Evidence map›Paper›PMID 23513221›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2013

Preferential eradication of acute myelogenous leukemia stem cells by fenretinide.

Hui Zhang, Jian-Qing Mi, Hai Fang, Zhao Wang, Chun Wang, Lin Wu, Bin Zhang, Mark Minden, Wen-Tao Yang, Huan-Wei Wang and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 55 citations in OpenAlex.

  1. Review
  2. Drug Resistance: The Role of Sphingolipid Metabolism.International journal of molecular sciences · 2025
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  8. Targeting Sphingolipids for Cancer Therapy.Frontiers in oncology · 2021
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. MicroRNA-9 promotes proliferation of leukemia cells in adult CD34-positive acute myeloid leukemia with normal karyotype by downregulation of Hes1.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2016
    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

16 authors at 7 institutions in 3 countries.

Hui ZhangState Key Laboratory of Medical Genomics and Shanghai Institute of Hematology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine (SJTU-SM), Shanghai 200025, China.
Jian-Qing Mi
Hai Fang
Zhao Wang
Chun Wang
Lin Wu
Bin Zhang
Mark Minden
Wen-Tao Yang
Huan-Wei Wang
Jun-Min Li
Xiao-Dong Xi
Sai-Juan Chen
Ji Zhang
Zhu Chen
Kan-Kan Wang
Shanghai Jiao Tong University · CNShanghai Institute of Hematology · CNRuijin Hospital · CNChinese Academy of Sciences · CNShanghai First People's Hospital · CNShanghai Institutes for Biological Sciences · CNUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Leukemia stem cells (LSCs) play important roles in leukemia initiation, progression, and relapse, and thus represent a critical target for therapeutic intervention. However, relatively few agents have been shown to target LSCs, slowing progress in the treatment of acute myelogenous leukemia (AML). Based on in vitro and in vivo evidence, we report here that fenretinide, a well-tolerated vitamin A derivative, is capable of eradicating LSCs but not normal hematopoietic progenitor/stem cells at physiologically achievable concentrations. Fenretinide exerted a selective cytotoxic effect on primary AML CD34(+) cells, especially the LSC-enriched CD34(+)CD38(-) subpopulation, whereas no significant effect was observed on normal counterparts. Methylcellulose colony formation assays further showed that fenretinide significantly suppressed the formation of colonies derived from AML CD34(+) cells but not those from normal CD34(+) cells. Moreover, fenretinide significantly reduced the in vivo engraftment of AML stem cells but not normal hematopoietic stem cells in a nonobese diabetic/SCID mouse xenotransplantation model. Mechanistic studies revealed that fenretinide-induced cell death was linked to a series of characteristic events, including the rapid generation of reactive oxygen species, induction of genes associated with stress responses and apoptosis, and repression of genes involved in NF-κB and Wnt signaling. Further bioinformatic analysis revealed that the fenretinide-down-regulated genes were significantly correlated with the existing poor-prognosis signatures in AML patients. Based on these findings, we propose that fenretinide is a potent agent that selectively targets LSCs, and may be of value in the treatment of AML.

Indexed as

AnimalsAntigens, CD34Colony-Forming Units AssayComputational BiologyFenretinideFlow CytometryGene Expression RegulationLeukemia, Myeloid, AcuteMiceMice, SCIDMicroarray AnalysisNeoplastic Stem CellsReactive Oxygen SpeciesReal-Time Polymerase Chain ReactionReverse Transcriptase Polymerase Chain ReactionAntigens, CD34FenretinideReactive Oxygen Species

Identifiers

PMID23513221
PMCPMC3619353
OpenAlexW2065956458

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.