Evidence map›Paper›PMID 25909220›Full record

ArticleOncotarget2015

Fasting potentiates the anticancer activity of tyrosine kinase inhibitors by strengthening MAPK signaling inhibition.

Irene Caffa, Vito D'Agostino, Patrizia Damonte, Debora Soncini, Michele Cea, Fiammetta Monacelli, Patrizio Odetti, Alberto Ballestrero, Alessandro Provenzani, Valter D Longo and 1 more

Registry-linked trialOpen 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. It is linked to trial NCT04247464 (Evaluation of Short-term Fasting Effects on Chemotherapy Toxicity and Efficacy), which is not on this map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
3.3field-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.

NCT04247464 nacompletednot on this mapstarted 2020, after this paper: background citation

Evaluation of Short-term Fasting Effects on Chemotherapy Toxicity and Efficacy

TypeinterventionalSponsorIMDEA FoodRan2020 to 2023Enrolled11ConditionsFastingArmsFasting
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Observational
  8. [The Role of Fasting-Mimicking Diet in Cancer Therapy: Mechanisms, Challenges, and Clinical Prospects].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025
    Review
  9. Article
  10. Nutrition, GH/IGF-1 signaling, and cancer.Endocrine-related cancer · 2024
    Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
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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 5 institutions in 2 countries.

Irene CaffaDepartment of Internal Medicine, University of Genoa, Genoa, Italy.
Vito D'AgostinoLaboratory of Genomic Screening, Centre for Integrative Biology, CIBIO, University of Trento, Trento, Italy.
Patrizia DamonteDepartment of Internal Medicine, University of Genoa, Genoa, Italy.
Debora SonciniDepartment of Internal Medicine, University of Genoa, Genoa, Italy.
Michele CeaDepartment of Internal Medicine, University of Genoa, Genoa, Italy.
Fiammetta MonacelliDepartment of Internal Medicine, University of Genoa, Genoa, Italy.
Patrizio OdettiDepartment of Internal Medicine, University of Genoa, Genoa, Italy.
Alberto BallestreroDepartment of Internal Medicine, University of Genoa, Genoa, Italy.
Alessandro ProvenzaniLaboratory of Genomic Screening, Centre for Integrative Biology, CIBIO, University of Trento, Trento, Italy.
Valter D LongoLongevity Institute, School of Gerontology, Department of Biological Sciences, University of Southern California, Los Angeles, CA, USA.
Alessio NencioniDepartment of Internal Medicine, University of Genoa, Genoa, Italy.
University of Genoa · ITAlleanza Contro il Cancro · ITUniversity of Trento · ITFIRC Institute of Molecular Oncology · ITOspedale Policlinico San Martino · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tyrosine kinase inhibitors (TKIs) are now the mainstay of treatment in many types of cancer. However, their benefit is frequently short-lived, mandating the search for safe potentiation strategies. Cycles of fasting enhance the activity of chemo-radiotherapy in preclinical cancer models and dietary approaches based on fasting are currently explored in clinical trials. Whether combining fasting with TKIs is going to be potentially beneficial remains unknown. Here we report that starvation conditions increase the ability of commonly administered TKIs, including erlotinib, gefitinib, lapatinib, crizotinib and regorafenib, to block cancer cell growth, to inhibit the mitogen-activated protein kinase (MAPK) signaling pathway and to strengthen E2F-dependent transcription inhibition. In cancer xenografts models, both TKIs and cycles of fasting slowed tumor growth, but, when combined, these interventions were significantly more effective than either type of treatment alone. In conclusion, cycles of fasting or of specifically designed fasting-mimicking diets should be evaluated in clinical studies as a means to potentiate the activity of TKIs in clinical use.

Indexed as

AnimalsAntineoplastic AgentsCell Line, TumorCell SurvivalFastingFemaleHeterograftsHumansImmunoblottingMAP Kinase Signaling SystemMiceMice, Inbred BALB CNeoplasmsOligonucleotide Array Sequence AnalysisProtein Kinase InhibitorsReal-Time Polymerase Chain ReactionAntineoplastic AgentsProtein Kinase Inhibitorscell cycle regulationE2F transcription factorsfastingMAPK pathwaytyrosine kinase inhibitors

Identifiers

PMID25909220
PMCPMC4494907
OpenAlexW1560626964

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.