Evidence map›Paper›PMID 21559457›Full record

ArticlePloS one2011

Amplification of the angiogenic signal through the activation of the TSC/mTOR/HIF axis by the KSHV vGPCR in Kaposi's sarcoma.

Bruno C Jham, Tao Ma, Jiadi Hu, Risa Chaisuparat, Eitan R Friedman, Pier Paolo Pandolfi, Abraham Schneider, Akrit Sodhi, Silvia Montaner

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Hypoxia-driven angiogenesis and metabolic reprogramming in vascular tumors.Frontiers in cell and developmental biology · 2025
    Review
  6. Article
  7. Article
  8. Hypoxia and HIF-1α promote lyticJournal of virology · 2023
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Kaposi Sarcoma, a Trifecta of Pathogenic Mechanisms.Diagnostics (Basel, Switzerland) · 2022
    Review
  16. Article
  17. Article
  18. Impact of Hypoxia over Human Viral Infections and Key Cellular Processes.International journal of molecular sciences · 2021
    Review
  19. Metabolic landscapes in sarcomas.Journal of hematology & oncology · 2021
    Review
  20. Article
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 1 country.

Bruno C JhamDepartment of Oncology and Diagnostic Sciences, School of Dentistry, University of Maryland, Baltimore, Maryland, United States of America.
Tao Ma
Jiadi Hu
Risa Chaisuparat
Eitan R Friedman
Pier Paolo Pandolfi
Abraham Schneider
Akrit Sodhi
Silvia Montaner
University of Maryland, Baltimore · USBeth Israel Deaconess Medical Center · USJohns Hopkins Medicine · US

Funding

Molecular Targets for the Prevention and Treatment of Kaposi's SarcomaR01CA119911 · NCI · UNIVERSITY OF MARYLAND BALTIMORE · PI MONTANER, SILVIA V · 2007 to 2011
$1.4M
NCI NIH HHS R01 CA119911NCI NIH HHS R01CA119911
6 · The paper itself

Abstract

backgroundKaposi's sarcoma (KS) is a vascular neoplasm characterized by the dysregulated expression of angiogenic and inflammatory cytokines. The driving force of the KS lesion, the KSHV-infected spindle cell, secretes elevated levels of vascular endothelial growth factor (VEGF), essential for KS development. However, the origin of VEGF in this tumor remains unclear. METHODOLOGY/PRINCIPAL

findingsHere we report that the KSHV G protein-coupled receptor (vGPCR) upregulates VEGF in KS through an intricate paracrine mechanism. The cytokines secreted by the few vGPCR-expressing tumor cells activate in neighboring cells multiple pathways (including AKT, ERK, p38 and IKKβ) that, in turn, converge on TSC1/2, promoting mTOR activation, HIF upregulation, and VEGF secretion. Conditioned media from vGPCR-expressing cells lead to an mTOR-dependent increase in HIF-1α and HIF-2α protein levels and VEGF upregulation. In a mouse allograft model for KS, specific inhibition of the paracrine activation of mTOR in non-vGPCR-expressing cells was sufficient to inhibit HIF upregulation in these cells, and abolished the ability of the vGPCR-expressing cells to promote tumor formation in vivo. Similarly, pharmacologic inhibition of HIF in this model blocked VEGF secretion and also lead to tumor regression. CONCLUSIONS/SIGNIFICANCE: Our findings provide a compelling explanation for how the few tumor cells expressing vGPCR can contribute to the dramatic amplification of VEGF secretion in KS, and further provide a molecular mechanism for how cytokine dysregulation in KS fuels angiogenesis and tumor development. These data further suggest that activation of HIF by vGPCR may be a vulnerable target for the treatment of patients with KS.

Indexed as

Gene Expression Regulation, NeoplasticGene Expression Regulation, ViralNeovascularization, PathologicAnimalsCalcium-Binding ProteinsCytokinesEndothelial CellsFemaleHerpesvirus 8, HumanHumansHypoxia-Inducible Factor 1, alpha SubunitInflammationMiceMice, NudeMice, TransgenicNeoplasm TransplantationCalcium-Binding ProteinsCytokinesHif1a protein, mouseHypoxia-Inducible Factor 1, alpha SubunitMTOR protein, humanReceptors, G-Protein-CoupledTESC protein, humanTOR Serine-Threonine KinasesVascular Endothelial Growth Factor A

Identifiers

PMID21559457
PMCPMC3084756
OpenAlexW2100866538

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.