Evidence map›Paper›PMID 24323355›Full record

ArticleThe Journal of experimental medicine2013

Chemotherapy activates cancer-associated fibroblasts to maintain colorectal cancer-initiating cells by IL-17A.

Fiorenza Lotti, Awad M Jarrar, Rish K Pai, Masahiro Hitomi, Justin Lathia, Adam Mace, Gerald A Gantt, Kumar Sukhdeo, Jennifer DeVecchio, Amit Vasanji and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 225 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
225citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 1% 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

225 citing papers in PubMed, 1 synthesis or guideline pooled it, 352 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Cytokines and cancer-associated fibroblasts.Journal of hematology & oncology · 2026
    Review
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  7. Article
  8. Article
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  10. Article
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  13. Article
  14. Review
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  17. Unraveling the role of cancer-associated fibroblasts in colorectal cancer.World journal of gastrointestinal oncology · 2024
    Review
  18. Article
  19. Article
  20. Review

165 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

14 authors at 3 institutions in 1 country.

Fiorenza LottiDepartment of Stem Cell Biology and Regenerative Medicine, 2 Department of Cellular and Molecular Medicine, and 3 Department of Cancer Biology, Lerner Research Institute; 4 Department of Colorectal Surgery, Digestive Disease Institute; 5 Department of Anatomical Pathology, Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH 44195.
Awad M Jarrar
Rish K Pai
Masahiro Hitomi
Justin Lathia
Adam Mace
Gerald A Gantt
Kumar Sukhdeo
Jennifer DeVecchio
Amit Vasanji
Patrick Leahy
Anita B Hjelmeland
Matthew F Kalady
Jeremy N Rich
Cleveland Clinic · USCase Western Reserve University · USCenter for Neuroscience and Regenerative Medicine · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007250 · NIGMS · CASE WESTERN RESERVE UNIVERSITY · PI HUANG, ALEX YEE-CHEN · 1985 to 2023
$33.4M
Targeting Brain Tumor Stem Cells Through Novel Therapeutic CombinationsR01CA154130 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI RICH, JEREMY N · 2010 to 2014
$1.9M
Stem Cell-Like Glioma Cells in AngiogenesisR01CA129958 · NCI · DUKE UNIVERSITY · PI RICH, JEREMY N · 2008 to 2012
$1.6M
A20 Promotes Glioma Stem Cell Mediated TumorigenesisR01CA151522 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI HJELMELAND, ANITA BORTON · 2010 to 2014
$1.2M
Microenvironmental regulation of the cancer stem cell phenotype by integrin a6R00CA157948 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI LATHIA, JUSTIN D. · 2012 to 2014
$725k
ATM (Ataxia Telangiectasia Mutated) signaling through cyclin D1R21NS063057 · NINDS · CLEVELAND CLINIC LERNER COM-CWRU · PI HITOMI, MASAHIRO · 2010 to 2011
$428k
Lgr5+ stem-like colon cancer cells contribute to chemoresistanceF30CA165857 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI SUKHDEO, KUMAR · 2012 to 2014
$142k
Microenvironmental modulation as a result of glioma therapyK99CA157948 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI LATHIA, JUSTIN D. · 2011 to 2011
$99k
NCI NIH HHS CA129958NCI NIH HHS CA151522NCI NIH HHS CA154130,NCI NIH HHS F30 CA165857NCI NIH HHS K99 CA157948NCI NIH HHS K99/R00 CA157948NCI NIH HHS R00 CA157948NCI NIH HHS R01 CA129958NCI NIH HHS R01 CA151522NCI NIH HHS R01 CA154130NIGMS NIH HHS T32 GM007250NINDS NIH HHS NS063057NINDS NIH HHS R21 NS063057
6 · The paper itself

Abstract

Many solid cancers display cellular hierarchies with self-renewing, tumorigenic stemlike cells, or cancer-initiating cells (CICs) at the apex. Whereas CICs often exhibit relative resistance to conventional cancer therapies, they also receive critical maintenance cues from supportive stromal elements that also respond to cytotoxic therapies. To interrogate the interplay between chemotherapy and CICs, we investigated cellular heterogeneity in human colorectal cancers. Colorectal CICs were resistant to conventional chemotherapy in cell-autonomous assays, but CIC chemoresistance was also increased by cancer-associated fibroblasts (CAFs). Comparative analysis of matched colorectal cancer specimens from patients before and after cytotoxic treatment revealed a significant increase in CAFs. Chemotherapy-treated human CAFs promoted CIC self-renewal and in vivo tumor growth associated with increased secretion of specific cytokines and chemokines, including interleukin-17A (IL-17A). Exogenous IL-17A increased CIC self-renewal and invasion, and targeting IL-17A signaling impaired CIC growth. Notably, IL-17A was overexpressed by colorectal CAFs in response to chemotherapy with expression validated directly in patient-derived specimens without culture. These data suggest that chemotherapy induces remodeling of the tumor microenvironment to support the tumor cellular hierarchy through secreted factors. Incorporating simultaneous disruption of CIC mechanisms and interplay with the tumor microenvironment could optimize therapeutic targeting of cancer.

Indexed as

AnimalsAntineoplastic AgentsCell Line, TumorCell SeparationChemokinesCoculture TechniquesColorectal NeoplasmsCytokinesFibroblastsFlow CytometryHumansHyaluronan ReceptorsImmunohistochemistryInterleukin-17MiceNeoplasm TransplantationAntineoplastic AgentsChemokinesCytokinesHyaluronan ReceptorsInterleukin-17

Identifiers

PMID24323355
PMCPMC3865474
OpenAlexW2102944868

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.