“…Clonal evolution has been studied particularly well in acute myeloid leukemia (AML), a highly lethal hematopoietic cancer where residual clones persist through therapy and ultimately cause relapse (Ding et al, 2012a). Yet, genetic analysis has provided only limited insight into chemo-therapy resistance commonly observed in AML, and driver mutations are frequently not amenable to targeted therapies (Magee, 2017). We and others have shown that AML cells have distinctive metabolic dependencies compared with their normal counterparts, often irrespective of the driving mutations (Chen et al, 2016;German et al, 2016;Jacque et al, 2015;Lagadinou et al, 2013;Ni et al, 2019;Sykes et al, 2016;Wang et al, 2014).…”