Evidence map›Paper›PMID 21215704›Full record

ArticleCancer cell2011

AKT inhibition relieves feedback suppression of receptor tyrosine kinase expression and activity.

Sarat Chandarlapaty, Ayana Sawai, Maurizio Scaltriti, Vanessa Rodrik-Outmezguine, Olivera Grbovic-Huezo, Violeta Serra, Pradip K Majumder, Jose Baselga, Neal Rosen

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Cancer cell, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05189171 (MicroOrganoSphere Drug Screen to Lead Care), which is not on this map. Cited by 590 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
590citing papers in PubMed, 1 pooled it
43.9field-weighted citation impact, top 1% 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.

NCT05189171 completednot on this mapstarted 2022, after this paper: background citation

MicroOrganoSphere Drug Screen to Lead Care (MODEL) Precision Oncology Pilot Trial in Colorectal Cancer (CRC)

TypeobservationalSponsorXilis, Inc.Ran2022 to 2024Enrolled46ConditionsColorectal NeoplasmsArmsMicroOrganoSphere (MOS) drug screen
3 · Its place in the literature

Who cites it

590 citing papers in PubMed, 1 synthesis or guideline pooled it, 953 citations in OpenAlex.

  1. Pooled it
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  15. A renaissance in targeting the PI3K/AKT/mTOR pathway.Nature reviews. Drug discovery · 2026
    Review
  16. Article
  17. Article
  18. Article
  19. Insulin Resistance and Inflammation.International journal of molecular sciences · 2026
    Review
  20. Review

530 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

9 authors at 3 institutions in 2 countries.

Sarat ChandarlapatyProgram in Molecular Pharmacology, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
Ayana Sawai
Maurizio Scaltriti
Vanessa Rodrik-Outmezguine
Olivera Grbovic-Huezo
Violeta Serra
Pradip K Majumder
Jose Baselga
Neal Rosen
Memorial Sloan Kettering Cancer Center · USVall d'Hebron Hospital Universitari · ESMerck & Co., Inc., Rahway, NJ, USA (United States) · US

Funding

The Role of Id Proteins in Breast TumorigenesisP01CA094060 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI ROSEN, NEAL · 2002 to 2018
$39.4M
Biologic and therapeutic implications of Akt activation in Her2+ breast cancerK08CA134833 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI CHANDARLAPATY, SARAT · 2009 to 2013
$726k
European Research Council 250244NCI NIH HHS K08 CA134833NCI NIH HHS K08-CA134833NCI NIH HHS L30 CA123387NCI NIH HHS P01 CA094060NCI NIH HHS P01-CA094060
6 · The paper itself

Abstract

Activation of the PI3K-AKT pathway in tumors is modulated by negative feedback, including mTORC1-mediated inhibition of upstream signaling. We now show that AKT inhibition induces the expression and phosphorylation of multiple receptor tyrosine kinases (RTKs). In a wide spectrum of tumor types, inhibition of AKT induces a conserved set of RTKs, including HER3, IGF-1R, and insulin receptor. This is in part due to mTORC1 inhibition and in part secondary to a FOXO-dependent activation of receptor expression. PI3K-AKT inhibitors relieve this feedback and activate RTK signaling; this may attenuate their antitumor activity. Consistent with this model, we find that, in tumors in which AKT suppresses HER3 expression, combined inhibition of AKT and HER kinase activity is more effective than either alone.

Indexed as

AnimalsBenzylaminesBreast NeoplasmsCarcinoma, Non-Small-Cell LungCell Line, TumorDrug Therapy, CombinationErb-b2 Receptor Tyrosine KinasesFeedback, PhysiologicalFemaleForkhead Transcription FactorsGefitinibGene ExpressionGene Expression Regulation, NeoplasticHumansLapatinibMechanistic Target of Rapamycin Complex 1Akt-I-1,2 compoundBenzylaminesERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesForkhead Transcription FactorsGefitinibLapatinibMechanistic Target of Rapamycin Complex 1Multiprotein ComplexesProtein Kinase InhibitorsProteinsProto-Oncogene Proteins c-aktQuinazolinesQuinoxalinesReceptor, ErbB-3Receptor, IGF Type 1Receptor, InsulinReceptor Protein-Tyrosine KinasesRNA, Small InterferingTOR Serine-Threonine Kinases

Identifiers

PMID21215704
PMCPMC3025058
OpenAlexW2155228605

What OpenQuestion holds

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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.