Evidence map›Paper›PMID 25297633›Full record

ArticleCancer research2014

Hedgehog signaling drives radioresistance and stroma-driven tumor repopulation in head and neck squamous cancers.

Gregory N Gan, Justin Eagles, Stephen B Keysar, Guoliang Wang, Magdalena J Glogowska, Cem Altunbas, Ryan T Anderson, Phuong N Le, J Jason Morton, Barbara Frederick and 3 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Cancer research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06416436 (Immunotherapy in Combination With Ablative Radiosurgery to Ultra-high DoSes), which is not on this map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
2.6field-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.

NCT06416436 phase1withdrawnnot on this mapstarted 2024, after this paper: background citation

Immunotherapy in Combination With Ablative Radiosurgery to Ultra-high DoSes (ICARUS): A Phase I Dose-escalation Radiosurgery Study in Metastatic Cancers

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2024 to 2024Enrolled0ConditionsSolid TumorArmsAtezolizumab, Stereotactic Ablative Radiotherapy (SBRT)
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 68 citations in OpenAlex.

  1. Trial
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  3. [Molecular cancer · 2026
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  10. New insights into RAS in head and neck cancer.Biochimica et biophysica acta. Reviews on cancer · 2023
    Review
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  15. Article
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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

13 authors at 1 institution in 1 country.

Gregory N GanDepartment of Radiation Oncology, University of Colorado School of Medicine, Aurora, Colorado.
Justin EaglesDivision of Medical Oncology, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado.
Stephen B KeysarDivision of Medical Oncology, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado.
Guoliang WangDivision of Medical Oncology, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado.
Magdalena J GlogowskaDivision of Medical Oncology, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado.
Cem AltunbasDepartment of Radiation Oncology, University of Colorado School of Medicine, Aurora, Colorado.
Ryan T AndersonDivision of Medical Oncology, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado.
Phuong N LeDivision of Medical Oncology, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado.
J Jason MortonDivision of Medical Oncology, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado.
Barbara FrederickDepartment of Radiation Oncology, University of Colorado School of Medicine, Aurora, Colorado.
David RabenDepartment of Radiation Oncology, University of Colorado School of Medicine, Aurora, Colorado.
Xiao-Jing WangDepartment of Pathology, University of Colorado School of Medicine, Aurora, Colorado. Charles C. Gates Center for Stem Cell Biology, University of Colorado School of Medicine, Aurora, Colorado.
Antonio JimenoDivision of Medical Oncology, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado. Charles C. Gates Center for Stem Cell Biology, University of Colorado School of Medicine, Aurora, Colorado. Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colorado. Antonio.Jimeno@ucdenver.edu.
University of Colorado Denver · US

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
Targeting PD-L1 interactome signaling to enhance immunotherapy efficacy in head and neck squamous cell cancerR01CA149456 · NCI · UNIVERSITY OF COLORADO DENVER · PI Antonio Jimeno · 2010 to 2026
$5.6M
Training in Translational Research of Lung, Head and Neck CancerT32CA174648 · NCI · UNIVERSITY OF COLORADO DENVER · PI KARAM, SANA D · 2013 to 2022
$4.2M
Rational generation of a head and neck squamous cell cancer direct xenograft modeR21DE019712 · NIDCR · UNIVERSITY OF COLORADO DENVER · PI JIMENO, ANTONIO · 2009 to 2010
$385k
NCI NIH HHS 1R01CA149456NCI NIH HHS P30 CA046934NCI NIH HHS P30CA046934NCI NIH HHS R01 CA149456NCI NIH HHS T32 CA174648NCI NIH HHS T32CA174648NIDCR NIH HHS R21 DE019712NIDCR NIH HHS R21DE019712
6 · The paper itself

Abstract

Local control and overall survival in patients with advanced head and neck squamous cell cancer (HNSCC) remains dismal. Signaling through the Hedgehog (Hh) pathway is associated with epithelial-to-mesenchymal transition, and activation of the Hh effector transcription factor Gli1 is a poor prognostic factor in this disease setting. Here, we report that increased GLI1 expression in the leading edge of HNSCC tumors is further increased by irradiation, where it contributes to therapeutic inhibition. Hh pathway blockade with cyclopamine suppressed GLI1 activation and enhanced tumor sensitivity to radiotherapy. Furthermore, radiotherapy-induced GLI1 expression was mediated in part by the mTOR/S6K1 pathway. Stroma exposed to radiotherapy promoted rapid tumor repopulation, and this effect was suppressed by Hh inhibition. Our results demonstrate that Gli1 that is upregulated at the tumor-stroma intersection in HNSCC is elevated by radiotherapy, where it contributes to stromal-mediated resistance, and that Hh inhibitors offer a rational strategy to reverse this process to sensitize HNSCC to radiotherapy.

Indexed as

AnimalsCarcinoma, Squamous CellCell Line, TumorEpithelial-Mesenchymal TransitionHead and Neck NeoplasmsHedgehog ProteinsHumansMiceMice, NudeRadiation ToleranceRibosomal Protein S6 Kinases, 70-kDaSignal TransductionSquamous Cell Carcinoma of Head and NeckStromal CellsTOR Serine-Threonine KinasesTranscription FactorscyclopamineGLI1 protein, humanHedgehog ProteinsMTOR protein, humanribosomal protein S6 kinase, 70kD, polypeptide 1Ribosomal Protein S6 Kinases, 70-kDaTOR Serine-Threonine KinasesTranscription FactorsVeratrum AlkaloidsZinc Finger Protein GLI1

Identifiers

PMID25297633
PMCPMC4253591
OpenAlexW2155775593

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Registered trials

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.