Evidence map›Paper›PMID 25669984›Full record

ArticleOncotarget2015

Acquisition of resistance to trastuzumab in gastric cancer cells is associated with activation of IL-6/STAT3/Jagged-1/Notch positive feedback loop.

Zhengyan Yang, Liang Guo, Dan Liu, Limin Sun, Hongyu Chen, Que Deng, Yanjun Liu, Ming Yu, Yuanfang Ma, Ning Guo and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

56 citing papers in PubMed, 103 citations in OpenAlex.

  1. Biomarker analysis of the GATSBY study of trastuzumab emtansine versus a taxane in previously treated HER2-positive advanced gastric/gastroesophageal junction cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2019
    Trial
  2. Article
  3. The impact of the PI3K/AKT/mTOR signaling pathway on trastuzumab resistance in HER2-positive gastric cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  4. EMT and cancer: what clinicians should know.Nature reviews. Clinical oncology · 2025
    Review
  5. Article
  6. Review
  7. Mechanisms of resistance to trastuzumab in HER2-positive gastric cancer.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2024
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Statins enhance the efficacy of HER2-targeting radioligand therapy in drug-resistant gastric cancers.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  13. Review
  14. Article
  15. Article
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  19. Review
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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

11 authors at 2 institutions in 1 country.

Zhengyan YangInstitute of Basic Medical Sciences, Beijing, P.R. China.
Liang GuoInstitute of Basic Medical Sciences, Beijing, P.R. China.
Dan LiuInstitute of Basic Medical Sciences, Beijing, P.R. China.
Limin SunInstitute of Basic Medical Sciences, Beijing, P.R. China.
Hongyu ChenInstitute of Basic Medical Sciences, Beijing, P.R. China.
Que DengInstitute of Basic Medical Sciences, Beijing, P.R. China.
Yanjun LiuLaboratory of Cellular and Molecular Immunology, Medical School of Henan University, Kaifeng, P.R. China.
Ming YuInstitute of Basic Medical Sciences, Beijing, P.R. China.
Yuanfang MaLaboratory of Cellular and Molecular Immunology, Medical School of Henan University, Kaifeng, P.R. China.
Ning GuoInstitute of Basic Medical Sciences, Beijing, P.R. China.
Ming ShiInstitute of Basic Medical Sciences, Beijing, P.R. China.
Institute of Basic Medical Sciences of the Chinese Academy of Medical SciencesHenan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the present study, we demonstrate that prolonged treatment by trastuzumab induced resistance of NCI-N87 gastric cancer cells to trastuzumab. The resistant cells possessed typical characteristics of epithelial to mesenchymal transition (EMT)/cancer stem cells and acquired more invasive and metastatic potentials both in vitro and in vivo. Long term treatment with trastuzumab dramatically inhibited the phosphorylation of Akt, but triggered the activation of STAT3. The level of IL-6 was remarkably increased, implicating that the release of IL-6 that drives the STAT3 activation initiates the survival signaling transition. Furthermore, the Notch activities were significantly enhanced in the resistant cells, companied by upregulation of the Notch ligand Jagged-1 and the Notch responsive genes Hey1 and Hey2. Inhibiting the endogenous Notch pathway reduced the IL-6 expression and restored the sensitivities of the resistant cells to trastuzumab. Blocking of the STAT3 signaling abrogated IL-6-induced Jagged-1 expression, effectively inhibited the growth of the trastuzumab resistant cells, and enhanced the anti-tumor activities of trastuzumab in the resistant cells. These findings implicate that the IL-6/STAT3/Jagged-1/Notch axis may be a useful target and that combination of the Notch or STAT3 inhibitors with trastuzumab may prevent or delay clinical resistance and improve the efficacy of trastuzumab in gastric cancer.

Indexed as

AnimalsAntineoplastic AgentsCalcium-Binding ProteinsCell Line, TumorDrug Resistance, NeoplasmEpithelial-Mesenchymal TransitionHumansIntercellular Signaling Peptides and ProteinsInterleukin-6Jagged-1 ProteinMaleMembrane ProteinsMiceMice, Inbred BALB CMice, NudePhosphorylationAntineoplastic AgentsCalcium-Binding ProteinsIL6 protein, humanIntercellular Signaling Peptides and ProteinsInterleukin-6JAG1 protein, humanJag1 protein, mouseJagged-1 ProteinMembrane ProteinsSerrate-Jagged ProteinsSTAT3 protein, humanSTAT3 Transcription FactorTrastuzumabgastric cancerNotchSTAT3trastuzumab

Identifiers

PMID25669984
PMCPMC4467134
OpenAlexW1578012610

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.