Evidence map›Paper›PMID 26855150›Full record

ArticleNature medicine2016

CYP3A5 mediates basal and acquired therapy resistance in different subtypes of pancreatic ductal adenocarcinoma.

Elisa M Noll, Christian Eisen, Albrecht Stenzinger, Elisa Espinet, Alexander Muckenhuber, Corinna Klein, Vanessa Vogel, Bernd Klaus, Wiebke Nadler, Christoph Rösli and 20 more

Open access · bronzeAbstract read
In one paragraph

Article in Nature medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed, 2 pooled it
14.5field-weighted citation impact, top 1% 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

116 citing papers in PubMed, 2 syntheses or guidelines pooled it, 226 citations in OpenAlex.

  1. Pooled it
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  14. Single-cell analysis reveals that GFAPCell death & disease · 2025
    Article
  15. Article
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  17. CYP3A5 promotes glioblastoma stemness and chemoresistance through fine-tuning NADJournal of experimental & clinical cancer research : CR · 2025
    Article
  18. Review
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  20. Dual and triple gene combinations of KRT5, KRT17, and S100A2 identify basal-like subtype of pancreatic ductal adenocarcinoma and correlate with survival outcome.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2024
    Article

56 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors at 6 institutions in 1 country.

Elisa M NollHeidelberg Institute for Stem Cell Technology and Experimental Medicine (HI-STEM), Heidelberg, Germany.
Christian EisenHeidelberg Institute for Stem Cell Technology and Experimental Medicine (HI-STEM), Heidelberg, Germany.
Albrecht StenzingerDepartment of Pathology, University of Heidelberg, Heidelberg, Germany.
Elisa EspinetHeidelberg Institute for Stem Cell Technology and Experimental Medicine (HI-STEM), Heidelberg, Germany.
Alexander MuckenhuberDepartment of Pathology, University of Heidelberg, Heidelberg, Germany.
Corinna KleinHeidelberg Institute for Stem Cell Technology and Experimental Medicine (HI-STEM), Heidelberg, Germany.
Vanessa VogelHeidelberg Institute for Stem Cell Technology and Experimental Medicine (HI-STEM), Heidelberg, Germany.
Bernd KlausGenome Biology Unit, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany.
Wiebke NadlerHeidelberg Institute for Stem Cell Technology and Experimental Medicine (HI-STEM), Heidelberg, Germany.
Christoph RösliHeidelberg Institute for Stem Cell Technology and Experimental Medicine (HI-STEM), Heidelberg, Germany.
Christian LutzHeidelberg Pharma GmbH, Ladenburg, Germany.
Michael KulkeHeidelberg Pharma GmbH, Ladenburg, Germany.
Jan EngelhardtHeidelberg Institute for Stem Cell Technology and Experimental Medicine (HI-STEM), Heidelberg, Germany.
Franziska M ZickgrafHeidelberg Institute for Stem Cell Technology and Experimental Medicine (HI-STEM), Heidelberg, Germany.
Octavio EspinosaDivision of Theoretical Bioinformatics, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Matthias SchlesnerDivision of Theoretical Bioinformatics, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Xiaoqi JiangDivision of Biostatistics, German Cancer Research Center, Heidelberg, Germany.
Annette Kopp-SchneiderDivision of Biostatistics, German Cancer Research Center, Heidelberg, Germany.
Peter NeuhausDepartment of General, Visceral and Transplantation Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Marcus BahraDepartment of General, Visceral and Transplantation Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Bruno V SinnInstitute of Pathology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Roland EilsDivision of Theoretical Bioinformatics, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Nathalia A GieseDepartment of General and Visceral Surgery, University Hospital Heidelberg, Heidelberg, Germany.
Thilo HackertDepartment of General and Visceral Surgery, University Hospital Heidelberg, Heidelberg, Germany.
Oliver StrobelDepartment of General and Visceral Surgery, University Hospital Heidelberg, Heidelberg, Germany.
Jens WernerDepartment of General and Visceral Surgery, University Hospital Heidelberg, Heidelberg, Germany.
Markus W BüchlerDepartment of General and Visceral Surgery, University Hospital Heidelberg, Heidelberg, Germany.
Wilko WeichertDepartment of Pathology, University of Heidelberg, Heidelberg, Germany.
Andreas TrumppHeidelberg Institute for Stem Cell Technology and Experimental Medicine (HI-STEM), Heidelberg, Germany.
Martin R SprickHeidelberg Institute for Stem Cell Technology and Experimental Medicine (HI-STEM), Heidelberg, Germany.ORCID http://orcid.org/0000-0001-9691-7574
German Cancer Research Center · DEHeidelberg University · DECharité - Universitätsmedizin Berlin · DEHeidelberg Institute for Stem Cell Technology and Experimental Medicine · DEHeidelberg Pharma (Germany) · DEEuropean Molecular Biology Laboratory · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although subtypes of pancreatic ductal adenocarcinoma (PDAC) have been described, this malignancy is clinically still treated as a single disease. Here we present patient-derived models representing the full spectrum of previously identified quasi-mesenchymal (QM-PDA), classical and exocrine-like PDAC subtypes, and identify two markers--HNF1A and KRT81--that enable stratification of tumors into different subtypes by using immunohistochemistry. Individuals with tumors of these subtypes showed substantial differences in overall survival, and their tumors differed in drug sensitivity, with the exocrine-like subtype being resistant to tyrosine kinase inhibitors and paclitaxel. Cytochrome P450 3A5 (CYP3A5) metabolizes these compounds in tumors of the exocrine-like subtype, and pharmacological or short hairpin RNA (shRNA)-mediated CYP3A5 inhibition sensitizes tumor cells to these drugs. Whereas hepatocyte nuclear factor 4, alpha (HNF4A) controls basal expression of CYP3A5, drug-induced CYP3A5 upregulation is mediated by the nuclear receptor NR1I2. CYP3A5 also contributes to acquired drug resistance in QM-PDA and classical PDAC, and it is highly expressed in several additional malignancies. These findings designate CYP3A5 as a predictor of therapy response and as a tumor cell-autonomous detoxification mechanism that must be overcome to prevent drug resistance.

Indexed as

Gene Expression Regulation, NeoplasticAgedAnimalsBiomarkers, TumorCarcinoma, Pancreatic DuctalCytochrome P-450 CYP3ADasatinibDrug Resistance, NeoplasmErlotinib HydrochlorideFemaleHepatocyte Nuclear Factor 1-alphaHepatocyte Nuclear Factor 4HumansImmunohistochemistryKeratins, Hair-SpecificKeratins, Type IIBiomarkers, TumorCYP3A5 protein, humanCytochrome P-450 CYP3ADasatinibErlotinib HydrochlorideHepatocyte Nuclear Factor 1-alphaHepatocyte Nuclear Factor 4HNF1A protein, humanHNF4A protein, humanKeratins, Hair-SpecificKeratins, Type IIKRT81 protein, humanNR1I2 protein, humanNr1i2 protein, mousePaclitaxelPregnane X ReceptorProtein Kinase InhibitorsReceptors, Steroid

Identifiers

PMID26855150
PMCPMC4780258
OpenAlexW2259214628

What OpenQuestion holds

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Read underepoch 390

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.