Evidence map›Paper›PMID 26593250›Full record

ArticleOncotarget2016

Synergistic cytotoxic effects of bortezomib and CK2 inhibitor CX-4945 in acute lymphoblastic leukemia: turning off the prosurvival ER chaperone BIP/Grp78 and turning on the pro-apoptotic NF-κB.

Francesca Buontempo, Ester Orsini, Annalisa Lonetti, Alessandra Cappellini, Francesca Chiarini, Camilla Evangelisti, Cecilia Evangelisti, Fraia Melchionda, Andrea Pession, Alice Bertaina and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
5.0field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
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  4. Cell surface GRP78 and the UPR pathway as novel promising therapeutic targets in cancer: an insight into the treatment of acute leukemia by using GRP78-CART cells.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  7. Article
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  9. Article
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  13. Targeting Protein Kinases in Blood Cancer: Focusing on CK1α and CK2.International journal of molecular sciences · 2021
    Review
  14. 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

15 authors at 7 institutions in 2 countries.

Francesca BuontempoDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Ester OrsiniDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Annalisa LonettiPediatric Oncology and Hematology Unit "Lalla Seràgnoli", S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Alessandra CappelliniDepartment of Human Social and Health Sciences, Campus Folcara, University of Cassino, Cassino, Italy.
Francesca ChiariniMuscoloskeletal Cell Biology Laboratory, IOR, Bologna, Italy.
Camilla EvangelistiMuscoloskeletal Cell Biology Laboratory, IOR, Bologna, Italy.
Cecilia EvangelistiDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Fraia MelchiondaPediatric Oncology and Hematology Unit "Lalla Seràgnoli", S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Andrea PessionPediatric Oncology and Hematology Unit "Lalla Seràgnoli", S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Alice BertainaDepartment of Pediatric Hematology and Oncology, IRCCS Bambino Gesù Children's Hospital, Rome, Italy.
Franco LocatelliDepartment of Pediatric Hematology and Oncology, IRCCS Bambino Gesù Children's Hospital, Rome, Italy.
Jessika BertacchiniDepartment of Surgery, Medicine, Odontostomatology and Morphological Sciences, University of Modena, Modena, Italy.
Luca Maria NeriDepartment of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy.
James A McCubreyDepartment of Microbiology and Immunology, School of Medicine, East Carolina University, Greenville, NC, USA.
Alberto Maria MartelliDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
University of Bologna · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITNational Research Council · ITEast Carolina University · USUniversità degli studi di Cassino e del Lazio Meridionale · ITUniversity of Ferrara · ITUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The proteasome inhibitor bortezomib is a new targeted treatment option for refractory or relapsed acute lymphoblastic leukemia (ALL) patients. However, a limited efficacy of bortezomib alone has been reported. A terminal pro-apoptotic endoplasmic reticulum (ER) stress/unfolded protein response (UPR) is one of the several mechanisms of bortezomib-induced apoptosis. Recently, it has been documented that UPR disruption could be considered a selective anti-leukemia therapy. CX-4945, a potent casein kinase (CK) 2 inhibitor, has been found to induce apoptotic cell death in T-ALL preclinical models, via perturbation of ER/UPR pathway. In this study, we analyzed in T- and B-ALL preclinical settings, the molecular mechanisms of synergistic apoptotic effects observed after bortezomib/CX-4945 combined treatment. We demonstrated that, adding CX-4945 after bortezomib treatment, prevented leukemic cells from engaging a functional UPR in order to buffer the bortezomib-mediated proteotoxic stress in ER lumen. We documented that the combined treatment decreased pro-survival ER chaperon BIP/Grp78 expression, via reduction of chaperoning activity of Hsp90. Bortezomib/CX-4945 treatment inhibited NF-κB signaling in T-ALL cell lines and primary cells from T-ALL patients, but, intriguingly, in B-ALL cells the drug combination activated NF-κB p65 pro-apoptotic functions. In fact in B-cells, the combined treatment induced p65-HDAC1 association with consequent repression of the anti-apoptotic target genes, Bcl-xL and XIAP. Exposure to NEMO (IKKγ)-binding domain inhibitor peptide reduced the cytotoxic effects of bortezomib/CX-4945 treatment. Overall, our findings demonstrated that CK2 inhibition could be useful in combination with bortezomib as a novel therapeutic strategy in both T- and B-ALL.

Indexed as

Antineoplastic AgentsApoptosisBlotting, WesternBortezomibCasein Kinase IICell Line, TumorCell SurvivalDrug SynergismEndoplasmic Reticulum Chaperone BiPEndoplasmic Reticulum StressHeat-Shock ProteinsHumansJurkat CellsMicroscopy, FluorescenceNaphthyridinesNeoplastic Stem CellsAntineoplastic AgentsBortezomibCasein Kinase IIEndoplasmic Reticulum Chaperone BiPHeat-Shock ProteinsHSPA5 protein, humanNaphthyridinesPhenazinessilmitasertibTranscription Factor RelAacute lymphoblastic leukemiaBIP/Grp78CK2NF-κBunfolded protein response

Identifiers

PMID26593250
PMCPMC4811463
OpenAlexW2266460037

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.