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Relative mitochondrial priming of myeloblasts and normal HSCs determines chemotherapeutic success in AML.


ABSTRACT: Despite decades of successful use of cytotoxic chemotherapy in acute myelogenous leukemia (AML), the biological basis for its differential success among individuals and for the existence of a therapeutic index has remained obscure. Rather than taking a genetic approach favored by many, we took a functional approach to ask how differential mitochondrial readiness for apoptosis ("priming") might explain individual variation in clinical behavior. We found that mitochondrial priming measured by BH3 profiling was a determinant of initial response to induction chemotherapy, relapse after remission, and requirement for allogeneic bone marrow transplantation. Differential priming between malignant myeloblasts and normal hematopoietic stem cells supports a mitochondrial basis to the therapeutic index for chemotherapy. BH3 profiling identified BCL-2 inhibition as a targeted strategy likely to have a useful therapeutic index. BH3 profiling refines predictive information provided by conventional biomarkers currently in use and thus may itself have utility as a clinical predictive biomarker. PAPERCLIP:

SUBMITTER: Vo TT 

PROVIDER: S-EPMC3534747 | biostudies-literature | 2012 Oct

REPOSITORIES: biostudies-literature

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Relative mitochondrial priming of myeloblasts and normal HSCs determines chemotherapeutic success in AML.

Vo Thanh-Trang TT   Ryan Jeremy J   Carrasco Ruben R   Neuberg Donna D   Rossi Derrick J DJ   Stone Richard M RM   Deangelo Daniel J DJ   Frattini Mark G MG   Letai Anthony A  

Cell 20121001 2


Despite decades of successful use of cytotoxic chemotherapy in acute myelogenous leukemia (AML), the biological basis for its differential success among individuals and for the existence of a therapeutic index has remained obscure. Rather than taking a genetic approach favored by many, we took a functional approach to ask how differential mitochondrial readiness for apoptosis ("priming") might explain individual variation in clinical behavior. We found that mitochondrial priming measured by BH3  ...[more]

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2015-05-03 | GSE52506 | GEO