Evidence map›Paper›PMID 23873851›Full record

ArticleMolecular cancer therapeutics2013

Uracil-DNA glycosylase expression determines human lung cancer cell sensitivity to pemetrexed.

Lachelle D Weeks, Pingfu Fu, Stanton L Gerson

Abstract read
In one paragraph

Article in Molecular cancer therapeutics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
–field-weighted citation impact
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

35 citing papers in PubMed.

  1. Trial
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  14. Journal of Cancer · 2022
    Article
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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

3 authors.

Lachelle D WeeksCorresponding Author: Stanton L. Gerson, Case Comprehensive Cancer Center, Wearn 151, 111000 Euclid Avenue, Cleveland, OH 44106. stanton.gerson@case.edu.
Pingfu Fu
Stanton L Gerson

Funding

TUMOR METABOLISM PROGRAMP30CA043703 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI MARK R CHANCE · 1987 to 2026
$142.3M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007250 · NIGMS · CASE WESTERN RESERVE UNIVERSITY · PI HUANG, ALEX YEE-CHEN · 1985 to 2023
$33.4M
MODULATING BASE EXCISION REPAIR IN TUMOR DRUG RESISTANCER01CA086357 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI GERSON, STANTON L. · 2000 to 2008
$2.4M
Impact of uracil DNA glycosylase on lung cancer cell sensitivity to pemetrexedF31CA159614 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI WEEKS, LACHELLE DAWN · 2011 to 2013
$122k
NCI NIH HHS CA 430703NCI NIH HHS CA86357NCI NIH HHS F31 CA159614NCI NIH HHS P30 CA043703NCI NIH HHS R01 CA086357NIGMS NIH HHS T32 GM007250NIGMS NIH HHS T32-GM007250
6 · The paper itself

Abstract

Uracil misincorporation into DNA is a consequence of pemetrexed inhibition of thymidylate synthase. The base excision repair (BER) enzyme uracil-DNA glycosylase (UNG) is the major glycosylase responsible for removal of misincorporated uracil. We previously illustrated hypersensitivity to pemetrexed in UNG(-/-) human colon cancer cells. Here, we examined the relationship between UNG expression and pemetrexed sensitivity in human lung cancer. We observed a spectrum of UNG expression in human lung cancer cells. Higher levels of UNG are associated with pemetrexed resistance and are present in cell lines derived from pemetrexed-resistant histologic subtypes (small cell and squamous cell carcinoma). Acute pemetrexed exposure induces UNG protein and mRNA, consistent with upregulation of uracil-DNA repair machinery. Chronic exposure of H1299 adenocarcinoma cells to increasing pemetrexed concentrations established drug-resistant sublines. Significant induction of UNG protein confirmed upregulation of BER as a feature of acquired pemetrexed resistance. Cotreatment with the BER inhibitor methoxyamine overrides pemetrexed resistance in chronically exposed cells, underscoring the use of BER-directed therapeutics to offset acquired drug resistance. Expression of UNG-directed siRNA and shRNA enhanced sensitivity in A549 and H1975 cells, and in drug-resistant sublines, confirming that UNG upregulation is protective. In human lung cancer, UNG deficiency is associated with pemetrexed-induced retention of uracil in DNA that destabilizes DNA replication forks resulting in DNA double-strand breaks and cell death. Thus, in experimental models, UNG is a critical mediator of pemetrexed sensitivity that warrants evaluation to determine clinical value.

Indexed as

Cell Line, TumorDNA Breaks, Double-StrandedDNA DamageDNA ReplicationDrug Resistance, NeoplasmGene Expression Regulation, NeoplasticGlutamatesGuanineHumansLung NeoplasmsPemetrexedRNA, Small InterferingUracil-DNA GlycosidaseGlutamatesGuaninePemetrexedRNA, Small InterferingUracil-DNA Glycosidase

Identifiers

PMID23873851
PMCPMC4201938

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Registered trials

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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.