ALL is a highly aggressive subtype of leukemia that affects children and adults. Glucocorticoids (GCs) are a critical component of the chemotherapeutic strategy against T-ALL. Cases of resistance to GC therapy and recurrent disease require novel strategies to overcome them. The present study analyzed the effects of Dex, one of the main GCs used in ALL treatment, on two T-ALL cell lines: resistant Jurkat and unselected CCRF-CEM, representing a mixture of sensitive and resistant clones. In addition to nuclear targeting, we observed a massive accumulation of Dex in mitochondria. Dex-treated leukemic cells suffered metabolic reprogramming from glycolysis and glutaminolysis towards lipolysis and increased FAO, along with increased membrane polarization and ROS production. Dex provoked mitochondrial fragmentation and induced autophagy/mitophagy. Mitophagy preceded cell death in susceptible populations of CCRF-CEM cells while serving as a pro-survival mechanism in resistant Jurkat. Accordingly, preventing FAO or autophagy greatly increased the Dex cytotoxicity and overcame GC resistance. Dex acted synergistically with mitochondria-targeted drugs, curcumin, and cannabidiol. Collectively, our data suggest that GCs treatment should not be neglected even in apparently GC-resistant clinical cases. Co-administration of drugs targeting mitochondria, FAO, or autophagy can help to overcome GC resistance.

In this study we used [Ca2+]i imaging to monitor GnRH-induced intracellular Ca2+ signalling from dozens of gonadotrophs in mouse male pituitary slices. Responses of individual cells vary in magnitude, latency, duration and frequency of oscillation. Approximately 20% of gonadotrophs in situ display Ca2+ oscillations of increasing frequency at higher [GnRH] and biphasic (peak-plateau) responses at saturating [GnRH]. Nevertheless, this orderly progression, reported in cultured cells, is less well organized in 55% of cells. Furthermore, approximately 30% cells display non-oscillatory GnRH responses, reminiscent of immature gonadotrophs. Dose-response curves of slices from different animals suggest inter-individual differences in GnRH sensitivity. When the same dose of GnRH is applied repeatedly, individual cell responses are almost identical both in latency, oscillatory pattern and duration resembling the ‘Ca2+ fingerprint’ phenomenon. In addition, gonadotrophs in situare arranged in small clusters with similar GnRH-induced intracellular Ca2+-signalling patterns. Neighbouring gonadotrophs within clusters often display synchronized GnRH-induced responses with high correlation indices (>0.75). Nevertheless, synchronized responses between pairs of gonadotrophs are unaffected by incubation with blockers of gap-junction channels or P2X receptor channels, suggesting that they are not mediated by gap junctions or ATP. Alternative explanations are discussed, including pseudo-synchronization. In summary, while gonadotrophs in situ display GnRH-induced responses similar to those observed in cultured cells, different patterns and novel aspects of functional organization were found which deserve further investigation. This study on GnRH-induced Ca2+ signalling in the acute mice pituitary gland might be of potential relevance for characterizing GnRH actions in gonadotrophs in transgenic and knockout animals.