Evidence map›Paper›PMID 25322685›Full record

ArticleLeukemia2015

Dual PI3K/mTOR inhibition shows antileukemic activity in MLL-rearranged acute myeloid leukemia.

N Sandhöfer, K H Metzeler, M Rothenberg, T Herold, S Tiedt, V Groiß, M Carlet, G Walter, T Hinrichsen, O Wachter and 9 more

Abstract read
PubMed Publisher
In one paragraph

Article in Leukemia, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
3.4field-weighted citation impact, top 7% 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, 78 citations in OpenAlex.

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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 5 institutions in 1 country.

N Sandhöfer1] Department of Internal Medicine III, University Hospital Grosshadern, Ludwig Maximilians University (LMU), Munich, Germany [2] Clinical Cooperative Group Leukemia, Helmholtz Center Munich for Environmental Health, Munich, Germany [3] German Cancer Consortium (DKTK), Heidelberg, Germany [4] German Cancer Research Center (DKFZ), Heidelberg, Germany.
K H Metzeler1] Department of Internal Medicine III, University Hospital Grosshadern, Ludwig Maximilians University (LMU), Munich, Germany [2] Clinical Cooperative Group Leukemia, Helmholtz Center Munich for Environmental Health, Munich, Germany.
M RothenbergDepartment of Internal Medicine III, University Hospital Grosshadern, Ludwig Maximilians University (LMU), Munich, Germany.
T Herold1] Department of Internal Medicine III, University Hospital Grosshadern, Ludwig Maximilians University (LMU), Munich, Germany [2] Clinical Cooperative Group Leukemia, Helmholtz Center Munich for Environmental Health, Munich, Germany.
S TiedtDepartment of Gene Vectors, Helmholtz Center Munich for Environmental Health, Munich, Germany.
V GroißDepartment of Gene Vectors, Helmholtz Center Munich for Environmental Health, Munich, Germany.
M CarletDepartment of Gene Vectors, Helmholtz Center Munich for Environmental Health, Munich, Germany.
G WalterDepartment of Translational Oncology, National Center for Tumor Diseases and German Cancer Research Center, Heidelberg, Germany.
T HinrichsenCenter for Human Genetics and Laboratory Medicine, Martinsried, Germany.
O WachterCenter for Human Genetics and Laboratory Medicine, Martinsried, Germany.
M GrunertDepartment of Gene Vectors, Helmholtz Center Munich for Environmental Health, Munich, Germany.
S SchneiderDepartment of Internal Medicine III, University Hospital Grosshadern, Ludwig Maximilians University (LMU), Munich, Germany.
M SubkleweDepartment of Internal Medicine III, University Hospital Grosshadern, Ludwig Maximilians University (LMU), Munich, Germany.
A DufourDepartment of Internal Medicine III, University Hospital Grosshadern, Ludwig Maximilians University (LMU), Munich, Germany.
S FröhlingDepartment of Translational Oncology, National Center for Tumor Diseases and German Cancer Research Center, Heidelberg, Germany.
H-G KleinCenter for Human Genetics and Laboratory Medicine, Martinsried, Germany.
W Hiddemann1] Department of Internal Medicine III, University Hospital Grosshadern, Ludwig Maximilians University (LMU), Munich, Germany [2] Clinical Cooperative Group Leukemia, Helmholtz Center Munich for Environmental Health, Munich, Germany [3] German Cancer Consortium (DKTK), Heidelberg, Germany [4] German Cancer Research Center (DKFZ), Heidelberg, Germany.
I Jeremias1] German Cancer Consortium (DKTK), Heidelberg, Germany [2] German Cancer Research Center (DKFZ), Heidelberg, Germany [3] Department of Gene Vectors, Helmholtz Center Munich for Environmental Health, Munich, Germany [4] Department of Oncology, Dr von Haunersches Kinderspital, Ludwig Maximilians University (LMU), Munich, Germany.
K Spiekermann1] Department of Internal Medicine III, University Hospital Grosshadern, Ludwig Maximilians University (LMU), Munich, Germany [2] Clinical Cooperative Group Leukemia, Helmholtz Center Munich for Environmental Health, Munich, Germany [3] German Cancer Consortium (DKTK), Heidelberg, Germany [4] German Cancer Research Center (DKFZ), Heidelberg, Germany.
Ludwig-Maximilians-Universität München · DEHelmholtz Zentrum München · DEGerman Cancer Research Center · DEHeidelberg University · DENational Center for Tumor Diseases · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In acute myeloid leukemia (AML), several signaling pathways such as the phosphatidylinositol-3-kinase/AKT and the mammalian target of rapamycin (PI3K/AKT/mTOR) pathway are deregulated and constitutively activated as a consequence of genetic and cytogenetic abnormalities. We tested the effectiveness of PI3K/AKT/mTOR-targeting therapies and tried to identify alterations that associate with treatment sensitivity. By analyzing primary samples and cell lines, we observed a wide range of cytotoxic activity for inhibition of AKT (MK-2206), mTORC1 (rapamycin) and PI3K/mTORC1/2 (BEZ-235) with a high sensitivity of cells carrying an MLL rearrangement. In vivo PI3K/mTOR inhibition delayed tumor progression, reduced tumor load and prolonged survival in an MLL-AF9(+)/FLT3-ITD(+) xenograft mouse model. By performing targeted amplicon sequencing in 38 MLL-AF9(+) and 125 cytogenetically normal AML patient samples, we found a high additional mutation rate for genes involved in growth factor signaling in 79% of all MLL-AF9(+) samples, which could lead to a possible benefit of this cohort. PI3K/mTOR inhibition for 24 h led to the cross-activation of the ERK pathway. Further in vitro studies combining PI3K/mTOR and ERK pathway inhibition revealed highly synergistic effects in apoptosis assays. Our data implicate a possible therapeutic benefit of PI3K/mTOR inhibition in the MLL-mutated subgroup. Inhibiting rescue pathways could improve the therapeutic efficacy of PI3K-targeted therapies in AML.

Indexed as

Gene Expression Regulation, LeukemicPhosphoinositide-3 Kinase InhibitorsAnimalsAntineoplastic AgentsApoptosisDrug SynergismGene RearrangementHeterocyclic Compounds, 3-RingHumansImidazolesLeukemia, Myeloid, AcuteMiceMyeloid-Lymphoid Leukemia ProteinOncogene Proteins, FusionPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktAntineoplastic AgentsdactolisibHeterocyclic Compounds, 3-RingImidazolesMK 2206MLL-AF9 fusion protein, humanMTOR protein, humanMyeloid-Lymphoid Leukemia ProteinOncogene Proteins, FusionPhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsProto-Oncogene Proteins c-aktQuinolinesSirolimusTOR Serine-Threonine Kinases

Identifiers

PMID25322685
OpenAlexW2007702295

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.