Evidence map›Paper›PMID 25673699›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2015

Targeted Axl Inhibition Primes Chronic Lymphocytic Leukemia B Cells to Apoptosis and Shows Synergistic/Additive Effects in Combination with BTK Inhibitors.

Sutapa Sinha, Justin Boysen, Michael Nelson, Charla Secreto, Steven L Warner, David J Bearss, Connie Lesnick, Tait D Shanafelt, Neil E Kay, Asish K Ghosh

Open access · greenAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 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
3.2field-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.

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, 72 citations in OpenAlex.

  1. Article
  2. Article
  3. AXL signaling in cancer: from molecular insights to targeted therapies.Signal transduction and targeted therapy · 2025
    Review
  4. Aberrantly Expressed Mitochondrial Lipid Kinase, AGK, Activates JAK2-Histone H3 Axis and BCR Signal: A Mechanistic Study with Implication in CLL Therapy.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. AXL Inhibitors: Status of Clinical Development.Current oncology reports · 2023
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. The Relationship ofJournal of clinical medicine · 2021
    Article
  17. Article
  18. Therapeutic Targeting of the Gas6/Axl Signaling Pathway in Cancer.International journal of molecular sciences · 2021
    Review
  19. Article
  20. 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

10 authors at 2 institutions in 1 country.

Sutapa SinhaDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Justin BoysenDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Michael NelsonDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Charla SecretoDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Steven L WarnerTolero Pharmaceuticals, Inc., Lehi, Utah.
David J BearssTolero Pharmaceuticals, Inc., Lehi, Utah.
Connie LesnickDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Tait D ShanafeltDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Neil E KayDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Asish K GhoshDivision of Hematology, Mayo Clinic, Rochester, Minnesota. ghosh.asish@mayo.edu.
Mayo Clinic · USTolero Pharmaceuticals (United States) · US

Funding

Microvesicle Dynamics in B-Cell Chronic Lymphocytic Leukemia Tumor MicroenvironmeR01CA170006 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI GHOSH, ASISH KUMAR · 2013 to 2017
$1.6M
NCI NIH HHS CA170006NCI NIH HHS R01 CA170006
6 · The paper itself

Abstract

purposeB-cell chronic lymphocytic leukemia (CLL) is an incurable disease despite aggressive therapeutic approaches. We previously found that Axl receptor tyrosine kinase (RTK) plays a critical role in CLL B-cell survival. Here, we explored the possibility of using a high-affinity Axl inhibitor as a single agent or in combination with Bruton's tyrosine kinase (BTK) inhibitors for future clinical trial to treat patients with CLL. EXPERIMENTAL

designExpression/activation status of other members of the TAM (e.g., Tyro3, Axl, and MER) family of RTKs in CLL B cells was evaluated. Cells were treated with a high-affinity orally bioavailable Axl inhibitor TP-0903 with or without the presence of CLL bone marrow stromal cells (BMSCs). Inhibitory effects of TP-0903 on the Axl signaling pathway were also evaluated in CLL B cells. Finally, cells were exposed to TP-0903 in combination with BTK inhibitors to determine any synergistic/additive effects of the combination.

resultsCLL B cells overexpress Tyro3, but not MER. Of interest, Tyro3 remains as constitutively phosphorylated and forms a complex with Axl in CLL B cells. TP-0903 induces massive apoptosis in CLL B cells with LD50 values of nanomolar ranges. Importantly, CLL BMSCs could not protect the leukemic B cells from TP-0903-induced apoptosis. A marked reduction of the antiapoptotic proteins Mcl-1, Bcl-2, and XIAP and upregulation of the proapoptotic protein BIM in CLL B cells was detected as a result of Axl inhibition. Finally, combination of TP-0903 with BTK inhibitors augments CLL B-cell apoptosis.

conclusionsAdministration of TP-0903 either as a single agent or in combination with BTK inhibitors may be effective in treating patients with CLL.

Indexed as

Agammaglobulinaemia Tyrosine KinaseAntineoplastic AgentsApoptosisAxl Receptor Tyrosine KinaseBenzenesulfonamidesBlotting, WesternB-LymphocytesCells, CulturedCoculture TechniquesDrug SynergismFlow CytometryHumansImmunoprecipitationLeukemia, Lymphocytic, Chronic, B-CellProtein Kinase InhibitorsProtein-Tyrosine KinasesAgammaglobulinaemia Tyrosine KinaseAntineoplastic AgentsAXL protein, humanAxl Receptor Tyrosine KinaseBenzenesulfonamidesBTK protein, humandubermatinibProtein Kinase InhibitorsProtein-Tyrosine KinasesProto-Oncogene ProteinsPyrimidinesReceptor Protein-Tyrosine KinasesSulfonamides

Identifiers

PMID25673699
PMCPMC4479154
OpenAlexW2162550834

What OpenQuestion holds

Textmetadata
LicenceTDM
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.