Evidence map›Paper›PMID 15956968›Full record

ArticleBritish journal of cancer2005

Synergistic growth inhibition by Iressa and Rapamycin is modulated by VHL mutations in renal cell carcinoma.

R M Gemmill, M Zhou, L Costa, C Korch, R M Bukowski, H A Drabkin

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00353301 (A Phase II Single Arm Clinical Trial to Evaluate the Efficacy and Safety of the Combination of Tarceva™), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00353301 phase2completednot on this mapstarted 2006, after this paper: background citation

A Phase II Single Arm Clinical Trial to Evaluate the Efficacy and Safety of the Combination of Tarceva™ (Erlotinib Hydrochloride) and Rapamune™ (Sirolimus) in the Treatment of Metastatic Renal Cell Carcinoma.

TypeinterventionalSponsorUniversity of Colorado, DenverRan2006 to 2012Enrolled25ConditionsRenal Cell CarcinomaArmsErlotinib hydrochloride, Sirolimus
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 55 citations in OpenAlex.

  1. Article
  2. Evidence for aldosterone-dependent growth of renal cell carcinoma.International journal of experimental pathology · 2014
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Analysis of VHL Gene Alterations and their Relationship to Clinical Parameters in Sporadic Conventional Renal Cell Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2009
    Article
  10. Induction of E-cadherin in lung cancer and interaction with growth suppression by histone deacetylase inhibition.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2009
    Article
  11. Cytoplasmic sequestration of p27 via AKT phosphorylation in renal cell carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2009
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. mTOR and cancer therapy.Oncogene · 2006
    Review
  19. Article
  20. Targeting the PI3K/Akt/mTOR pathway: effective combinations and clinical considerations.Drug resistance updates : reviews and commentaries in antimicrobial and anticancer chemotherapy
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

R M GemmillDivision of Medical Oncology, University of Colorado at Denver and Health Sciences and Cancer Centers, Mail Stop 8117, PO Box 6511, Aurora, CO 80045-0511, USA. robert.gemmill@uchsc.edu
M Zhou
L Costa
C Korch
R M Bukowski
H A Drabkin
University of Colorado Denver · USCleveland Clinic · USUniversity of Colorado Cancer Center · US

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
MOLECULAR-GENETIC ANALYSIS OF 3P14 GENOMIC STABILITYR01CA076035 · NCI · UNIVERSITY OF COLORADO DENVER · PI DRABKIN, HARRY A. · 1998 to 2006
$1.8M
NCI NIH HHS CA046934NCI NIH HHS CA76035NCI NIH HHS P30 CA046934NCI NIH HHS R01 CA076035
6 · The paper itself

Abstract

Epidermal growth factor receptor (EGFR) and tumour growth factor alpha (TGFalpha) are frequently overexpressed in renal cell carcinoma (RCC) yet responses to single-agent EGFR inhibitors are uncommon. Although von Hippel-Lindau (VHL) mutations are predominant, RCC also develops in individuals with tuberous sclerosis (TSC). Tuberous sclerosis mutations activate mammalian target of rapamycin (mTOR) and biochemically resemble VHL alterations. We found that RCC cell lines expressed EGFR mRNA in the near-absence of other ErbB family members. Combined EGFR and mTOR inhibition synergistically impaired growth in a VHL-dependent manner. Iressa blocked ERK1/2 phosphorylation specifically in wt-VHL cells, whereas rapamycin inhibited phospho-RPS6 and 4E-BP1 irrespective of VHL. In contrast, phospho-AKT was resistant to these agents and MYC translation initiation (polysome binding) was similarly unaffected unless AKT was inhibited. Primary RCCs vs cell lines contained similar amounts of phospho-ERK1/2, much higher levels of ErbB-3, less phospho-AKT, and no evidence of phospho-RPS6, suggesting that mTOR activity was reduced. A subset of tumours and cell lines expressed elevated eIF4E in the absence of upstream activation. Despite similar amounts of EGFR mRNA, cell lines (vs tumours) overexpressed EGFR protein. In the paired cell lines, PRC3 and WT8, EGFR protein was elevated post-transcriptionally in the VHL mutant and EGF-stimulated phosphorylation was prolonged. We propose that combined EGFR and mTOR inhibitors may be useful in the subset of RCCs with wt-VHL. However, apparent differences between primary tumours and cell lines require further investigation.

Indexed as

Antineoplastic AgentsCarcinoma, Renal CellCell LineCell Line, TumorDrug SynergismErbB ReceptorsGefitinibHumansKidney NeoplasmsMutationProtein KinasesQuinazolinesSirolimusTOR Serine-Threonine KinasesTumor Suppressor ProteinsUbiquitin-Protein LigasesAntineoplastic AgentsErbB ReceptorsGefitinibMTOR protein, humanProtein KinasesQuinazolinesSirolimusTOR Serine-Threonine KinasesTumor Suppressor ProteinsUbiquitin-Protein LigasesVHL protein, humanVon Hippel-Lindau Tumor Suppressor Protein

Identifiers

PMID15956968
PMCPMC2361810
OpenAlexW2027636023

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.