Evidence map›Paper›PMID 26015408›Full record

ArticleOncotarget2015

NF-κB drives acquired resistance to a novel mutant-selective EGFR inhibitor.

Elena Galvani, Jing Sun, Leticia G Leon, Rocco Sciarrillo, Ravi S Narayan, Robert Tjin Tham Sjin, Kwangho Lee, Kadoaki Ohashi, Daniëlle A M Heideman, Roberta R Alfieri and 6 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 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

22 citing papers in PubMed, 31 citations in OpenAlex.

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  17. Optimization Of Cancer Treatment Through Overcoming Drug Resistance.Journal of cancer research and oncobiology · 2018
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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

16 authors at 6 institutions in 4 countries.

Elena GalvaniDepartment Medical Oncology, VU University Medical Center, Amsterdam, The Netherlands.
Jing SunDivision of Hematology/Oncology, Department of Medicine, Vanderbilt University School of Medicine and Vanderbilt-Ingram Cancer Center, Nashville, TN, USA.
Leticia G LeonInstituto de Tecnologias Biomedicas, Center for Biomedical Research of the Canary Islands, University of La Laguna, Tenerife, Spain.
Rocco SciarrilloDepartment Medical Oncology, VU University Medical Center, Amsterdam, The Netherlands.
Ravi S NarayanDepartment Radiation Oncology, VU University Medical Center, Amsterdam, The Netherlands.
Robert Tjin Tham SjinCelgene Avilomics Research, Bedford, MA, USA.
Kwangho LeeCelgene Avilomics Research, Bedford, MA, USA.
Kadoaki OhashiDivision of Hematology/Oncology, Department of Medicine, Vanderbilt University School of Medicine and Vanderbilt-Ingram Cancer Center, Nashville, TN, USA.
Daniëlle A M HeidemanDepartment of Pathology, VU University Medical Center, Amsterdam, The Netherlands.
Roberta R AlfieriDepartment of Clinical and Experimental Medicine, University of Parma, Parma, Italy.
Guus J HeynenDivision of Molecular Carcinogenesis, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
René BernardsDivision of Molecular Carcinogenesis, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Egbert F SmitDepartment of Pulmonary Diseases, VU University Medical Center, Amsterdam, The Netherlands.
William PaoDivision of Hematology/Oncology, Department of Medicine, Vanderbilt University School of Medicine and Vanderbilt-Ingram Cancer Center, Nashville, TN, USA.
Godefridus J PetersDepartment Medical Oncology, VU University Medical Center, Amsterdam, The Netherlands.
Elisa GiovannettiDepartment Medical Oncology, VU University Medical Center, Amsterdam, The Netherlands.
Amsterdam UMC Location VUmc · NLVanderbilt University · USThe Netherlands Cancer Institute · NLUniversity of Pisa · ITUniversidad de La Laguna · ESUniversity of Parma · IT

Funding

Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MATTHEW J TYSKA · 1995 to 2026
$172.8M
The Role of Focal Oncogene Amplifications in Lung CancerP01CA129243 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Piro Lito · 2007 to 2026
$31.2M
TARGETING NOTCH 3 IN LUNG CANCERP50CA090949 · NCI · VANDERBILT UNIVERSITY · PI MASSION, PIERRE P. · 2001 to 2011
$24.1M
The Cell-Of-Origin of Human CancersU54CA143798 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI MICHOR, FRANZISKA · 2009 to 2014
$11.2M
Overcoming acquired resistance to EGFR inhibitors in lung cancerR01CA121210 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI LOVLY, CHRISTINE M. · 2007 to 2016
$2.9M
NCI NIH HHS P01 CA129243NCI NIH HHS P01-CA129243NCI NIH HHS P30 CA068485NCI NIH HHS P30-CA68485NCI NIH HHS P50 CA090949NCI NIH HHS R01 CA121210NCI NIH HHS R01-CA121210NCI NIH HHS U54 CA143798NCI NIH HHS U54-CA143798
6 · The paper itself

Abstract

The clinical efficacy of EGFR tyrosine kinase inhibitors (TKIs) in non-small cell lung cancer (NSCLC) harbouring activating EGFR mutations is limited by the emergence of acquired resistance, mostly ascribed to the secondary EGFR-T790M mutation. Selective EGFR-T790M inhibitors have been proposed as a new, extremely relevant therapeutic approach. Here, we demonstrate that the novel irreversible EGFR-TKI CNX-2006, a structural analog of CO-1686, currently tested in a phase-1/2 trial, is active against in vitro and in vivo NSCLC models expressing mutant EGFR, with minimal effect on the wild-type receptor. By integration of genetic and functional analyses in isogenic cell pairs we provide evidence of the crucial role played by NF-κB1 in driving CNX-2006 acquired resistance and show that NF-κB activation may replace the oncogenic EGFR signaling in NSCLC when effective and persistent inhibition of the target is achieved in the presence of the T790M mutation. In this context, we demonstrate that the sole, either genetic or pharmacologic, inhibition of NF-κB is sufficient to reduce the viability of cells that adapted to EGFR-TKIs. Overall, our findings support the rational inhibition of members of the NF-κB pathway as a promising therapeutic option for patients who progress after treatment with novel mutant-selective EGFR-TKIs.

Indexed as

AcrylamidesAnimalsAntineoplastic AgentsAzetidinesCarcinoma, Non-Small-Cell LungCell Line, TumorDrug Resistance, NeoplasmEnzyme-Linked Immunosorbent AssayErbB ReceptorsHumansLung NeoplasmsMiceNF-kappa BProtein Kinase InhibitorsPyrimidinesRNA, Small InterferingAcrylamidesAntineoplastic AgentsAzetidinesCNX-2006EGFR protein, humanErbB ReceptorsNF-kappa BProtein Kinase InhibitorsPyrimidinesRNA, Small Interferingrociletinibdrug-resistanceEGFR-T790MEMTNF-κBNSCLC

Identifiers

PMID26015408
PMCPMC4767465
OpenAlexW1685156615

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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.