Evidence map›Paper›PMID 24786604›Full record

ArticleBritish journal of cancer2014

Rac1 as a potential therapeutic target for chemo-radioresistant head and neck squamous cell carcinomas (HNSCC).

S Skvortsov, J Dudás, P Eichberger, M Witsch-Baumgartner, J Loeffler-Ragg, C Pritz, V H Schartinger, H Maier, J Hall, P Debbage and 4 more

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Cancers · 2025
    Article
  7. Diterpenoid fromInternational journal of molecular sciences · 2024
    Article
  8. Article
  9. New insights into RAS in head and neck cancer.Biochimica et biophysica acta. Reviews on cancer · 2023
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Cancers · 2021
    Article
  15. Review
  16. Article
  17. Article
  18. Rac1, A Potential Target for Tumor Therapy.Frontiers in oncology · 2021
    Review
  19. Review
  20. Article
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 1 institution in 2 countries.

S SkvortsovDepartment of Therapeutic Radiology and Oncology, Innsbruck Medical University, Innsbruck, Austria.
J DudásDepartment of Otorhinolaryngology, Innsbruck Medical University, Innsbruck, Austria.
P EichbergerDepartment of Therapeutic Radiology and Oncology, Innsbruck Medical University, Innsbruck, Austria.
M Witsch-BaumgartnerDivision of Human Genetics, Innsbruck Medical University, Innsbruck, Austria.
J Loeffler-RaggDepartment of Internal Medicine, Innsbruck Medical University, Innsbruck, Austria.
C PritzDepartment of Otorhinolaryngology, Innsbruck Medical University, Innsbruck, Austria.
V H SchartingerDepartment of Otorhinolaryngology, Innsbruck Medical University, Innsbruck, Austria.
H MaierSection of General Pathology, Department of Pathology, Innsbruck Medical University, Innsbruck, Austria.
J HallTranslational Research Unit, European Organization for Research and Treatment of Cancer (EORTC), Brussels, Belgium.
P DebbageDepartment of Anatomy, Histology and Embryology, Innsbruck Medical University, Innsbruck, Austria.
H RiechelmannDepartment of Otorhinolaryngology, Innsbruck Medical University, Innsbruck, Austria.
P LukasDepartment of Therapeutic Radiology and Oncology, Innsbruck Medical University, Innsbruck, Austria.
I SkvortsovaDepartment of Therapeutic Radiology and Oncology, Innsbruck Medical University, Innsbruck, Austria.
EORTC PathoBiology Group
Innsbruck Medical University · AT

Funding

Austrian Science Fund FWF P 22287Austrian Science Fund FWF P 25869
6 · The paper itself

Abstract

backgroundIn order to improve therapy for HNSCC patients, novel methods to predict and combat local and/or distant tumour relapses are urgently needed. This study has been dedicated to the hypothesis that Rac1, a Rho GTPase, is implicated in HNSCC insensitivity to chemo-radiotherapy resulting in tumour recurrence development.

methodsParental and radiation-resistant (IRR) HNSCC cells were used to support this hypothesis. All cells were investigated for their sensitivity to ionising radiation and cisplatin, Rac1 activity, its intracellular expression and subcellular localisation. Additionally, tumour tissues obtained from 60 HNSCC patients showing different therapy response were evaluated for intratumoral Rac1 expression.

resultsRadiation-resistant IRR cells also revealed resistance to cisplatin accompanied by increased expression, activity and trend towards nuclear translocation of Rac1 protein. Chemical inhibition of Rac1 expression and activity resulted in significant improvement of HNSCC sensitivity to ionising radiation and cisplatin. Preclinical results were confirmed in clinical samples. Although Rac1 was poorly presented in normal mucosa, tumour tissues revealed increased Rac1 expression. The most pronounced Rac1 presence was observed in HNSCC patients with poor early or late responses to chemo-radiotherapy. Tissues taken at recurrence were characterised not only by enhanced Rac1 expression but also increased nuclear Rac1 content.

conclusionsIncreased expression, activity and subcellular localisation of Rac1 could be associated with lower early response rate and higher risk of tumour recurrences in HNSCC patients and warrants further validation in larger independent studies. Inhibition of Rac1 activity can be useful in overcoming treatment resistance and could be proposed for HNSCC patients with primary or secondary chemo-radioresistance.

Indexed as

Drug Resistance, NeoplasmAdultAgedAged, 80 and overAntineoplastic AgentsCarcinoma, Squamous CellCell Line, TumorCell SurvivalCisplatinEnzyme InhibitorsFemaleGene Knockdown TechniquesHead and Neck NeoplasmsHumansInhibitory Concentration 50MaleAntineoplastic AgentsCisplatinEnzyme Inhibitorsrac1 GTP-Binding ProteinRAC1 protein, humanRNA, Small Interfering

Identifiers

PMID24786604
PMCPMC4037830
OpenAlexW2021904626

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.