PMID- 36347832 OWN - NLM STAT- MEDLINE DCOM- 20221110 LR - 20221222 IS - 2044-5385 (Electronic) IS - 2044-5385 (Linking) VI - 12 IP - 11 DP - 2022 Nov 9 TI - The PIP4K2 inhibitor THZ-P1-2 exhibits antileukemia activity by disruption of mitochondrial homeostasis and autophagy. PG - 151 LID - 10.1038/s41408-022-00747-w [doi] LID - 151 AB - The treatment of acute leukemia is challenging because of the genetic heterogeneity between and within patients. Leukemic stem cells (LSCs) are relatively drug-resistant and frequently relapse. Their plasticity and capacity to adapt to extracellular stress, in which mitochondrial metabolism and autophagy play important roles, further complicates treatment. Genetic models of phosphatidylinositol-5-phosphate 4-kinase type 2 protein (PIP4K2s) inhibition have demonstrated the relevance of these enzymes in mitochondrial homeostasis and autophagic flux. Here, we uncovered the cellular and molecular effects of THZ-P1-2, a pan-inhibitor of PIP4K2s, in acute leukemia cells. THZ-P1-2 reduced cell viability and induced DNA damage, apoptosis, loss of mitochondrial membrane potential, and the accumulation of acidic vesicular organelles. Protein expression analysis revealed that THZ-P1-2 impaired autophagic flux. In addition, THZ-P1-2 induced cell differentiation and showed synergistic effects with venetoclax. In primary leukemia cells, LC-MS/MS-based proteome analysis revealed that sensitivity to THZ-P1-2 is associated with mitochondrial metabolism, cell cycle, cell-of-origin (hematopoietic stem cell and myeloid progenitor), and the TP53 pathway. The minimal effects of THZ-P1-2 observed in healthy CD34(+) cells suggest a favorable therapeutic window. Our study provides insights into the pharmacological inhibition of PIP4K2s targeting mitochondrial homeostasis and autophagy, shedding light on a new class of drugs for acute leukemia. CI - (c) 2022. The Author(s). FAU - Lima, Keli AU - Lima K AD - Laboratory of Medical Investigation in Pathogenesis and Targeted Therapy in Onco-Immuno-Hematology (LIM-31), Department of Internal Medicine, Hematology Division, Faculdade de Medicina, University of Sao Paulo, Sao Paulo, Brazil. AD - Department of Pharmacology, Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil. FAU - Pereira-Martins, Diego Antonio AU - Pereira-Martins DA AUID- ORCID: 0000-0002-3302-4311 AD - Laboratory of Medical Investigation in Pathogenesis and Targeted Therapy in Onco-Immuno-Hematology (LIM-31), Department of Internal Medicine, Hematology Division, Faculdade de Medicina, University of Sao Paulo, Sao Paulo, Brazil. AD - Department of Experimental Hematology, Cancer Research Center Groningen, University Medical Center Groningen, University of Groningen, Groningen, Netherlands. FAU - de Miranda, Livia Bassani Lins AU - de Miranda LBL AD - Department of Pharmacology, Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil. FAU - Coelho-Silva, Juan Luiz AU - Coelho-Silva JL AUID- ORCID: 0000-0001-8384-6551 AD - Department of Medical Imaging, Hematology, and Oncology, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto, Brazil. FAU - Leandro, Giovana da Silva AU - Leandro GDS AD - Department of Microbiology, Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil. FAU - Weinhauser, Isabel AU - Weinhauser I AD - Laboratory of Medical Investigation in Pathogenesis and Targeted Therapy in Onco-Immuno-Hematology (LIM-31), Department of Internal Medicine, Hematology Division, Faculdade de Medicina, University of Sao Paulo, Sao Paulo, Brazil. AD - Department of Experimental Hematology, Cancer Research Center Groningen, University Medical Center Groningen, University of Groningen, Groningen, Netherlands. FAU - Cavaglieri, Rita de Cassia AU - Cavaglieri RC AD - Laboratory of Medical Investigation in Pathogenesis and Targeted Therapy in Onco-Immuno-Hematology (LIM-31), Department of Internal Medicine, Hematology Division, Faculdade de Medicina, University of Sao Paulo, Sao Paulo, Brazil. FAU - Leal, Aline de Medeiros AU - Leal AM AD - Laboratory of Medical Investigation in Pathogenesis and Targeted Therapy in Onco-Immuno-Hematology (LIM-31), Department of Internal Medicine, Hematology Division, Faculdade de Medicina, University of Sao Paulo, Sao Paulo, Brazil. FAU - da Silva, Wellington Fernandes AU - da Silva WF AD - Laboratory of Medical Investigation in Pathogenesis and Targeted Therapy in Onco-Immuno-Hematology (LIM-31), Department of Internal Medicine, Hematology Division, Faculdade de Medicina, University of Sao Paulo, Sao Paulo, Brazil. FAU - Lange, Ana Paula Alencar de Lima AU - Lange APAL AD - Laboratory of Medical Investigation in Pathogenesis and Targeted Therapy in Onco-Immuno-Hematology (LIM-31), Department of Internal Medicine, Hematology Division, Faculdade de Medicina, University of Sao Paulo, Sao Paulo, Brazil. FAU - Velloso, Elvira Deolinda Rodrigues Pereira AU - Velloso EDRP AD - Laboratory of Medical Investigation in Pathogenesis and Targeted Therapy in Onco-Immuno-Hematology (LIM-31), Department of Internal Medicine, Hematology Division, Faculdade de Medicina, University of Sao Paulo, Sao Paulo, Brazil. FAU - Griessinger, Emmanuel AU - Griessinger E AD - Department of Experimental Hematology, Cancer Research Center Groningen, University Medical Center Groningen, University of Groningen, Groningen, Netherlands. FAU - Hilberink, Jacobien R AU - Hilberink JR AD - Department of Experimental Hematology, Cancer Research Center Groningen, University Medical Center Groningen, University of Groningen, Groningen, Netherlands. FAU - Ammatuna, Emanuele AU - Ammatuna E AD - Department of Experimental Hematology, Cancer Research Center Groningen, University Medical Center Groningen, University of Groningen, Groningen, Netherlands. FAU - Huls, Gerwin AU - Huls G AD - Department of Experimental Hematology, Cancer Research Center Groningen, University Medical Center Groningen, University of Groningen, Groningen, Netherlands. FAU - Schuringa, Jan Jacob AU - Schuringa JJ AD - Department of Experimental Hematology, Cancer Research Center Groningen, University Medical Center Groningen, University of Groningen, Groningen, Netherlands. FAU - Rego, Eduardo Magalhaes AU - Rego EM AD - Laboratory of Medical Investigation in Pathogenesis and Targeted Therapy in Onco-Immuno-Hematology (LIM-31), Department of Internal Medicine, Hematology Division, Faculdade de Medicina, University of Sao Paulo, Sao Paulo, Brazil. eduardo.rego@fm.usp.br. FAU - Machado-Neto, Joao Agostinho AU - Machado-Neto JA AUID- ORCID: 0000-0002-2937-8109 AD - Department of Pharmacology, Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil. jamachadoneto@usp.br. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20221109 PL - United States TA - Blood Cancer J JT - Blood cancer journal JID - 101568469 SB - IM MH - Humans MH - Chromatography, Liquid MH - *Tandem Mass Spectrometry MH - Autophagy MH - *Leukemia, Myeloid, Acute/drug therapy/metabolism MH - Apoptosis MH - Homeostasis PMC - PMC9643393 COIS- The authors declare no competing interests. EDAT- 2022/11/09 06:00 MHDA- 2022/11/11 06:00 PMCR- 2022/11/09 CRDT- 2022/11/08 23:12 PHST- 2022/08/31 00:00 [received] PHST- 2022/10/20 00:00 [accepted] PHST- 2022/10/17 00:00 [revised] PHST- 2022/11/08 23:12 [entrez] PHST- 2022/11/09 06:00 [pubmed] PHST- 2022/11/11 06:00 [medline] PHST- 2022/11/09 00:00 [pmc-release] AID - 10.1038/s41408-022-00747-w [pii] AID - 747 [pii] AID - 10.1038/s41408-022-00747-w [doi] PST - epublish SO - Blood Cancer J. 2022 Nov 9;12(11):151. doi: 10.1038/s41408-022-00747-w.