Evidence map›Paper›PMID 24043769›Full record

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

TP53 suppression promotes erythropoiesis in del(5q) MDS, suggesting a targeted therapeutic strategy in lenalidomide-resistant patients.

Gisela Caceres, Kathy McGraw, Bon Ham Yip, Andrea Pellagatti, Joseph Johnson, Ling Zhang, Kenian Liu, Lan Min Zhang, William J Fulp, Ji-Hyun Lee and 11 more

Registry-linked trialOpen 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. It is linked to trial NCT02243124 (A Study of Aezea®), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.9field-weighted citation impact, top 6% 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.

NCT02243124 phase1terminatednot on this mapstarted 2014, after this paper: background citation

A Study of Aezea® (Cenersen) in Transfusion Dependent Anemia Associated With Myelodysplastic Syndrome

TypeinterventionalSponsorEleos, Inc.Ran2014 to 2015Enrolled9ConditionsMyelodysplastic SyndromesArmscenersen, Dexamethasone
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 53 citations in OpenAlex.

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  12. Effect ofOncotarget · 2018
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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

21 authors at 4 institutions in 4 countries.

Gisela CaceresH. Lee Moffitt Cancer Center and Research Institute, Tampa, FL 33612.
Kathy McGraw
Bon Ham Yip
Andrea Pellagatti
Joseph Johnson
Ling Zhang
Kenian Liu
Lan Min Zhang
William J Fulp
Ji-Hyun Lee
Najla H Al Ali
Ashley Basiorka
Larry J Smith
F Joseph Daugherty
Neil Littleton
Richard A Wells
Lubomir Sokol
Sheng Wei
Rami S Komrokji
Jacqueline Boultwood
Alan F List
Moffitt Cancer Center · USJohn Radcliffe Hospital · GBPort Elizabeth Provincial Hospital · ZASunnybrook Health Science Centre · CA

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI KENNETH Lynn WRIGHT · 1998 to 2026
$93.5M
Department of Health RP-PG-0310-1004NCI NIH HHS 5R01 CA-13107604NCI NIH HHS P30 CA076292
6 · The paper itself

Abstract

Stabilization of p53 in erythroid precursors in response to nucleosomal stress underlies the hypoplastic anemia in myelodysplastic syndromes (MDS) with chromosome 5q deletion [del(5q)]. We investigated whether cenersen, a clinically active 20-mer antisense oligonucleotide complementary to TP53 exon10, could suppress p53 expression and restore erythropoiesis in del(5q) MDS. Cenersen treatment of ribosomal protein S-14-deficient erythroblasts significantly reduced cellular p53 and p53-up-regulated modulator of apoptosis expression compared with controls, accompanied by a significant reduction in apoptosis and increased cell proliferation. In a two-stage erythroid differentiation assay, cenersen significantly suppressed nuclear p53 in bone marrow CD34+ cells isolated from patients with del(5q) MDS, whereas erythroid burst recovery increased proportionally to the magnitude of p53 suppression without evidence of del(5q) clonal suppression (r = -0.6; P = 0.005). To explore the effect of p53 suppression on erythropoiesis in vivo, dexamethasone, a glucocorticoid receptor-dependent p53 antagonist, was added to lenalidomide treatment in eight lower-risk, transfusion-dependent, del(5q) MDS patients with acquired drug resistance. Transfusion independence was restored in five patients accompanied by expansion of erythroid precursors and decreased cellular p53 expression. We conclude that targeted suppression of p53 could support effective erythropoiesis in lenalidomide-resistant del(5q) MDS.

Indexed as

Base SequenceDexamethasoneDrug ResistanceErythroid Precursor CellsErythropoiesisFlow CytometryFluorescent Antibody TechniqueHumansImmunohistochemistryIn Situ Hybridization, FluorescenceLenalidomideMolecular Sequence DataMyelodysplastic SyndromesOligonucleotidesReal-Time Polymerase Chain ReactionSequence Analysis, DNAcenersenDexamethasoneLenalidomideOligonucleotidesThalidomideTumor Suppressor Protein p53

Identifiers

PMID24043769
PMCPMC3791697
OpenAlexW2011109198

What OpenQuestion holds

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Registered trials

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.