Han Lu, Liu Li, Liu Jing
School of Life Sciences, Central South University, Changsha 410013, China.
Key Laboratory of Basic and Applied Hematology in Hunan Province, Central South University, Changsha 410078, China.
Sheng Li Xue Bao. 2024 Aug 25;76(4):605-621.
Acute myeloid leukemia (AML), one of the most common types of leukemia, is characterized by its high malignancy and rapid progression with a 5-year survival rate of less than 30%. The incidence and mortality rates of AML are increasing with age. Over the past few decades, progress in AML treatment has been relatively slow. While traditional approaches such as chemotherapy and hematopoietic stem cell transplantation have significant limitations including treatment toxicity and chemotherapy resistance, recent advancements in the in-depth study of AML mechanisms have made targeted therapy a new option for AML treatment. Metabolic reprogramming is one of the key features of cancer, and mitochondrial dysfunction has been widely studied in various cancers. Mitochondrial dysfunction is prevalent in AML cells and closely associated with the development of AML. The AML cells exhibit significant differences from normal hematopoietic cells in energy metabolism, autophagy, apoptosis, and other aspects. Given that mitochondria are at the core of cellular energy metabolism, inhibiting pathways related to mitochondrial function holds significant potential for AML treatment. This review aims to explore recent advances on the role of mitochondrial dysfunction in AML cell survival, potential therapeutic targets in mitochondria, and related targeted drugs, aiming to provide ideas for the development of targeted therapies for AML.
急性髓系白血病(AML)是最常见的白血病类型之一,其特点是恶性程度高、进展迅速,5年生存率低于30%。AML的发病率和死亡率随年龄增长而上升。在过去几十年里,AML治疗进展相对缓慢。虽然化疗和造血干细胞移植等传统方法存在包括治疗毒性和化疗耐药性等显著局限性,但近年来对AML机制的深入研究取得的进展使靶向治疗成为AML治疗的新选择。代谢重编程是癌症的关键特征之一,线粒体功能障碍在各种癌症中已得到广泛研究。线粒体功能障碍在AML细胞中普遍存在,且与AML的发生发展密切相关。AML细胞在能量代谢、自噬、凋亡等方面与正常造血细胞存在显著差异。鉴于线粒体是细胞能量代谢的核心,抑制与线粒体功能相关的途径在AML治疗中具有巨大潜力。本综述旨在探讨线粒体功能障碍在AML细胞存活中的作用、线粒体潜在治疗靶点及相关靶向药物的最新进展,旨在为AML靶向治疗的发展提供思路。