Evidence map›Paper›PMID 22717582›Full record

ArticleCell death & disease2012

NOXA as critical mediator for drug combinations in polychemotherapy.

H Ehrhardt, I Höfig, F Wachter, P Obexer, S Fulda, N Terziyska, I Jeremias

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

13 citing papers in PubMed, 23 citations in OpenAlex.

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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

7 authors at 5 institutions in 4 countries.

H EhrhardtHelmholtz Center Munich - German Research Center for Environmental Health, Marchioninistrasse 25, 81377 Munich, Germany.
I Höfig
F Wachter
P Obexer
S Fulda
N Terziyska
I Jeremias
Helmholtz Zentrum München · DECenter for Environmental Health · USFrankfurt Cancer Institute · DEInnsbruck Medical University · ATLudwig-Maximilians-Universität München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During polychemotherapy, cytotoxic drugs are given in combinations to enhance their anti-tumor effectiveness. For most drug combinations, underlying signaling mechanisms responsible for positive drug-drug interactions remain elusive. Here, we prove a decisive role for the Bcl-2 family member NOXA to mediate cell death by certain drug combinations, even if drugs were combined which acted independently from NOXA, when given alone. In proof-of-principle studies, betulinic acid, doxorubicin and vincristine induced cell death in a p53- and NOXA-independent pathway involving mitochondrial pore formation, release of cytochrome c and caspase activation. In contrast, when betulinic acid was combined with either doxorubicine or vincristine, cell death signaling changed considerably; the drug combinations clearly depended on both p53 and NOXA. Similarly and of high clinical relevance, in patient-derived childhood acute leukemia samples the drug combinations, but not the single drugs depended on p53 and NOXA, as shown by RNA interference studies in patient-derived cells. Our data emphasize that NOXA represents an important target molecule for combinations of drugs that alone do not target NOXA. NOXA might have a special role in regulating apoptosis sensitivity in the complex interplay of polychemotherapy. Deciphering the differences in signaling of single drugs and drug combinations might enable designing highly effective novel polychemotherapy regimens.

Indexed as

AnimalsAntineoplastic AgentsBetulinic AcidCell DeathChildDoxorubicinDrug CombinationsDrug Therapy, CombinationHumansJurkat CellsMiceMice, Inbred NODMice, SCIDPentacyclic TriterpenesPrecursor Cell Lymphoblastic Leukemia-LymphomaProto-Oncogene Proteins c-bcl-2Antineoplastic AgentsBetulinic AcidDoxorubicinDrug CombinationsPentacyclic TriterpenesPMAIP1 protein, humanProto-Oncogene Proteins c-bcl-2TriterpenesTumor Suppressor Protein p53Vincristine

Identifiers

PMID22717582
PMCPMC3388227
OpenAlexW1979986494

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.