Beyond apoptosis: LSC state dictates metabolic and anti-apoptotic vulnerabilities.

Coelho-Silva, Juan L; Machado-Neto, João A · Cell Stem Cell · 2026

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Abstract

Two studies<sup>1</sup><sup>,</sup><sup>2</sup> published in the last issue of Cell Stem Cell reveal that leukemic stem cell (LSC) identity in acute myeloid leukemia (AML) encodes both anti-apoptotic dependencies and metabolic survival programs. They reframe LSC-directed therapy: eradication may require combinatorial targeting of BCL-2 family proteins and ferroptosis-suppressive ketogenesis in a cell-state-specific manner.

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