Evidence map›Paper›PMID 25881228›Full record

ArticleBMC cancer2015

Predicting response to multidrug regimens in cancer patients using cell line experiments and regularised regression models.

Steffen Falgreen, Karen Dybkær, Ken H Young, Zijun Y Xu-Monette, Tarec C El-Galaly, Maria Bach Laursen, Julie S Bødker, Malene K Kjeldsen, Alexander Schmitz, Mette Nyegaard and 2 more

Abstract read
In one paragraph

Article in BMC cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Overexpression ofInternational journal of molecular sciences · 2025
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  7. Hsp90 inhibition sensitizes DLBCL cells to cisplatin.Cancer chemotherapy and pharmacology · 2022
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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

12 authors.

Steffen FalgreenDepartment of Haematology, Research Section, Aalborg University Hospital, Sdr. Skovvej 15, 9000, Aalborg, Denmark. sfl@rn.dk.
Karen DybkærDepartment of Haematology, Research Section, Aalborg University Hospital, Sdr. Skovvej 15, 9000, Aalborg, Denmark. k.dybkaer@rn.dk.
Ken H YoungDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. khyoung@mdanderson.org.
Zijun Y Xu-MonetteDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. zxu3@mdanderson.org.
Tarec C El-GalalyDepartment of Haematology, Research Section, Aalborg University Hospital, Sdr. Skovvej 15, 9000, Aalborg, Denmark. tarec.galaly@gmail.com.
Maria Bach LaursenDepartment of Haematology, Research Section, Aalborg University Hospital, Sdr. Skovvej 15, 9000, Aalborg, Denmark. mabala@rn.dk.
Julie S BødkerDepartment of Haematology, Research Section, Aalborg University Hospital, Sdr. Skovvej 15, 9000, Aalborg, Denmark. j.boedker@rn.dk.
Malene K KjeldsenDepartment of Haematology, Research Section, Aalborg University Hospital, Sdr. Skovvej 15, 9000, Aalborg, Denmark. makrp@rn.dk.
Alexander SchmitzDepartment of Haematology, Research Section, Aalborg University Hospital, Sdr. Skovvej 15, 9000, Aalborg, Denmark. alex.schmitz@rn.dk.
Mette NyegaardDepartment of Haematology, Research Section, Aalborg University Hospital, Sdr. Skovvej 15, 9000, Aalborg, Denmark. nyegaard@hum-gen.au.dk.
Hans Erik JohnsenDepartment of Haematology, Research Section, Aalborg University Hospital, Sdr. Skovvej 15, 9000, Aalborg, Denmark. haej@rn.dk.
Martin BøgstedDepartment of Haematology, Research Section, Aalborg University Hospital, Sdr. Skovvej 15, 9000, Aalborg, Denmark. martin.boegsted@rn.dk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients suffering from cancer are often treated with a range of chemotherapeutic agents, but the treatment efficacy varies greatly between patients. Based on recent popularisation of regularised regression models the goal of this study was to establish workflows for pharmacogenomic predictors of response to standard multidrug regimens using baseline gene expression data and origin specific cell lines. The proposed workflows are tested on diffuse large B-cell lymphoma treated with R-CHOP first-line therapy.

methodsFirst, B-cell cancer cell lines were tested successively for resistance towards the chemotherapeutic components of R-CHOP: cyclophosphamide (C), doxorubicin (H), and vincristine (O). Second, baseline gene expression data were obtained for each cell line before treatment. Third, regularised multivariate regression models with cross-validated tuning parameters were used to generate classifier and predictor based resistance gene signatures (REGS) for the combination and individual chemotherapeutic drugs C, H, and O. Fourth, each developed REGS was used to assign resistance levels to individual patients in three clinical cohorts.

resultsBoth classifier and predictor based REGS, for the combination CHO, were of prognostic value. For patients classified as resistant towards CHO the risk of progression was 2.33 (95% CI: 1.6, 3.3) times greater than for those classified as sensitive. Similarly, an increase in the predicted CHO resistance index of 10 was related to a 22% (9%, 36%) increased risk of progression. Furthermore, the REGS classifier performed significantly better than the REGS predictor.

conclusionsThe regularised multivariate regression models provide a flexible workflow for drug resistance studies with promising potential. However, the gene expressions defining the REGSs should be functionally validated and correlated to known biomarkers to improve understanding of molecular mechanisms of drug resistance.

Indexed as

Drug Resistance, NeoplasmModels, StatisticalAntibodies, Monoclonal, Murine-DerivedAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsCell Line, TumorCyclophosphamideDose-Response Relationship, DrugDoxorubicinHumansLymphoma, Large B-Cell, DiffuseMultivariate AnalysisNeoplasmsPrednisonePrognosisRegression AnalysisAntibodies, Monoclonal, Murine-DerivedAntineoplastic AgentsCyclophosphamideDoxorubicinPrednisoneR-CHOP protocolRituximabVincristine

Identifiers

PMID25881228
PMCPMC4396063

What OpenQuestion holds

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LicenceCC BY
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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.