Evidence map›Paper›PMID 24812670›Full record

ArticleThe Journal of clinical investigation2014

Combined MEK and JAK inhibition abrogates murine myeloproliferative neoplasm.

Guangyao Kong, Mark Wunderlich, David Yang, Erik A Ranheim, Ken H Young, Jinyong Wang, Yuan-I Chang, Juan Du, Yangang Liu, Sin Ruow Tey and 7 more

Abstract read
In one paragraph

Article in The Journal of clinical investigation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Pharmaceutical science advances · 2024
    Article
  6. Article
  7. Review
  8. Article
  9. Effects ofFrontiers in cell and developmental biology · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Blockade of PDGFRβ circumvents resistance to MEK-JAK inhibition via intratumoral CD8Journal of experimental & clinical cancer research : CR · 2019
    Article
  15. Article
  16. [Advances in the treatment of juvenile myelomonocytic leukemia].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2018
    Review
  17. Myeloid neoplasms with features intermediate between primary myelofibrosis and chronic myelomonocytic leukemia.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2018
    Article
  18. Novel Therapies for Myelofibrosis.Current hematologic malignancy reports · 2017
    Review
  19. Article
  20. Review
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

17 authors at 3 institutions in 1 country.

Guangyao Kong
Mark Wunderlich
David Yang
Erik A Ranheim
Ken H Young
Jinyong Wang
Yuan-I Chang
Juan Du
Yangang Liu
Sin Ruow Tey
Xinmin Zhang
Mark Juckett
Ryan Mattison
Alisa Damnernsawad
Jingfang Zhang
James C Mulloy
Jing Zhang
University of Wisconsin–Madison · USCincinnati Children's Hospital Medical Center · USThe University of Texas Health Science Center at Houston · US

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI AMY TRENTHAM-DIETZ · 1985 to 2026
$142.6M
VITAMIN K DEFICIENCY IN CHOLESTATIC LIVER DISEASEM01RR008084 · NCRR · CINCINNATI CHILDRENS HOSP MED CTR · PI HEUBI, JAMES E. · 1994 to 2009
$20.6M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR026314 · NCRR · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2009 to 2011
$14.3M
The role of TCOF1 in germline predisposition to and in leukemic transformation of chronic myelomonocytic leukemiaR01CA152108 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Jing Zhang · 2011 to 2026
$5.4M
Cincinnati Center for Excellence in Molecular HematologyP30DK090971 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI ZHENG, YI · 2010 to 2015
$4.0M
Dose-dependent Activation of the MEK/ERK Pathway in HematopoiesisR01HL113066 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI ZHANG, JING · 2013 to 2016
$1.5M
NCI NIH HHS 1R01CA152108NCI NIH HHS NCI P30 CA014520NCI NIH HHS P30 CA014520NCI NIH HHS R01 CA152108NCRR NIH HHS 1UL1RR026314-01NCRR NIH HHS M01 RR008084NCRR NIH HHS MO1 RR08084NCRR NIH HHS UL1 RR026314NHLBI NIH HHS 1R01HL113066NHLBI NIH HHS R01 HL113066NIDDK NIH HHS P30 DK090971
6 · The paper itself

Abstract

Overactive RAS signaling is prevalent in juvenile myelomonocytic leukemia (JMML) and the myeloproliferative variant of chronic myelomonocytic leukemia (MP-CMML) in humans, and both are refractory to conventional chemotherapy. Conditional activation of a constitutively active oncogenic Nras (NrasG12D/G12D) in murine hematopoietic cells promotes an acute myeloproliferative neoplasm (MPN) that recapitulates many features of JMML and MP-CMML. We found that NrasG12D/G12D-expressing HSCs, which serve as JMML/MP-CMML-initiating cells, show strong hyperactivation of ERK1/2, promoting hyperproliferation and depletion of HSCs and expansion of downstream progenitors. Inhibition of the MEK pathway alone prolonged the presence of NrasG12D/G12D-expressing HSCs but failed to restore their proper function. Consequently, approximately 60% of NrasG12D/G12D mice treated with MEK inhibitor alone died within 20 weeks, and the remaining animals continued to display JMML/MP-CMML-like phenotypes. In contrast, combined inhibition of MEK and JAK/STAT signaling, which is commonly hyperactivated in human and mouse CMML, potently inhibited human and mouse CMML cell growth in vitro, rescued mutant NrasG12D/G12D-expressing HSC function in vivo, and promoted long-term survival without evident disease manifestation in NrasG12D/G12D animals. These results provide a strong rationale for further exploration of combined targeting of MEK/ERK and JAK/STAT in treating patients with JMML and MP-CMML.

Indexed as

AnimalsCell ProliferationGenes, rasHumansJanus KinasesLeukemia, Myelomonocytic, ChronicLeukemia, Myelomonocytic, JuvenileMAP Kinase Signaling SystemMiceMice, Mutant StrainsMitogen-Activated Protein Kinase KinasesMyeloproliferative DisordersProtein Kinase InhibitorsSignal TransductionJanus KinasesMitogen-Activated Protein Kinase KinasesProtein Kinase Inhibitors

Identifiers

PMID24812670
PMCPMC4038579
OpenAlexW2099896338

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.