Evidence map›Paper›PMID 24407160›Full record

Trial reportExperimental hematology2014

Identification of Ponatinib as a potent inhibitor of growth, migration, and activation of neoplastic eosinophils carrying FIP1L1-PDGFRA.

Irina Sadovnik, Els Lierman, Barbara Peter, Harald Herrmann, Verena Suppan, Gabriele Stefanzl, Oskar Haas, Thomas Lion, Winfried Pickl, Jan Cools and 2 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Experimental hematology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.3field-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.

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

20 citing papers in PubMed, 43 citations in OpenAlex.

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  17. Hypereosinophilic Syndrome.Clinical reviews in allergy & immunology · 2016
    Review
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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

12 authors at 4 institutions in 2 countries.

Irina SadovnikDivision of Hematology and Hemostaseology, Department of Internal Medicine I, Medical University of Vienna, Austria.
Els LiermanCenter for Human Genetics, KU Leuven, Leuven, Belgium; Center for Human Genetics, University Hospital Leuven, Leuven, Belgium.
Barbara PeterDivision of Hematology and Hemostaseology, Department of Internal Medicine I, Medical University of Vienna, Austria; Ludwig Boltzmann Cluster Oncology, Vienna, Austria.
Harald HerrmannDivision of Hematology and Hemostaseology, Department of Internal Medicine I, Medical University of Vienna, Austria; Ludwig Boltzmann Cluster Oncology, Vienna, Austria.
Verena SuppanDivision of Hematology and Hemostaseology, Department of Internal Medicine I, Medical University of Vienna, Austria.
Gabriele StefanzlDivision of Hematology and Hemostaseology, Department of Internal Medicine I, Medical University of Vienna, Austria.
Oskar HaasChildrens Cancer Research Institute, Vienna, Austria.
Thomas LionChildrens Cancer Research Institute, Vienna, Austria.
Winfried PicklInstitute of Immunology, Medical University of Vienna, Austria.
Jan CoolsCenter for Human Genetics, KU Leuven, Leuven, Belgium; Center for Human Genetics, University Hospital Leuven, Leuven, Belgium.
Peter VandenbergheCenter for Human Genetics, KU Leuven, Leuven, Belgium; Center for Human Genetics, University Hospital Leuven, Leuven, Belgium.
Peter ValentDivision of Hematology and Hemostaseology, Department of Internal Medicine I, Medical University of Vienna, Austria; Ludwig Boltzmann Cluster Oncology, Vienna, Austria. Electronic address: peter.valent@meduniwien.ac.at.
Medical University of Vienna · ATKU Leuven · BESt Anna Children's Hospital · ATLudwig Boltzmann Cluster for Cardiovascular Research · AT

Funding

Austrian Science Fund FWF F 4704Austrian Science Fund FWF F 4705
6 · The paper itself

Abstract

In chronic eosinophilic leukemia, the transforming oncoprotein FIP1L1-PDGFRA is a major target of therapy. In most patients, the tyrosine kinase inhibitor (TKI) imatinib induces complete remission. For patients who are intolerant or resistant, novel TKIs have been proposed. We examined the in vitro effects of 14 kinase blockers on growth and function of EOL-1 cells, a FIP1L1-PDGFRA(+) eosinophil cell line. Major growth-inhibitory effects were seen with all PDGFR-blocking agents, with IC50 values in the low nanomolar range: ponatinib, 0.1-0.2 nmol/L; sorafenib, 0.1-0.2 nmol/L; masitinib, 0.2-0.5 nmol/L; nilotinib, 0.2-1.0 nmol/L; dasatinib, 0.5-2.0 nmol/L; sunitinib, 1-2 nmol/L; midostaurin, 5-10 nmol/L. These drugs were also found to block activation of PDGFR-downstream signaling molecules, including Akt, S6, and STAT5 in EOL-1 cells. All effective TKIs produced apoptosis in EOL-1 cells as determined by microscopy, Annexin-V/PI, and caspase-3 staining. In addition, PDGFR-targeting TKIs were found to inhibit cytokine-induced migration of EOL-1 cells. In all bioassays used, ponatinib was found to be the most potent compound in EOL-1 cells. In addition, ponatinib was found to downregulate expression of the activation-linked surface antigen CD63 on EOL-1 cells and to suppress the growth of primary neoplastic eosinophils. We also examined drug effects on Ba/F3 cells expressing two clinically relevant, imatinib-resistant, mutant forms of FIP1L1-PDGFRA, namely T674I and D842V. Strong inhibitory effects on both mutants were seen only with ponatinib. In summary, novel PDGFR-targeting TKIs may be alternative agents for the treatment of patients with imatinib-resistant chronic eosinophilic leukemia. Although several different PDGFR-targeting agents are effective, the most potent drug appears to be ponatinib.

Indexed as

Amino Acid SubstitutionAnnexin A5ApoptosisCell Line, TumorCell MovementCell ProliferationDrug Screening Assays, AntitumorEosinophilsFemaleGene Expression Regulation, LeukemicHumansHypereosinophilic SyndromeImidazolesMalemRNA Cleavage and Polyadenylation FactorsMutation, MissenseAnnexin A5CD63 protein, humanFIP1L1-PDGFRA fusion protein, humanImidazolesmRNA Cleavage and Polyadenylation FactorsOncogene Proteins, FusionponatinibProto-Oncogene Proteins c-aktPyridazinesReceptor, Platelet-Derived Growth Factor alphaRibosomal Protein S6 KinasesSTAT5 Transcription FactorTetraspanin 30

Identifiers

PMID24407160
PMCPMC4338611
OpenAlexW2050564231

What OpenQuestion holds

Textmetadata
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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.