Evidence map›Paper›PMID 24813888›Full record

ArticleCell reports2014

Acquired resistance of EGFR-mutant lung adenocarcinomas to afatinib plus cetuximab is associated with activation of mTORC1.

Valentina Pirazzoli, Caroline Nebhan, Xiaoling Song, Anna Wurtz, Zenta Walther, Guoping Cai, Zhongming Zhao, Peilin Jia, Elisa de Stanchina, Erik M Shapiro and 9 more

Open access · goldAbstract read
In one paragraph

Article in Cell reports, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
9.7field-weighted citation impact, top 2% 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

48 citing papers in PubMed, 71 citations in OpenAlex.

  1. Article
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  13. Antimicrobial agents and chemotherapy · 2020
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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

19 authors at 7 institutions in 1 country.

Valentina PirazzoliYale Cancer Center, Yale University School of Medicine, New Haven, CT 06510, USA.
Caroline NebhanDepartment of Cancer Biology, Vanderbilt University School of Medicine, Nashville, TN 37232, USA.
Xiaoling SongYale Cancer Center, Yale University School of Medicine, New Haven, CT 06510, USA.
Anna WurtzYale Cancer Center, Yale University School of Medicine, New Haven, CT 06510, USA.
Zenta WaltherDepartment of Pathology, Yale University School of Medicine, New Haven, CT 06510, USA.
Guoping CaiDepartment of Pathology, Yale University School of Medicine, New Haven, CT 06510, USA.
Zhongming ZhaoDepartment of Cancer Biology, Vanderbilt University School of Medicine, Nashville, TN 37232, USA; Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, TN 37232, USA.
Peilin JiaDepartment of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, TN 37232, USA.
Elisa de StanchinaAntitumor Assessment Core, Molecular Pharmacology and Chemistry Program, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
Erik M ShapiroDepartment of Radiology, Michigan State University, East Lansing, MI 48824, USA.
Molly GaleDepartment of Pathology, Yale University School of Medicine, New Haven, CT 06510, USA.
Ruonan YinProgram in the Biological and Biomedical Science, Yale University School of Medicine, New Haven, CT 06510, USA.
Leora HornDepartment of Medicine and Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN 37232, USA.
David P CarboneJames Thoracic Center, The Ohio State University Medical Center, Columbus, OH 43210, USA.
Philip J StephensFoundation Medicine Inc., Cambridge, MA 02141, USA.
Vincent MillerFoundation Medicine Inc., Cambridge, MA 02141, USA.
Scott GettingerYale Cancer Center, Yale University School of Medicine, New Haven, CT 06510, USA; Department of Medicine (Medical Oncology), Yale University School of Medicine, New Haven, CT 06510, USA.
William PaoDepartment of Cancer Biology, Vanderbilt University School of Medicine, Nashville, TN 37232, USA; Department of Medicine and Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN 37232, USA.
Katerina PolitiYale Cancer Center, Yale University School of Medicine, New Haven, CT 06510, USA; Department of Pathology, Yale University School of Medicine, New Haven, CT 06510, USA; Department of Medicine (Medical Oncology), Yale University School of Medicine, New Haven, CT 06510, USA. Electronic address: katerina.politi@yale.edu.
Yale University · USVanderbilt University · USFoundation Medicine (United States)Memorial Sloan Kettering Cancer Center · USMichigan State University · USThe Ohio State University · USYale Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MATTHEW J TYSKA · 1995 to 2026
$172.8M
The Role of Focal Oncogene Amplifications in Lung CancerP01CA129243 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Andrea Ventura · 2007 to 2026
$31.2M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007347 · NIGMS · VANDERBILT UNIVERSITY · PI WILLIAMS, CHRISTOPHER S. · 1985 to 2023
$26.3M
The Cell-Of-Origin of Human CancersU54CA143798 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI MICHOR, FRANZISKA · 2009 to 2014
$11.2M
Mutant EGF Receptor-Dependent Lung Cancer in Human Cell Lines and Transgenic MiceR01CA120247 · NCI · YALE UNIVERSITY · PI POLITI, KATERINA ABIGAIL · 2006 to 2014
$3.8M
Overcoming acquired resistance to EGFR inhibitors in lung cancerR01CA121210 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI LOVLY, CHRISTINE M. · 2007 to 2016
$2.9M
Single cell MRI of directed cell migration to strokeDP2OD004362 · OD · YALE UNIVERSITY · PI SHAPIRO, ERIK · 2008 to 2008
$2.5M
Mechanisms of Mutant Epidermal Growth Factor Receptor Induced Lung TumorigenesisR00CA131488 · NCI · YALE UNIVERSITY · PI POLITI, KATERINA ABIGAIL · 2010 to 2012
$732k
The role of NF2 in Acquired Resistance to Targeted EGFR Inhibition in Lung CancerF30CA180353 · NCI · VANDERBILT UNIVERSITY · PI NEBHAN, CAROLINE · 2013 to 2016
$129k
NCI NIH HHS F30 CA180353NCI NIH HHS F30-CA180353NCI NIH HHS P01 CA129243NCI NIH HHS P01-CA129243NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA068485NCI NIH HHS P30-CA68485NCI NIH HHS R00 CA131488NCI NIH HHS R00-CA131488NCI NIH HHS R01 CA120247NCI NIH HHS R01-CA120247NCI NIH HHS R01 CA121210NCI NIH HHS R01-CA121210NCI NIH HHS U54 CA143798NCI NIH HHS U54-CA143798NIGMS NIH HHS T32 GM007347NIH HHS DP2 OD004362NIH HHS DP2OD004362
6 · The paper itself

Abstract

Patients with EGFR-mutant lung adenocarcinomas (LUADs) who initially respond to first-generation tyrosine kinase inhibitors (TKIs) develop resistance to these drugs. A combination of the irreversible TKI afatinib and the EGFR antibody cetuximab can be used to overcome resistance to first-generation TKIs; however, resistance to this drug combination eventually emerges. We identified activation of the mTORC1 signaling pathway as a mechanism of resistance to dual inhibition of EGFR in mouse models. The addition of rapamycin reversed resistance in vivo. Analysis of afatinib-plus-cetuximab-resistant biopsy specimens revealed the presence of genomic alterations in genes that modulate mTORC1 signaling, including NF2 and TSC1. These findings pinpoint enhanced mTORC1 activation as a mechanism of resistance to afatinib plus cetuximab and identify genomic mechanisms that lead to activation of this pathway, revealing a potential therapeutic strategy for treating patients with resistance to these drugs.

Indexed as

AdenocarcinomaAdenocarcinoma of LungAfatinibAnimalsAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCell Line, TumorCetuximabDrug Resistance, NeoplasmErbB ReceptorsHumansLung NeoplasmsMechanistic Target of Rapamycin Complex 1MiceMice, NudeMice, TransgenicAfatinibAntibodies, Monoclonal, HumanizedCetuximabEGFR protein, humanErbB ReceptorsMechanistic Target of Rapamycin Complex 1Multiprotein ComplexesQuinazolinesTOR Serine-Threonine Kinases

Identifiers

PMID24813888
PMCPMC4074596
OpenAlexW1986525211

What OpenQuestion holds

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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.