Evidence map›Paper›PMID 23393050›Full record

ArticleBlood2013

Potent obatoclax cytotoxicity and activation of triple death mode killing across infant acute lymphoblastic leukemia.

Karen A Urtishak, Alena Y Z Edwards, Li-San Wang, Amanda Hudome, Blaine W Robinson, Jeffrey S Barrett, Kajia Cao, Lori Cory, Jonni S Moore, Andrew D Bantly and 13 more

Open access · bronzeAbstract readClinical Trial, Phase I
In one paragraph

Article in Blood, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
9.1field-weighted citation impact, top 2% 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

36 citing papers in PubMed, 59 citations in OpenAlex.

  1. Review
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  3. BH3-mimetics: recent developments in cancer therapy.Journal of experimental & clinical cancer research : CR · 2021
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  20. Comparison of in vitro antileukemic activity of obatoclax and ABT-737.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2016
    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

23 authors at 12 institutions in 1 country.

Karen A UrtishakDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Alena Y Z Edwards
Li-San Wang
Amanda Hudome
Blaine W Robinson
Jeffrey S Barrett
Kajia Cao
Lori Cory
Jonni S Moore
Andrew D Bantly
Qian-Chun Yu
I-Ming L Chen
Susan R Atlas
Cheryl L Willman
Mondira Kundu
Andrew J Carroll
Nyla A Heerema
Meenakshi Devidas
Joanne M Hilden
ZoAnn E Dreyer
Stephen P Hunger
Gregory H Reaman
Carolyn A Felix
University of Pennsylvania · USChildren's Hospital of Philadelphia · USNew Mexico Cancer Center · USBaylor College of Medicine · USChildren's Hospital Colorado · USChildren's National · USChildren's Oncology Group · USSt. Jude Children's Research Hospital · USThe Ohio State University · USUniversity of Alabama at Birmingham · USUniversity of Colorado Denver · USUNM Comprehensive Cancer Center

Funding

COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
Children's Oncology Group Statistics &Data Center GrantU10CA098413 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI DEVIDAS, MEENAKSHI · 2003 to 2013
$67.5M
Support for Human Specimen Banking in NCI-Supported Cancer Clinical TrialsU24CA114766 · NCI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI RAMIREZ MILAN, NILSA DEL CARMEN · 2005 to 2014
$14.5M
Training Program in Cancer PharmacologyR25CA101871 · NCI · UNIVERSITY OF PENNSYLVANIA · PI BLAIR, IAN ALEXANDER · 2003 to 2013
$4.3M
Regulation of autophagy by AMPK, Hsp90-Cdc37 and Ulk1 in erythroid cellsR01HL114697 · NHLBI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI KUNDU, MONDIRA · 2012 to 2016
$2.2M
Atg1 homologues in autophagy, mitochondrial degradation and erythroid maturationK08HL084199 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KUNDU, MONDIRA · 2006 to 2010
$665k
NCI NIH HHS CA98543NCI NIH HHS R25 CA101871NCI NIH HHS R25CA101871NCI NIH HHS U10 CA098413NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA98413NCI NIH HHS U24 CA114766NHLBI NIH HHS K08 HL084199NHLBI NIH HHS K08HL084199NHLBI NIH HHS R01 HL114697
6 · The paper itself

Abstract

Survival in infants younger than 1 year who have acute lymphoblastic leukemia (ALL) is inferior whether MLL is rearranged (R) or germline (G). MLL translocations confer chemotherapy resistance, and infants experience excess complications. We characterized in vitro sensitivity to the pan-antiapoptotic BCL-2 family inhibitor obatoclax mesylate in diagnostic leukemia cells from 54 infants with ALL/bilineal acute leukemia because of the role of prosurvival BCL-2 proteins in resistance, their imbalanced expression in infant ALL, and evidence of obatoclax activity with a favorable toxicity profile in early adult leukemia trials. Overall, half maximal effective concentrations (EC50s) were lower than 176 nM (the maximal plasma concentration [Cmax] with recommended adult dose) in 76% of samples, whether in MLL-AF4, MLL-ENL, or other MLL-R or MLL-G subsets, and regardless of patients' poor prognostic features. However, MLL status and partner genes correlated with EC50. Combined approaches including flow cytometry, Western blot, obatoclax treatment with death pathway inhibition, microarray analyses, and/or electron microscopy indicated a unique killing mechanism involving apoptosis, necroptosis, and autophagy in MLL-AF4 ALL cell lines and primary MLL-R and MLL-G infant ALL cells. This in vitro obatoclax activity and its multiple killing mechanisms across molecular cytogenetic subsets provide a rationale to incorporate a similarly acting compound into combination strategies to combat infant ALL.

Indexed as

Antineoplastic AgentsApoptosisAutophagyCell Line, TumorDrug Resistance, NeoplasmGene Expression Regulation, LeukemicHistone-Lysine N-MethyltransferaseHumansIndolesInfantInfant, NewbornMyeloid-Lymphoid Leukemia ProteinNecrosisOncogene Proteins, FusionPrecursor Cell Lymphoblastic Leukemia-LymphomaProto-Oncogene Proteins c-bcl-2Antineoplastic AgentsHistone-Lysine N-MethyltransferaseIndolesKMT2A protein, humanMLL-AF4 fusion protein, humanMLL-ENL oncoprotein, humanMyeloid-Lymphoid Leukemia ProteinobatoclaxOncogene Proteins, FusionProto-Oncogene Proteins c-bcl-2Pyrroles

Identifiers

PMID23393050
PMCPMC3617634
OpenAlexW1987182518

What OpenQuestion holds

Textmetadata
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.