Evidence map›Paper›PMID 21208905›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2011

Neural tumor-initiating cells have distinct telomere maintenance and can be safely targeted for telomerase inhibition.

Pedro Castelo-Branco, Cindy Zhang, Tatiana Lipman, Mayumi Fujitani, Loen Hansford, Ian Clarke, Calvin B Harley, Robert Tressler, David Malkin, Erin Walker and 3 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
9.0field-weighted citation impact, top 2% 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

21 citing papers in PubMed, 53 citations in OpenAlex.

  1. A randomized phase II study of the telomerase inhibitor imetelstat as maintenance therapy for advanced non-small-cell lung cancer.Annals of oncology : official journal of the European Society for Medical Oncology · 2015
    Trial
  2. Review
  3. Review
  4. Cancer stem cells in neuroblastoma therapy resistance.Cancer drug resistance (Alhambra, Calif.) · 2019
    Article
  5. Review
  6. Review
  7. Article
  8. Bladder Cancer Stem-Like Cells: Their Origin and Therapeutic Perspectives.International journal of molecular sciences · 2015
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Cancer stem cells: biological functions and therapeutically targeting.International journal of molecular sciences · 2014
    Review
  14. Article
  15. Review
  16. Inhibition of BET bromodomain targets genetically diverse glioblastoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2013
    Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 2 countries.

Pedro Castelo-BrancoThe Arthur and Sonia Labatt Brain Tumor Research Centre, Cell Biology Program, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Cindy Zhang
Tatiana Lipman
Mayumi Fujitani
Loen Hansford
Ian Clarke
Calvin B Harley
Robert Tressler
David Malkin
Erin Walker
David R Kaplan
Peter Dirks
Uri Tabori
Hospital for Sick Children · CASickKids Foundation · CAMenlo School · US

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

purposeCancer recurrence is one of the major setbacks in oncology. Maintaining telomeres is essential for sustaining the limitless replicative potential of such cancers. Because telomerase is thought to be active in all tumor cells and normal stem cells, telomerase inhibition may be nonspecific and have detrimental effects on tissue maintenance and development by affecting normal stem cell self-renewal.

methodsWe examined telomerase activity, telomere maintenance, and stem cell maturation in tumor subpopulations from freshly resected gliomas, long-term, primary, neural tumor-initiating cells (TIC) and corresponding normal stem cell lines. We then tested the efficacy of the telomerase inhibitor Imetelstat on propagation and self-renewal capacity of TIC and normal stem cells in vitro and in vivo.

resultsTelomerase was undetectable in the majority of tumor cells and specific to the TIC subpopulation that possessed critically short telomeres. In contrast, normal tissue stem cells had longer telomeres and undetectable telomerase activity and were insensitive to telomerase inhibition, which results in proliferation arrest, cell maturation, and DNA damage in neural TIC. Significant survival benefit and late tumor growth arrest of neuroblastoma TIC were observed in a xenograft model (P = 0.02). Furthermore, neural TIC exhibited irreversible loss of self-renewal and stem cell capabilities even after cessation of treatment in vitro and in vivo.

conclusionsTIC exhaustion with telomerase inhibition and lack of telomerase dependency in normal stem cells add new dimensions to the telomere hypothesis and suggest that targeting TIC with telomerase inhibitors may represent a specific and safe therapeutic approach for tumors of neural origin.

Indexed as

AnimalsCell LineCell ProliferationGliomaHumansMiceMice, Inbred NODMice, SCIDNeoplastic Stem CellsNeural CrestNeural Stem CellsNeuroblastomaTelomeraseTelomereTelomerase

Identifiers

PMID21208905
OpenAlexW2159112711

What OpenQuestion holds

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Registered trials

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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.