Evidence map›Paper›PMID 23441129›Full record

ArticleNeoplasia (New York, N.Y.)2013

Inhibition of the growth of patient-derived pancreatic cancer xenografts with the MEK inhibitor trametinib is augmented by combined treatment with the epidermal growth factor receptor/HER2 inhibitor lapatinib.

Dustin M Walters, James M Lindberg, Sara J Adair, Timothy E Newhook, Catharine R Cowan, Jayme B Stokes, Cheryl A Borgman, Edward B Stelow, Bryce T Lowrey, Maria E Chopivsky and 3 more

Open access · goldAbstract read
In one paragraph

Article in Neoplasia (New York, N.Y.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

51 citing papers in PubMed, 86 citations in OpenAlex.

  1. A Multicenter, Open-Label Phase II Clinical Trial of Combined MEK plus EGFR Inhibition for Chemotherapy-Refractory Advanced Pancreatic Adenocarcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2016
    Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Constitutive Activation of RAS/MAPK Pathway Cooperates with Trisomy 21 and Is Therapeutically Exploitable in Down Syndrome B-cell Leukemia.Clinical cancer research : an official journal of the American Association for Cancer Research · 2020
    Article
  16. Article
  17. Article
  18. Review
  19. Identification of Resistance Pathways Specific to Malignancy Using Organoid Models of Pancreatic Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2019
    Article
  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

13 authors at 2 institutions in 1 country.

Dustin M WaltersDepartment of Surgery, University of Virginia Health System, Charlottesville, VA, USA.
James M Lindberg
Sara J Adair
Timothy E Newhook
Catharine R Cowan
Jayme B Stokes
Cheryl A Borgman
Edward B Stelow
Bryce T Lowrey
Maria E Chopivsky
Tona M Gilmer
John T Parsons
Todd W Bauer
University of Virginia Health System · USGlaxoSmithKline (United States) · US

Funding

Women's Oncology Program - WONP30CA044579 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Thomas P. Loughran · 1987 to 2026
$72.1M
STRUCTURE AND FUNCTION OF A CELLULAR TYROSINE PROTEIN KINASEP01CA040042 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI PARSONS, J THOMAS · 1985 to 2009
$10.5M
Cardiovascular Surgery Training ProgramT32HL007849 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI KRON, IRVING L., LAUBACH, VICTOR E · 1998 to 2025
$7.0M
Postdoctoral Training Grant for MDs in Surgical Oncology ResearchT32CA163177 · NCI · UNIVERSITY OF VIRGINIA · PI Craig Lee Slingluff, Allan Tsung · 2011 to 2026
$4.6M
A primary human xenograft model of pancreatic cancer.R03CA141245 · NCI · UNIVERSITY OF VIRGINIA · PI BAUER, TODD W, PARSONS, J THOMAS · 2009 to 2010
$152k
NCI NIH HHS CA 113573NCI NIH HHS CA 40042NCI NIH HHS L30 CA124093NCI NIH HHS P01 CA040042NCI NIH HHS P30 CA044579NCI NIH HHS P30 CA44579NCI NIH HHS R03 CA141245NCI NIH HHS R03CA141245-01NCI NIH HHS T32 CA163177NHLBI NIH HHS T32 HL007849
6 · The paper itself

Abstract

Mutations of the oncogene KRAS are important drivers of pancreatic cancer progression. Activation of epidermal growth factor receptor (EGFR) and human EGFR2 (HER2) is observed frequent in pancreatic adenocarcinomas. Because of co-activation of these two signaling pathways, we assessed the efficacy of inhibition of EGFR/HER2 receptors and the downstream KRAS effector, mitogen-activated protein kinase/extracellular-signal regulated kinase (ERK) kinase 1 and 2 (MEK1/2), on pancreatic cancer proliferation in vitro and in a murine orthotopic xenograft model. Treatment of established and patient-derived pancreatic cancer cell lines with the MEK1/2 inhibitor trametinib (GSK1120212) inhibited proliferation, and addition of the EGFR/HER2 inhibitor lapatinib enhanced the inhibition elicited by trametinib in three of eight cell lines. Importantly, in the orthotopic xenograft model, treatment with lapatinib and trametinib resulted in significantly enhanced inhibition of tumor growth relative to trametinib treatment alone in four of five patient-derived tumors tested and was, in all cases, significantly more effective in reducing the size of established tumors than treatment with lapatinib or trametinib alone. Acute treatment of established tumors with trametinib resulted in an increase in AKT2 phosphorylation that was blunted in mice treated with both trametinib and lapatinib. These data indicate that inhibition of the EGFR family receptor signaling may contribute to the effectiveness of MEK1/2 inhibition of tumor growth possibly through the inhibition of feedback activation of receptor tyrosine kinases in response to inhibition of the RAS-RAF-MEK-ERK pathway. These studies provide a rationale for assessing the co-inhibition of these pathways in the treatment of pancreatic cancer patients.

Indexed as

AnimalsAntineoplastic AgentsCell Line, TumorErb-b2 Receptor Tyrosine KinasesErbB ReceptorsHumansLapatinibMAP Kinase Kinase KinasesMAP Kinase Signaling SystemMiceNeoplasm TransplantationPancreatic NeoplasmsPhosphorylationProtein Kinase InhibitorsPyridonesPyrimidinonesAntineoplastic AgentsErb-b2 Receptor Tyrosine KinasesErbB ReceptorsLapatinibMAP Kinase Kinase KinasesProtein Kinase InhibitorsPyridonesPyrimidinonesQuinazolinestrametinib

Identifiers

PMID23441129
PMCPMC3579317
OpenAlexW1803959510

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.