Evidence map›Paper›PMID 23200321›Full record

ArticleMolecular oncology2013

Molecular phenotype predicts sensitivity of squamous cell carcinoma of the head and neck to epidermal growth factor receptor inhibition.

Natalie R Young, Jing Liu, Carolyn Pierce, Tai-Fen Wei, Tatyana Grushko, Olufunmilayo I Olopade, Wanqing Liu, Christine Shen, Tanguy Y Seiwert, Ezra E W Cohen

Open access · bronzeAbstract read
In one paragraph

Article in Molecular oncology, 2013. 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
4.6field-weighted citation impact, top 5% 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, 42 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

10 authors at 4 institutions in 1 country.

Natalie R YoungDepartment of Medicine and Comprehensive Cancer Center, University of Chicago, Chicago, IL 60637, USA. nyoung@medicine.bsd.uchicago.edu
Jing Liu
Carolyn Pierce
Tai-Fen Wei
Tatyana Grushko
Olufunmilayo I Olopade
Wanqing Liu
Christine Shen
Tanguy Y Seiwert
Ezra E W Cohen
University of Chicago · USAdvocate Illinois Masonic Medical Center · USColumbia University Irving Medical Center · USThe University of Texas Southwestern Medical Center · US

Funding

TRANSLATIONAL RESEARCH UNIVERSITY OF CHICAGO: CLINICAL TRIALSUL1RR024999 · NCRR · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2007 to 2011
$25.3M
Maximizing Efficacy of EGFR Inhibitors by Defining Resistance MechanismsR21DE022454 · NIDCR · UNIVERSITY OF CHICAGO · PI COHEN, EZRA · 2012 to 2013
$427k
NCRR NIH HHS UL1 RR024999NIDCR NIH HHS R21 DE022454
6 · The paper itself

Abstract

Despite nearly universal expression of the wild-type epidermal growth factor receptor (EGFR) and reproducible activity of EGFR inhibitors in patients with squamous cell carcinoma of the head and neck (SCCHN), the majority of patients will not have objective responses. The mechanisms of this intrinsic resistance are not well established. We hypothesized that sensitivity to EGFR inhibitors can be predicted based on the inhibitors' effects on downstream signaling. Cell viability assays were used to assess sensitivity to the EGFR inhibitor gefitinib (ZD1839) in 8 SCCHN cell lines. Fluorescence in-situ hybridization showed the two most sensitive lines to be highly gene-amplified for EGFR. Western blotting confirmed that phosphoEGFR was inhibited at low concentrations of gefitinib in all lines tested. Phosphorylation of downstream signaling protein AKT was inhibited in sensitive lines while inhibition of phosphoERK displayed no relationship to gefitinib efficacy. Phosphatase and tensin homolog (PTEN) expression was evident in all cell lines. Activating PIK3CA mutations were found in two resistant cell lines where pAKT was not inhibited by gefitinib. In resistant cell lines harboring PIK3CA mutations, a PI3K inhibitor, LY294002, or AKT siRNA reduced cell viability with an additive effect demonstrated in combination with gefitinib. Additionally, LY294002 alone and in combination with gefitinib, was effective at treating PIK3CA mutated tumors xenografted into nude mice. Taken together this suggests that constitutively active AKT is a mechanism of intrinsic gefitinib resistance in SCCHN. This resistance can be overcome through targeting of the PI3K/AKT pathway in combination with EGFR inhibition.

Indexed as

Drug Resistance, NeoplasmAnimalsAntineoplastic AgentsCarcinoma, Squamous CellCell Line, TumorClass I Phosphatidylinositol 3-KinasesErbB ReceptorsFemaleGefitinibHead and Neck NeoplasmsHumansMiceMice, NudeMutationPhenotypePhosphatidylinositol 3-KinasesAntineoplastic AgentsClass I Phosphatidylinositol 3-KinasesErbB ReceptorsGefitinibPhosphatidylinositol 3-KinasesPIK3CA protein, humanProto-Oncogene Proteins c-aktQuinazolines

Identifiers

PMID23200321
PMCPMC3661759
OpenAlexW2016794679

What OpenQuestion holds

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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.