Evidence map›Paper›PMID 24408322›Full record

ArticleBlood2014

Ponatinib overcomes FGF2-mediated resistance in CML patients without kinase domain mutations.

Elie Traer, Nathalie Javidi-Sharifi, Anupriya Agarwal, Jennifer Dunlap, Isabel English, Jacqueline Martinez, Jeffrey W Tyner, Melissa Wong, Brian J Druker

Open access · greenAbstract read
In one paragraph

Article in Blood, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

34 citing papers in PubMed, 49 citations in OpenAlex.

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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

9 authors at 3 institutions in 2 countries.

Elie TraerKnight Cancer Institute.
Nathalie Javidi-Sharifi
Anupriya Agarwal
Jennifer Dunlap
Isabel English
Jacqueline Martinez
Jeffrey W Tyner
Melissa Wong
Brian J Druker
Cancer Institute (WIA) · INOHSU Knight Cancer InstituteHoward Hughes Medical Institute · US

Funding

Understanding the origins of rapid recurrence of pancreatic cancer after resectionP30CA069533 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Grace B Gill · 1997 to 2026
$60.5M
Program in Molecular and Cellular BiosciencesT32GM071338 · NIGMS · OREGON HEALTH & SCIENCE UNIVERSITY · PI MASLEN, CHERYL L · 2005 to 2020
$3.5M
Oregon Clinical and Translational Research InstituteKL2TR000152 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ELLISON, DAVID H · 2012 to 2015
$1.7M
Chronic Myelogenous Leukemia and BCR-ABL SubstratesR37CA065823 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI DRUKER, BRIAN J · 2011 to 2015
$1.5M
Role of p27 in chronic myeloid leukemia and its potential as a therapeutic targetR00CA151670 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI AGARWAL, ANUPRIYA · 2014 to 2016
$738k
FGF2 Signaling as a Clinically Relevant Resistance Mechanism to TKIs in GISTF30CA186477 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI JAVIDI-SHARIFI, NATHALIE R · 2014 to 2016
$144k
Howard Hughes Medical InstituteNCATS NIH HHS KL2 TR000152NCATS NIH HHS KL2TR000152
6 · The paper itself

Abstract

Development of resistance to kinase inhibitors remains a clinical challenge. Kinase domain mutations are a common mechanism of resistance in chronic myeloid leukemia (CML), yet the mechanism of resistance in the absence of mutations remains unclear. We tested proteins from the bone marrow microenvironment and found that FGF2 promotes resistance to imatinib in vitro. Fibroblast growth factor 2 (FGF2) was uniquely capable of promoting growth in both short- and long-term assays through the FGF receptor 3/RAS/c-RAF/mitogen-activated protein kinase pathway. Resistance could be overcome with ponatinib, a multikinase inhibitor that targets BCR-ABL and FGF receptor. Clinically, we identified CML patients without kinase domain mutations who were resistant to multiple ABL kinase inhibitors and responded to ponatinib treatment. In comparison to CML patients with kinase domain mutations, these patients had increased FGF2 in their bone marrow when analyzed by immunohistochemistry. Moreover, FGF2 in the marrow decreased concurrently with response to ponatinib, further suggesting that FGF2-mediated resistance is interrupted by FGF receptor inhibition. These results illustrate the clinical importance of ligand-induced resistance to kinase inhibitors and support an approach of developing rational inhibitor combinations to circumvent resistance.

Indexed as

MutationAntineoplastic AgentsBenzamidesCell Line, TumorDrug Resistance, NeoplasmFibroblast Growth Factor 2HumansImatinib MesylateImidazolesK562 CellsLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMitogen-Activated Protein KinasesPiperazinesProtein Interaction Domains and MotifsProtein Kinase InhibitorsProto-Oncogene Proteins c-ablAntineoplastic AgentsBenzamidesFibroblast Growth Factor 2Imatinib MesylateImidazolesMitogen-Activated Protein KinasesPiperazinesponatinibProtein Kinase InhibitorsProto-Oncogene Proteins c-ablProto-Oncogene Proteins c-rafProto-Oncogene Proteins p21(ras)PyridazinesPyrimidinesReceptor, Fibroblast Growth Factor, Type 3

Identifiers

PMID24408322
PMCPMC3945862
OpenAlexW2026024824

What OpenQuestion holds

Textmetadata
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.