Autophagy limits proliferation and glycolytic metabolism in acute myeloid leukemia

Authors:
Watson AS, Riffelmacher T, Stranks A, Williams O, De Boer J, Cain K, MacFarlane M, McGouran J, Kessler B, Khandwala S, Chowdhury O, Puleston D, Phadwal K, Mortensen M, Ferguson D, Soilleux E, Woll P, Jacobsen SEW, Simon AK
In:
Source: Cell Death Dis.
Publication Date: (2015)
Issue: 15008 (2015): ePub
Research Area:
Stem Cells
Basic Research
Cells used in publication:
Mononuclear, bone marrow, human
Species: human
Tissue Origin: bone marrow
Experiment
The author compared hematopoietic progenitor cells derived from normal (healthy) human bone marrow MNCs (from Lonza) and mouse MNCs to those derived from human AML patients to conclude that decreased autophagy (the process in which a cell degrades internal components either due to damage or because they are unnecessary) could contribute, via increased proliferation, to leukemic development. They came to this conclusion primarily by deleting Atg5, a gene shown to contribute to autophagy which resulted in substantial increases in proliferation. These results were consistent to similar studies where a different gene shown to contribute to autophagy, Atg7, was also deleted.
Abstract
Decreased autophagy contributes to malignancies; however, it is unclear how autophagy has an impact on tumor growth. Acute myeloid leukemia (AML) is an ideal model to address this as (i) patient samples are easily accessible, (ii) the hematopoietic stem and progenitor cells (HSPC) where transformation occurs is well characterized and (iii) loss of the key autophagy gene Atg7 in HSPCs leads to a lethal pre-leukemic phenotype in mice. Here we demonstrate that loss of Atg5 results in an identical HSPC phenotype as loss of Atg7, confirming a general role for autophagy in HSPC regulation. Compared with more committed/mature hematopoietic cells, healthy human and mouse HSPCs displayed enhanced basal autophagic flux, limiting mitochondrial damage and reactive oxygen species in this long-lived population. Taken together, with our previous findings these data are compatible with autophagy-limiting leukemic transformation. In line with this, autophagy gene losses are found within chromosomal regions that are commonly deleted in human AML. Moreover, human AML blasts showed reduced expression of autophagy genes and displayed decreased autophagic flux with accumulation of unhealthy mitochondria, indicating that deficient autophagy may be beneficial to human AML. Crucially, heterozygous loss of autophagy in an MLL–ENL model of AML led to increased proliferation in vitro, a glycolytic shift and more aggressive leukemias in vivo. With autophagy gene losses also identified in multiple other malignancies, these findings point to low autophagy, providing a general advantage for tumor growth.