Evidence map›Paper›PMID 26317651›Full record

ArticleOncotarget2015

Afatinib reverses multidrug resistance in ovarian cancer via dually inhibiting ATP binding cassette subfamily B member 1.

Sheng-qi Wang, Shi-ting Liu, Bo-xin Zhao, Fu-heng Yang, Ya-tian Wang, Qian-Ying Liang, Ya-bin Sun, Yuan Liu, Zhi-hua Song, Yun Cai 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 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
4.2field-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

34 citing papers in PubMed, 53 citations in OpenAlex.

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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.

Sheng-qi WangDepartment of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Shi-ting LiuDepartment of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Bo-xin ZhaoDepartment of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Fu-heng YangDepartment of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Ya-tian WangDepartment of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Qian-Ying LiangDepartment of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Ya-bin SunGCP Center, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Yuan LiuDepartment of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Zhi-hua SongDepartment of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Yun CaiDepartment of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Guo-feng LiDepartment of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Southern Medical University · CNNanfang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ABCB1-mediated multidrug resistance (MDR) remains a major obstacle to successful chemotherapy in ovarian cancer. Herein, afatinib at nontoxic concentrations significantly reversed ABCB1-mediated MDR in ovarian cancer cells in vitro (p < 0.05). Combining paclitaxel and afatinib caused tumor regressions and tumor necrosis in A2780T xenografts in vivo. More interestingly, unlike reversible TKIs, afatinib had a distinctive dual-mode action. Afatinib not only inhibited the efflux function of ABCB1, but also attenuated its expression transcriptionally via down-regulation of PI3K/AKT and MAPK/p38-dependent activation of NF-κB. Furthermore, apart from a substrate binding domain, afatinib could also bind to an ATP binding domain of ABCB1 through forming hydrogen bonds with Gly533, Gly534, Lys536 and Ala560 sites. Importantly, mutations in these four binding sites of ABCB1 and the tyrosine kinase domain of EGFR were not correlated with the reversal activity of afatinib on MDR. Given that afatinib is a clinically approved drug, our results suggest combining afatinib with chemotherapeutic drugs in ovarian cancer. This study can facilitate the rediscovery of superior MDR reversal agents from molecular targeted drugs to provide a more effective and safer way of resensitizing MDR.

Indexed as

AfatinibAmino Acid SequenceAnimalsATP Binding Cassette Transporter, Subfamily BCell Line, TumorCell SurvivalDrug Resistance, MultipleDrug Resistance, NeoplasmFemaleGene Expression Regulation, NeoplasticHumansImmunoblottingMice, Inbred BALB CMice, NudeMitogen-Activated Protein KinasesMolecular Sequence DataABCB1 protein, humanAfatinibATP Binding Cassette Transporter, Subfamily BMitogen-Activated Protein KinasesNF-kappa BPhosphatidylinositol 3-KinasesQuinazolinesABCB1afatinibmultidrug resistanceovarian cancertyrosine kinase inhibitor

Identifiers

PMID26317651
PMCPMC4694892
OpenAlexW2118443127

What OpenQuestion holds

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LicenceCC BY
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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.