TY - JOUR A1 - Baker, Fatima A1 - Polat, Halil Ibrahim A1 - Abou-El-Ardat, Khalil A1 - Alshamleh, Islam A1 - Thölken, Marlyn A1 - Hymon, Daniel A1 - Gubas, Andrea A1 - Koschade-Rixner, Sebastian E. A1 - Vischedyk, Jonas B. A1 - Kaulich, Manuel A1 - Schwalbe, Harald A1 - Shaid, Shabnam A1 - Brandts, Christian Hubertus T1 - Metabolic rewiring is essential for AML cell survival to overcome autophagy inhibition by loss of ATG3 T2 - Cancers N2 - Autophagy is an important survival mechanism that allows recycling of nutrients and removal of damaged organelles and has been shown to contribute to the proliferation of acute myeloid leukemia (AML) cells. However, little is known about the mechanism by which autophagy- dependent AML cells can overcome dysfunctional autophagy. In our study we identified autophagy related protein 3 (ATG3) as a crucial autophagy gene for AML cell proliferation by conducting a CRISPR/Cas9 dropout screen with a library targeting around 200 autophagy-related genes. shRNA-mediated loss of ATG3 impaired autophagy function in AML cells and increased their mitochondrial activity and energy metabolism, as shown by elevated mitochondrial ROS generation and mitochondrial respiration. Using tracer-based NMR metabolomics analysis we further demonstrate that the loss of ATG3 resulted in an upregulation of glycolysis, lactate production, and oxidative phosphorylation. Additionally, loss of ATG3 strongly sensitized AML cells to the inhibition of mitochondrial metabolism. These findings highlight the metabolic vulnerabilities that AML cells acquire from autophagy inhibition and support further exploration of combination therapies targeting autophagy and mitochondrial metabolism in AML. KW - autophagy KW - ATG3 KW - autophagy inhibition KW - acute myeloid leukemia KW - metabolic rewiring Y1 - 2021 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/74540 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-745405 SN - 2072-6694 N1 - This research was funded by the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation)—Project-ID 259130777—SFB 1177. This work was supported in part by the LOEWE Center Frankfurt Cancer Institute (FCI) funded by the Hessen State Ministry for Higher Education, Research and the Arts [III L 5-519/03/03.001-(0015)]. Work at BMRZ is supported by the state of Hesse. VL - 13 IS - 23, art. 6142 SP - 1 EP - 19 PB - MDPI CY - Basel ER -