Evidence map›Paper›PMID 19773440›Full record

ArticleCancer research2009

Adipocytes impair leukemia treatment in mice.

James W Behan, Jason P Yun, Marina P Proektor, Ehsan A Ehsanipour, Anna Arutyunyan, Ara S Moses, Vassilios I Avramis, Stan G Louie, Anna Butturini, Nora Heisterkamp and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 115 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
115citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

115 citing papers in PubMed, 1 synthesis or guideline pooled it, 177 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Co-culture shock.Cell death discovery · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Nutrients Lowering Obesity-Linked Chemokines Blamable for Metastasis.International journal of molecular sciences · 2025
    Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. The 'omics of obesity in B-cell acute lymphoblastic leukemia.Journal of the National Cancer Institute. Monographs · 2023
    Article

55 more citing papers are in PubMed but not listed here.

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

11 authors at 2 institutions in 1 country.

James W BehanDivisions of Endocrinology, Childrens Hospital Los Angeles, Los Angeles, CA, USA.
Jason P Yun
Marina P Proektor
Ehsan A Ehsanipour
Anna Arutyunyan
Ara S Moses
Vassilios I Avramis
Stan G Louie
Anna Butturini
Nora Heisterkamp
Steven D Mittelman
USC Norris Comprehensive Cancer Center · USChildren's Hospital of Los Angeles · US

Funding

USC/NORRIS COMPREHENSIVE CANCER CENTER (CORE) SUPPORTP30CA014089 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Fumito Ito · 1985 to 2026
$181.4M
USC Center for Transdisciplinary Research on Energetics*U54CA116848 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI GORAN, MICHAEL ISAAC · 2005 to 2010
$12.1M
TREATMENT OF BCR/ABL CAUSED LEUKEMIAS WITH FTIsR01CA090321 · NCI · CHILDREN'S HOSPITAL OF LOS ANGELES · PI HEISTERKAMP, NORA C · 2001 to 2017
$4.4M
Childrens Hospital Los Angeles Child Health Research Development AwardK12HD052954 · NICHD · CHILDREN'S HOSPITAL OF LOS ANGELES · PI WILLIAMS, ROBERTA GAY · 2006 to 2017
$4.0M
Investigating the Role of Adipocytes on Leukemia RelapseR01CA139060 · NCI · CHILDREN'S HOSPITAL OF LOS ANGELES · PI MITTELMAN, STEVEN DAVID · 2009 to 2013
$1.6M
NCI NIH HHS 5 P30 CA 14089-27NCI NIH HHS CA090321NCI NIH HHS CA139060NCI NIH HHS P30 CA014089NCI NIH HHS R01 CA090321NCI NIH HHS R01 CA139060NCI NIH HHS U54 CA 116848NCI NIH HHS U54 CA116848NICHD NIH HHS K12 HD052954
6 · The paper itself

Abstract

Obesity is associated with increased cancer incidence and mortality. We have previously found that obesity in children is associated with a 50% increased recurrence of acute lymphoblastic leukemia (ALL) in high-risk patients. We have therefore developed novel in vivo and in vitro preclinical models to study the mechanism(s) of this association. Obesity increased relapse after monotherapy with vincristine (P = 0.03) in obese mice injected with syngeneic ALL cells. This occurred although the drug was dosed proportionally to body weight, equalizing blood and tissue drug levels. In coculture, 3T3-L1 adipocytes significantly impaired the antileukemia efficacy of vincristine, as well as three other chemotherapies (P < 0.05). Interestingly, this protection was independent of cell-cell contact, and it extended to human leukemia cell lines as well. Adipocytes prevented chemotherapy-induced apoptosis, and this was associated with increased expression of the two prosurvival signals Bcl-2 and Pim-2. These findings highlight the role of the adipocyte in fostering leukemia chemotherapy resistance, and may help explain the increased leukemia relapse rate in obese children and adults. Given the growing prevalence of obesity worldwide, these effects are likely to have increasing importance to cancer treatment.

Indexed as

3T3-L1 CellsAdipocytesAnimalsAntineoplastic Agents, PhytogenicCell CommunicationCoculture TechniquesDrug Resistance, NeoplasmMaleMiceMice, Inbred C57BLObesityPrecursor B-Cell Lymphoblastic Leukemia-LymphomaVincristineAntineoplastic Agents, PhytogenicVincristine

Identifiers

PMID19773440
PMCPMC2756308
OpenAlexW2135071303

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.