PMID- 34060970 OWN - NLM STAT- MEDLINE DCOM- 20211101 LR - 20211101 IS - 1029-2403 (Electronic) IS - 1026-8022 (Linking) VI - 62 IP - 10 DP - 2021 Oct TI - Mitochondrial metabolism: powering new directions in acute myeloid leukemia. PG - 2331-2341 LID - 10.1080/10428194.2021.1910685 [doi] AB - There has been an explosion of knowledge about the role of metabolism and the mitochondria in acute myeloid leukemia (AML). We have also recently seen several waves of novel therapies change the treatment landscape for AML, such as the selective B-cell lymphoma 2 (BCL-2) inhibitor venetoclax. In this new context, we review the rapidly advancing literature on the role of metabolism and the mitochondria in AML pathogenesis, and how these are interwoven with the mechanisms of action for novel therapeutics in AML. We also review the role of oxidative phosphorylation (OxPhos) in maintaining leukemia stem cells (LSCs), how recurrent genomic alterations in AML alter downstream metabolism, and focus on how the BCL-2 pathway and the mitochondria are inextricably linked in AML. Thus, we provide an overview of the mitochondria and metabolism in the context of our new therapeutic world for AML and outline how targeting these vulnerabilities may produce novel therapeutic strategies. FAU - Stubbins, Ryan J AU - Stubbins RJ AUID- ORCID: 0000-0002-4718-5212 AD - Division of Hematology, Department of Medicine, University of British Columbia, Vancouver, Canada. FAU - Maksakova, Irina A AU - Maksakova IA AD - Terry Fox Laboratory, BC Cancer Research Centre, University of British Columbia, Vancouver, Canada. FAU - Sanford, David S AU - Sanford DS AD - Division of Hematology, Department of Medicine, University of British Columbia, Vancouver, Canada. FAU - Rouhi, Arefeh AU - Rouhi A AD - Terry Fox Laboratory, BC Cancer Research Centre, University of British Columbia, Vancouver, Canada. FAU - Kuchenbauer, Florian AU - Kuchenbauer F AD - Division of Hematology, Department of Medicine, University of British Columbia, Vancouver, Canada. AD - Terry Fox Laboratory, BC Cancer Research Centre, University of British Columbia, Vancouver, Canada. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20210601 PL - United States TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 RN - 0 (Antineoplastic Agents) SB - IM MH - *Antineoplastic Agents/therapeutic use MH - Humans MH - *Leukemia, Myeloid, Acute/drug therapy/genetics/metabolism MH - Mitochondria/metabolism MH - Oxidative Phosphorylation OTO - NOTNLM OT - Acute myeloid leukemia OT - BCL-2 OT - OxPhos OT - mitochondria OT - venetoclax therapy resistance EDAT- 2021/06/02 06:00 MHDA- 2021/11/03 06:00 CRDT- 2021/06/01 12:16 PHST- 2021/06/02 06:00 [pubmed] PHST- 2021/11/03 06:00 [medline] PHST- 2021/06/01 12:16 [entrez] AID - 10.1080/10428194.2021.1910685 [doi] PST - ppublish SO - Leuk Lymphoma. 2021 Oct;62(10):2331-2341. doi: 10.1080/10428194.2021.1910685. Epub 2021 Jun 1.