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Reduced Mitochondrial Apoptotic Priming Drives Resistance to BH3 Mimetics in Acute Myeloid Leukemia

  • Shruti Bhatt
  • , Marissa S. Pioso
  • , Elyse Anne Olesinski
  • , Binyam Yilma
  • , Jeremy A. Ryan
  • , Thelma Mashaka
  • , Buon Leutz
  • , Sophia Adamia
  • , Haoling Zhu
  • , Yanan Kuang
  • , Abhishek Mogili
  • , Abner J. Louissaint
  • , Stephan R. Bohl
  • , Annette S. Kim
  • , Anita K. Mehta
  • , Sneha Sanghavi
  • , Youzhen Wang
  • , Erick Morris
  • , Ensar Halilovic
  • , Cloud P. Paweletz
  • David M. Weinstock, Jacqueline S. Garcia, Anthony Letai

Research output: Contribution to journalArticlepeer-review

147 Scopus citations

Abstract

Bhatt et al. demonstrate that resistance to BCL-2 and MCL-1 antagonists emerges via selection for reduced mitochondrial apoptotic priming. Rapid measurements of drug-induced apoptotic signaling measured by dynamic BH3 profiling identify targeted agents with in vivo efficacy. BCL-2 and MCL-1 antagonist combinations overcome resistance to either single agent.

Original languageEnglish
Pages (from-to)872-890.e6
JournalCancer Cell
Volume38
Issue number6
DOIs
StatePublished - 14 Dec 2020
Externally publishedYes

Keywords

  • BCL-2
  • BH3 mimetics
  • BH3 profiling
  • FLT-3
  • MCL-1
  • SMAC
  • leukemia
  • mitochondria
  • precision cancer medicine
  • venetoclax

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