response to drug-induced stress. In the bone marrow niche, a reverse Warburg effect has been recently described, consisting in metabolic changes occurring in stromal cells in the attempt to metabolically support adjacent cancer cells. Moreover, a physiological dynamic, based on mitochondria transfer, between tumor cells and their supporting stromal microenvironment has been described to sustain oxidative stress associated to proteostasis maintenance in multiple myeloma and leukemia. Increased mitochondrial biogenesis of tumor cells associated to acquisition of new mitochondria transferred by mesenchymal stromal cells results in augmented ATP production through increased oxidative phosphorylation (OX-PHOS), higher drug resistance, and resurgence after treatment. Accordingly, targeting mitochondrial biogenesis, electron transfer, mitochondrial DNA replication, or mitochondrial fatty acid transport increases therapy efficacy. In this review, we summarize selected examples of the mitochondrial derangements in hematological malignancies, which provide metabolic adaptation and apoptosis resistance, also supported by the crosstalk with tumor microenvironment. This field promises a rational design to improve target-therapy including the metabolic phenotype. CI - Copyright (c) 2020 Barbato, Scandura, Puglisi, Cambria, La Spina, Palumbo, Lazzarino, Tibullo, Di Raimondo, Giallongo and Romano. FAU - Barbato, Alessandro AU - Barbato A AD - Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy. FAU - Scandura, Grazia AU - Scandura G AD - Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy. FAU - Puglisi, Fabrizio AU - Puglisi F AD - Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy. FAU - Cambria, Daniela AU - Cambria D AD - Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy. FAU - La Spina, Enrico AU - La Spina E AD - Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy. FAU - Palumbo, Giuseppe Alberto AU - Palumbo GA AD - Department of Medical, Surgical Sciences and Advanced Technologies G.F. Ingrassia, University of Catania, Catania, Italy. FAU - Lazzarino, Giacomo AU - Lazzarino G AD - Saint Camillus International University of Health and Medical Sciences, Rome, Italy. FAU - Tibullo, Daniele AU - Tibullo D AD - Department of Biotechnological and Biomedical Sciences, University of Catania, Catania, Italy. FAU - Di Raimondo, Francesco AU - Di Raimondo F AD - Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy. FAU - Giallongo, Cesarina AU - Giallongo C AD - Department of Medical, Surgical Sciences and Advanced Technologies G.F. Ingrassia, University of Catania, Catania, Italy. FAU - Romano, Alessandra AU - Romano A AD - Department of Surgery and Medical Specialties, University of Catania, Catania, Italy. LA - eng PT - Journal Article PT - Review DEP - 20201221 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC7779674 OTO - NOTNLM OT - OX-PHOS OT - acute myeloid leukemia OT - chronic lymphatic leukemia OT - lymphoma OT - mitochondria OT - multiple myeloma COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The handling editor declared a past co-authorship with one of the authors FR. EDAT- 2021/01/08 06:00 MHDA- 2021/01/08 06:01 PMCR- 2020/01/01 CRDT- 2021/01/07 06:08 PHST- 2020/09/08 00:00 [received] PHST- 2020/11/13 00:00 [accepted] PHST- 2021/01/07 06:08 [entrez] PHST- 2021/01/08 06:00 [pubmed] PHST- 2021/01/08 06:01 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2020.604143 [doi] PST - epublish SO - Front Oncol. 2020 Dec 21;10:604143. doi: 10.3389/fonc.2020.604143. eCollection 2020.