Evidence map›Paper›PMID 26822154›Full record

ArticleCancer research2016

The Dual MEK/FLT3 Inhibitor E6201 Exerts Cytotoxic Activity against Acute Myeloid Leukemia Cells Harboring Resistance-Conferring FLT3 Mutations.

Weiguo Zhang, Gautam Borthakur, Chen Gao, Ye Chen, Hong Mu, Vivian R Ruvolo, Kenichi Nomoto, Nanding Zhao, Marina Konopleva, Michael Andreeff

Open access · greenAbstract read
In one paragraph

Article in Cancer research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
5.2field-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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 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

10 authors at 2 institutions in 1 country.

Weiguo ZhangSection of Molecular Hematology and Therapy, The University of Texas MD Anderson Cancer Center, Houston Texas. Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston Texas.
Gautam BorthakurSection of Molecular Hematology and Therapy, The University of Texas MD Anderson Cancer Center, Houston Texas. Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston Texas.
Chen GaoSection of Molecular Hematology and Therapy, The University of Texas MD Anderson Cancer Center, Houston Texas. Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston Texas.
Ye ChenSection of Molecular Hematology and Therapy, The University of Texas MD Anderson Cancer Center, Houston Texas. Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston Texas.
Hong MuSection of Molecular Hematology and Therapy, The University of Texas MD Anderson Cancer Center, Houston Texas. Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston Texas.
Vivian R RuvoloSection of Molecular Hematology and Therapy, The University of Texas MD Anderson Cancer Center, Houston Texas. Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston Texas.
Kenichi NomotoEisai Inc., Woodcliff Lake, New Jersey.
Nanding ZhaoEisai Inc., Woodcliff Lake, New Jersey.
Marina KonoplevaSection of Molecular Hematology and Therapy, The University of Texas MD Anderson Cancer Center, Houston Texas. Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston Texas.
Michael AndreeffSection of Molecular Hematology and Therapy, The University of Texas MD Anderson Cancer Center, Houston Texas. Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston Texas. mandreef@mdanderson.org.
The University of Texas MD Anderson Cancer Center · USEisai (United States) · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
University of Texas M.D. Anderson Cancer SPORE-LeukemiaP50CA100632 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI SHPALL, ELIZABETH J · 2003 to 2023
$43.7M
TOLERANCE INDUCTION BY MEGADOSE STEM CELL TRANSPLANTS IN CML--GVHD AND GVLP01CA049639 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI SHPALL, ELIZABETH J · 1990 to 2014
$41.8M
THE THERAPY OF AMLP01CA055164 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BERRY, DONALD A · 1992 to 2011
$25.3M
Combined inhibition of CXCR4 and FLT3-ITD signaling in acute myeloid leukemiaR21CA143805 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI ANDREEFF, MICHAEL, KONOPLEVA, MARINA Y · 2010 to 2011
$649k
NCI NIH HHS CA055164NCI NIH HHS CA100632NCI NIH HHS CA143805NCI NIH HHS P01 CA049639NCI NIH HHS P01 CA055164NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA100632NCI NIH HHS R21 CA143805
6 · The paper itself

Abstract

Fms-like tyrosine kinase 3 (FLT3) inhibition has elicited encouraging responses in acute myeloid leukemia (AML) therapy. Unfortunately, unless combined with a bone marrow transplant, disease relapse is frequent. In addition to the acquired point mutations in the FLT3 kinase domain that contribute to FLT3 inhibitor resistance, MEK/ERK signaling is persistently activated in AML cells even when FLT3 phosphorylation is continually suppressed. Thus, concomitant targeting of FLT3 and MAPK may potentially exert synergistic activity to counteract the resistance of AML cells to FLT3-targeted therapy. In this study, we investigated the antileukemia activity of a MEK1 and FLT3 dual inhibitor, E6201, in AML cells resistant to FLT3 inhibition. We found that E6201 exerted profound apoptogenic effects on AML cells harboring resistance-conferring FLT3 mutations. This activity appeared to be p53 dependent, and E6201-induced cytotoxicity was retained under hypoxic culture conditions and during coculture with mesenchymal stem cells that mimic the AML microenvironment. Furthermore, E6201 markedly reduced leukemia burden and improved the survival of mice in a human FLT3-mutated AML model. Collectively, our data provide a preclinical basis for the clinical evaluation of E6201 in AML patients harboring FLT3 mutations, including those who relapse following FLT3-targeted monotherapy.

Indexed as

AnimalsCell Line, TumorDrug Resistance, NeoplasmFemalefms-Like Tyrosine Kinase 3HumansLactonesLeukemia, Myeloid, AcuteMAP Kinase Signaling SystemMicePhosphorylationPoint MutationProtein Kinase InhibitorsSignal Transduction14-(ethylamino)-8,9,16-trihydroxy-3,4-dimethyl-3,4,9,19-tetrahydro-1H-2-benzoxacyclotetradecine-1,7(8H)-dioneFLT3 protein, humanfms-Like Tyrosine Kinase 3LactonesProtein Kinase Inhibitors

Identifiers

PMID26822154
PMCPMC4794401
OpenAlexW2289433143

What OpenQuestion holds

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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.