This is the first report on antileukemic activity of OST-01, a novel NP extracted from Baccharis coridifolia , on AML ′′ bulk " and LSC-enriched blasts.OST-01 treatment on dose dependent for 24 h significantly inhibits proliferation and colony formation and induces apoptosis in representative AML cell lines (MV-4-11, KG-1a, Kasumi-1 and HL-60), primary CD34 + CD38- blasts (enriched for LSCs; see Table S1 for mol. features), but not normal CD34 + CD38- mononuclear cells (MNCs) [enriched for hematopoietic stem cells (HSC)] (Fig. 1 A, B, Fig. S1), suggesting that OST-01 was cytotoxic to AML blasts, but spared normal HSCs.The oncogene MYC was among the top five downregulated genes and the gene set enrichment anal. (GSEA) indicated down-regulation of gene sets enriched for c-Myc targets, ribonucleoprotein complex, and ribosome biogenesis in OST-01 treated cells (Fig. S2A-D).A twenty-four-hour exposure to OST-01 resulted in a significantly decreased levels of c-Myc and o ther nucleolar proteins i.e., NPM1, nucleostemin and nucleolin, (Fig. 1 D, E and Fig. S2E) and disruption of the normal nucleolar architecture in HL-60 cells and CD34+CD38- AML blasts (Fig.1F and Fig. S2F).Accordingly, USP36 knock-down increased c-Myc and NPM1 ubiquitination (Fig. 1I). In contrast, USP36 overexpression rescued OST-01-induced c-Myc and NPM1 ubiquitination (Fig. 1J).To test OST-01 in vivo, 0.5 x 10 6 luciferase-expressing FLT3-ITD + Molm-13 AML cells (Luc-Molm13 cells) was injected into immunode fi cient NSG mice and treated them with either OST-01 or vehicle (ethanol) [1 μL/g, oral gavage, BID] until they achieved a euthanized endpoint (Fig. S4A).OST-01-treated mice demonstrated a significant reduction of the leukemia burden (Fig. 2 A) and increase of survival compared with vehicle-treated mice (Fig. S4B; p < 0.0001).They next tested the activity of OST-01 in combination with venetoclax (VEN), a selective BCL-2 inhibitor broadly used in combination with hypomethylating agents or other chemotherapeutics in AML patients [ 13 ], in CD34 + CD38- AML blasts.Compared with VEN or OST-01 alone, OST-01/VEN had synergistic antileukemic effects, as demonstrated by inhibition of proliferation and colony forming and increasing apoptosis (Fig. S7A-C).