Lechman, Gentner et al. identified a prognostic microRNA (miRNA) signature from leukaemia stem cells (LSCs) in human acute myeloid leukaemia (AML) samples. One miRNA in this signature, miR-126, promoted LSC stem cell characteristics (such as self-renewal) and chemotherapy resistance of LSCs in part through targeting PI3K–AKT–mTOR signalling. However, in normal haematopoietic stem cells (HSCs), miR-126 blocked self-renewal, suggesting that miR-126 inhibition could target LSCs while preserving HSCs.