Evidence map›Paper›PMID 25565020›Full record

ArticleCell cycle (Georgetown, Tex.)2015

Ibrutinib inhibits BTK-driven NF-κB p65 activity to overcome bortezomib-resistance in multiple myeloma.

Megan Y Murray, Lyubov Zaitseva, Martin J Auger, Jenny Io Craig, David J MacEwan, Stuart A Rushworth, Kristian M Bowles

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Cell cycle (Georgetown, Tex.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03702725 (A Phase I Study of Ibrutinib), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.1field-weighted citation impact, top 8% 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.

NCT03702725 phase1completednot on this mapstarted 2019, after this paper: background citation

A Phase I Study of Ibrutinib (PCI-32765) in Combination With Revlimid/Dexamethasone (Rd) in Relapsed/Refractory Multiple Myeloma

TypeinterventionalSponsorAlliance Foundation Trials, LLC.Ran2019 to 2024Enrolled14ConditionsRefractory Multiple Myeloma, Multiple Myeloma in Relapse, Multiple MyelomaArmsIbrutinib, Lenalidomide, Dexamethasone
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 53 citations in OpenAlex.

  1. Review
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  11. Review
  12. Bruton's Tyrosine Kinase Targeting in Multiple Myeloma.International journal of molecular sciences · 2021
    Review
  13. Review
  14. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Megan Y Murraya Department of Molecular Haematology; Norwich Medical School ; University of East Anglia ; Norwich , UK.
Lyubov Zaitseva
Martin J Auger
Jenny Io Craig
David J MacEwan
Stuart A Rushworth
Kristian M Bowles
University of East Anglia · GBNorfolk and Norwich University Hospitals NHS Foundation Trust · GBAddenbrooke's Hospital · GBUniversity of Liverpool · GB

Funding

Worldwide Cancer Research 12-0014
6 · The paper itself

Abstract

Multiple Myeloma (MM) is a haematologic malignancy characterized by the accumulation of clonal plasma cells in the bone marrow. Over the last 10-15 y the introduction of the proteasome-inhibitor bortezomib has improved MM prognosis, however relapse due to bortezomib-resistance is inevitable and the disease, at present, remains incurable. To model bortezomib-resistant MM we generated bortezomib-resistant MM cell lines (n = 4 ) and utilised primary malignant plasma cells from patients relapsing after bortezomib treatment (n = 6 ). We identified enhanced Bruton's tyrosine kinase (BTK) activity in bortezomib-resistant MM cells and found that inhibition of BTK, either pharmacologically with ibrutinib (0.5 μM) or via lenti-viral miRNA-targeted BTK interference, re-sensitized previously bortezomib-resistant MM cells to further bortezomib therapy at a physiologically relevant concentration (5 nM). Further analysis of pro-survival signaling revealed a role for the NF-κB p65 subunit in MM bortezomib-resistance, thus a combination of BTK and NF-κB p65 inhibition, either pharmacologically or via further lenti-viral miRNA NF-κB p65 interference, also restored sensitivity to bortezomib, significantly reducing cell viability (37.5 ± 6 .9 %, ANOVA P ≤ 0 .001). Accordingly, we propose the clinical evaluation of a bortezomib/ibrutinib combination therapy, including in patients resistant to single-agent bortezomib.

Indexed as

AdenineAgammaglobulinaemia Tyrosine KinaseBortezomibCell SurvivalDrug Resistance, NeoplasmHumansImmunohistochemistryMicroRNAsMultiple MyelomaNeoplasm Recurrence, LocalPiperidinesProteasome InhibitorsProtein-Tyrosine KinasesPyrazolesPyrimidinesReal-Time Polymerase Chain ReactionAdenineAgammaglobulinaemia Tyrosine KinaseBortezomibBTK protein, humanibrutinibMicroRNAsPiperidinesProteasome InhibitorsProtein-Tyrosine KinasesPyrazolesPyrimidinesTranscription Factor RelABMSC – bone marrow stromal cellsbortezomibBTKBTK – Bruton's tyrosine kinase.drug-resistanceibrutinibMM – multiple myelomamultiple myelomaNF-κBNF-κB – nuclear factor-kappa BPI – proteasome inhibitor

Identifiers

PMID25565020
PMCPMC4613153
OpenAlexW1894198394

What OpenQuestion holds

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Read underepoch 390

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.