Evidence map›Paper›PMID 23533263›Full record

Trial reportCancer discovery2013

De-repression of PDGFRβ transcription promotes acquired resistance to EGFR tyrosine kinase inhibitors in glioblastoma patients.

David Akhavan, Alexandra L Pourzia, Alex A Nourian, Kevin J Williams, David Nathanson, Ivan Babic, Genaro R Villa, Kazuhiro Tanaka, Ali Nael, Huijun Yang and 12 more

Open access · bronzeAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Cancer discovery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed
5.8field-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

90 citing papers in PubMed, 141 citations in OpenAlex.

  1. Article
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  18. Review
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30 more citing papers are in PubMed but not listed here.

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

22 authors at 8 institutions in 2 countries.

David AkhavanMedical Scientist Training Program, David Geffen School of Medicine
Alexandra L Pourzia
Alex A Nourian
Kevin J Williams
David Nathanson
Ivan Babic
Genaro R Villa
Kazuhiro Tanaka
Ali Nael
Huijun Yang
Julie Dang
Harry V Vinters
William H Yong
Mitchell Flagg
Fuyuhiko Tamanoi
Takashi Sasayama
C David James
Harley I Kornblum
Tim F Cloughesy
Webster K Cavenee
Steven J Bensinger
Paul S Mischel
Kobe University · JPLudwig Cancer Research · USMoores Cancer CenterUniversity of California, San Diego · USInstitute for Molecular Medicine · USUniversity of California, Los Angeles · USCenter for Neuro-Oncology · USUniversity of California, San Francisco · US

Funding

VIRAL MALIGNANCYP30CA023100 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DIANE M SIMEONE · 1985 to 2026
$124.9M
UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
UCLA-Caltech Medical Scientist Training ProgramT32GM008042 · NIGMS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI AJIJOLA, OLUJIMI A, DAWSON, DAVID WAYNE · 1985 to 2023
$29.9M
Transgenic Mouse and Biobank CoreP01CA095616 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DEPINHO, RONALD ANTHONY · 2003 to 2012
$20.3M
QUANTITATIVE IMAGE ANALYSIS SPECIALIZED RESOURCE COREU54CA119347 · NCI · CALIFORNIA INSTITUTE OF TECHNOLOGY · PI HEATH, JAMES R. · 2005 to 2009
$17.8M
UCLA Institute for Molecular Medicine (IMED) CoreU54CA151819 · NCI · CALIFORNIA INSTITUTE OF TECHNOLOGY · PI HOOD, LEROY E · 2010 to 2014
$12.1M
UCLA Tumor Immunology Training ProgramT32CA009120 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Steven M. Dubinett, MICHAEL A TEITELL · 1985 to 2026
$10.3M
STRUCTURAL &FUNCTIONAL ANALYSES OF YEAST RAS PROTEINSR01CA041996 · NCI · UNIVERSITY OF CHICAGO · PI TAMANOI, FUYUHIKO · 1985 to 2014
$4.6M
The role of mTORC2 in reprogramming cancer cell metabolismR01NS073831 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MISCHEL, PAUL S · 2011 to 2020
$3.4M
Neural Progenitor Genes and Brain TumorsR01NS052563 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KORNBLUM, HARLEY IAN · 2006 to 2015
$2.4M
Glioblastoma - Molecular Analysis for Clinical TrialsR01NS050151 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MISCHEL, PAUL S · 2005 to 2009
$1.7M
NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1TR000124NCI NIH HHS 5T32CA009120-35NCI NIH HHS CA119347NCI NIH HHS CA41996NCI NIH HHS P01 CA095616NCI NIH HHS P01-CA95616NCI NIH HHS P30 CA023100NCI NIH HHS P30CA23100NCI NIH HHS R01 CA041996NCI NIH HHS T32 CA009120NCI NIH HHS U54 CA119347NCI NIH HHS U54 CA151819NIGMS NIH HHS T32 GM008042NINDS NIH HHS NS73831NINDS NIH HHS R01 NS050151NINDS NIH HHS R01 NS052563NINDS NIH HHS R01 NS073831
6 · The paper itself

Abstract

unlabelledAcquired resistance to tyrosine kinase inhibitors (TKI) represents a major challenge for personalized cancer therapy. Multiple genetic mechanisms of acquired TKI resistance have been identified in several types of human cancer. However, the possibility that cancer cells may also evade treatment by co-opting physiologically regulated receptors has not been addressed. Here, we show the first example of this alternate mechanism in brain tumors by showing that EGF receptor (EGFR)-mutant glioblastomas (GBMs) evade EGFR TKIs by transcriptionally de-repressing platelet-derived growth factor receptor β (PDGFRβ). Mechanistic studies show that EGFRvIII signaling actively suppresses PDGFRβ transcription in an mTORC1- and extracellular signal-regulated kinase-dependent manner. Genetic or pharmacologic inhibition of oncogenic EGFR renders GBMs dependent on the consequently de-repressed PDGFRβ signaling for growth and survival. Importantly, combined inhibition of EGFR and PDGFRβ signaling potently suppresses tumor growth in vivo. These data identify a novel, nongenetic TKI resistance mechanism in brain tumors and provide compelling rationale for combination therapy. SIGNIFICANCE: These results provide the fi rst clinical and biologic evidence for receptor tyrosinekinase (RTK) "switching" as a mechanism of resistance to EGFR inhibitors in GBM and provide a molecular explanation of how tumors can become "addicted" to a non amplified, nonmutated, physiologically regulated RTK to evade targeted treatment.

Indexed as

AdultAnimalsAntineoplastic AgentsBrain NeoplasmsCell Line, TumorDrug Resistance, NeoplasmErbB ReceptorsErlotinib HydrochlorideGlioblastomaHumansLapatinibMAP Kinase Signaling SystemMiceMice, SCIDMutationProtein Kinase InhibitorsAntineoplastic AgentsErbB ReceptorsErlotinib HydrochlorideLapatinibProtein Kinase InhibitorsQuinazolinesReceptor, Platelet-Derived Growth Factor beta

Identifiers

PMID23533263
PMCPMC3651754
OpenAlexW2165530512

What OpenQuestion holds

Textmetadata
LicenceTDM
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.