Evidence map›Paper›PMID 21363922›Full record

ArticleCancer research2011

Chromosomal instability confers intrinsic multidrug resistance.

Alvin J X Lee, David Endesfelder, Andrew J Rowan, Axel Walther, Nicolai J Birkbak, P Andrew Futreal, Julian Downward, Zoltan Szallasi, Ian P M Tomlinson, Michael Howell and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Cancer research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04203095 (Dynamic Monitor of Serum Chromosomal Instability Detected by UCAD as a Surrogate Biomarker of Treatment Efficacy in PD1 Inhibitor Based Immunotherapy for Lung Cancer Patients), which is not on this map. Cited by 292 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
292citing papers in PubMed, 1 pooled it
15.2field-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.

NCT04203095 unknown statusnot on this mapstarted 2019, after this paper: background citation

Dynamic Monitor of Serum Chromosomal Instability Detected by UCAD as a Surrogate Biomarker of Treatment Efficacy in PD1 Inhibitor Based Immunotherapy for Lung Cancer Patients

TypeobservationalSponsorShanghai Pulmonary Hospital, Shanghai, ChinaRan2019 to 2021Enrolled40ConditionsLung CancerArmsthe level of plasma cfDNA CINs
3 · Its place in the literature

Who cites it

292 citing papers in PubMed, 1 synthesis or guideline pooled it, 490 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. PARP1 Suppression Drives ROS Resistance in Aneuploid Cancer Cells.bioRxiv : the preprint server for biology · 2026
    Article
  8. Article
  9. Article
  10. Molecular therapy. Oncology · 2025
    Article
  11. Article
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  14. Review
  15. Article
  16. Article
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  19. Review
  20. Article

232 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

12 authors at 4 institutions in 2 countries.

Alvin J X LeeTranslational Cancer Therapeutics Laboratory, Cancer Research UK London Research Institute, London, United Kingdom.
David Endesfelder
Andrew J Rowan
Axel Walther
Nicolai J Birkbak
P Andrew Futreal
Julian Downward
Zoltan Szallasi
Ian P M Tomlinson
Michael Howell
Maik Kschischo
Charles Swanton
Wellcome Sanger Institute · GBCancer Research UK · GBCentre for Human Genetics · GBRoyal Marsden Hospital · GB

Funding

Cancer Research UKMedical Research Council G0701935Medical Research Council G0701935(86985)
6 · The paper itself

Abstract

Aneuploidy is associated with poor prognosis in solid tumors. Spontaneous chromosome missegregation events in aneuploid cells promote chromosomal instability (CIN) that may contribute to the acquisition of multidrug resistance in vitro and heighten risk for tumor relapse in animal models. Identification of distinct therapeutic agents that target tumor karyotypic complexity has important clinical implications. To identify distinct therapeutic approaches to specifically limit the growth of CIN tumors, we focused on a panel of colorectal cancer (CRC) cell lines, previously classified as either chromosomally unstable (CIN(+)) or diploid/near-diploid (CIN(-)), and treated them individually with a library of kinase inhibitors targeting components of signal transduction, cell cycle, and transmembrane receptor signaling pathways. CIN(+) cell lines displayed significant intrinsic multidrug resistance compared with CIN(-) cancer cell lines, and this seemed to be independent of somatic mutation status and proliferation rate. Confirming the association of CIN rather than ploidy status with multidrug resistance, tetraploid isogenic cells that had arisen from diploid cell lines displayed lower drug sensitivity than their diploid parental cells only with increasing chromosomal heterogeneity and isogenic cell line models of CIN(+) displayed multidrug resistance relative to their CIN(-) parental cancer cell line derivatives. In a meta-analysis of CRC outcome following cytotoxic treatment, CIN(+) predicted worse progression-free or disease-free survival relative to patients with CIN(-) disease. Our results suggest that stratifying tumor responses according to CIN status should be considered within the context of clinical trials to minimize the confounding effects of tumor CIN status on drug sensitivity.

Indexed as

Cell Line, TumorChromosomal InstabilityColorectal NeoplasmsDrug Resistance, MultipleDrug Resistance, NeoplasmHumansIn Situ Hybridization, FluorescencePloidies

Identifiers

PMID21363922
PMCPMC3059493
OpenAlexW2067708830

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.