Evidence map›Paper›PMID 25152703›Full record

ArticleCurrent signal transduction therapy2014

Mammalian Target of Rapamycin Inhibitors Resistance Mechanisms in Clear Cell Renal Cell Carcinoma.

Anna Kornakiewicz, Wojciech Solarek, Zofia F Bielecka, Fei Lian, Cezary Szczylik, Anna M Czarnecka

Open access · bronzeAbstract read
In one paragraph

Article in Current signal transduction therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. The influence of sex hormones on renal cell carcinoma.Therapeutic advances in medical oncology · 2024
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Renal Cell Carcinoma: Molecular Aspects.Indian journal of clinical biochemistry : IJCB · 2018
    Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Rapamycin inhibited the function of lung CSCs via SOX2.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2016
    Article
  14. Article
  15. Review
  16. Review
  17. Therapeutic challenges in renal cell carcinoma.American journal of clinical and experimental urology · 2015
    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

6 authors at 1 institution in 1 country.

Anna KornakiewiczOncology Department, Laboratory of Molecular Oncology, Military nstitute of Medicine, Warsaw, Poland ; I Faculty of Medicine, Medical University of Warsaw, Poland ; Collegium Invisibile, Warsaw, Poland.
Wojciech SolarekOncology Department, Laboratory of Molecular Oncology, Military nstitute of Medicine, Warsaw, Poland ; Postgraduate School of Molecular Medicine, Medical University of Warsaw, Warsaw, Poland.
Zofia F BieleckaOncology Department, Laboratory of Molecular Oncology, Military nstitute of Medicine, Warsaw, Poland ; Postgraduate School of Molecular Medicine, Medical University of Warsaw, Warsaw, Poland.
Fei LianDepartment of Urology, Emory School of Medicine, Atlanta, GA, USA.
Cezary SzczylikOncology Department, Laboratory of Molecular Oncology, Military nstitute of Medicine, Warsaw, Poland.
Anna M CzarneckaOncology Department, Laboratory of Molecular Oncology, Military nstitute of Medicine, Warsaw, Poland.
Emory University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mammalian target of rapamycin (mTOR) is a kinase protein involved in PI3K/AKT signaling with a central role in the processes of cell growth, survival and angiogenesis. Frequent mutations of this pathway make upstream and downstream components novel targets for tailored therapy design. Two mTOR inhibitors - everolimus and temsirolimus - enable an increase in overall survival (OS) or progression-free survival (PFS) time in a treatment of renal cancer. Despite recent advances in renal cancer treatment, resistance to targeted therapy is common. Understanding of molecular mechanisms is the basis of drug resistance which can facilitate prediction of success or failure in combinational or sequential targeted therapy. The article provides current knowledge on the mTOR signaling network and gives insight into the mechanisms of resistance to mTOR inhibitors from the complex perspective of RCC biology. The mechanisms of resistance developed not only by cancer cells, but also by interactions with tumor microenvironment are analyzed to emphasize the role of angiogenesis in ccRCC pathogenesis. As recent studies have shown the role of PI3K/AKT-mTOR pathway in proliferation and differentiation of cancer stem cells, we discuss cancer stem cell hypothesis and its possible contribution to ccRCC resistance. In the context of drug resistance, we also elaborate on a new approach considering ccRCC as a metabolic disease. In conclusion we speculate on future developments in agents targeting the mTOR pathway taking into consideration the singular biology of ccRCC.

Indexed as

Anti-angiogenic therapycancer stem cellsclear cell renal cell carcinomadrug resistancedual mTOR inhibitorseverolimustemsirolimustumor microenvironment.

Identifiers

PMID25152703
PMCPMC4141323
OpenAlexW1970290613

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.