Evidence map›Paper›PMID 26891683›Full record

ArticleNature communications2016

Diverse drug-resistance mechanisms can emerge from drug-tolerant cancer persister cells.

Michael Ramirez, Satwik Rajaram, Robert J Steininger, Daria Osipchuk, Maike A Roth, Leanna S Morinishi, Louise Evans, Weiyue Ji, Chien-Hsiang Hsu, Kevin Thurley and 6 more

Abstract read
In one paragraph

Article in Nature communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 357 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
357citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

357 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  19. Glycerol-Driven Energy and Proteostasis Underpin Antibiotic Tolerance inbioRxiv : the preprint server for biology · 2026
    Article
  20. Article

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

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.

Michael RamirezDepartment of Pharmaceutical Chemistry, University of California, San Francisco, San Francisco, California 94158, USA.
Satwik RajaramDepartment of Pharmaceutical Chemistry, University of California, San Francisco, San Francisco, California 94158, USA.
Robert J SteiningerGreen Center for Systems Biology, University of Texas Southwestern Medical Center, Dallas, Texas 75390, USA.
Daria OsipchukDepartment of Pharmaceutical Chemistry, University of California, San Francisco, San Francisco, California 94158, USA.
Maike A RothDepartment of Pharmaceutical Chemistry, University of California, San Francisco, San Francisco, California 94158, USA.
Leanna S MorinishiDepartment of Pharmaceutical Chemistry, University of California, San Francisco, San Francisco, California 94158, USA.
Louise EvansDepartment of Pharmaceutical Chemistry, University of California, San Francisco, San Francisco, California 94158, USA.
Weiyue JiDepartment of Pharmaceutical Chemistry, University of California, San Francisco, San Francisco, California 94158, USA.
Chien-Hsiang HsuDepartment of Pharmaceutical Chemistry, University of California, San Francisco, San Francisco, California 94158, USA.
Kevin ThurleyDepartment of Pharmaceutical Chemistry, University of California, San Francisco, San Francisco, California 94158, USA.
Shuguang WeiDepartment of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas 75390, USA.
Anwu ZhouDepartment of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas 75390, USA.
Prasad R KoduruDepartment of Pathology, University of Texas Southwestern Medical Center, Dallas, Texas 75390, USA.
Bruce A PosnerDepartment of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas 75390, USA.
Lani F WuDepartment of Pharmaceutical Chemistry, University of California, San Francisco, San Francisco, California 94158, USA.
Steven J AltschulerDepartment of Pharmaceutical Chemistry, University of California, San Francisco, San Francisco, California 94158, USA.

Funding

UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Sandi Leigh Pruitt · 2010 to 2026
$53.7M
STRUCTURAL BIOLOGY TRAINING PROGRAMT32GM008284 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KORTEMME, TANJA · 1988 to 2022
$10.1M
BMI Bioinformatics Training GrantsT32GM067547 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HERNANDEZ, RYAN D. · 2003 to 2022
$6.6M
Integrative Program in Complex Biological System (ipCBS)T32EB009383 · NIBIB · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MARSHALL, WALLACE, WEINER, ORION D · 2009 to 2022
$3.2M
Lung cancer heterogeneity and its impact on drug resistance.R01CA133253 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI ALTSCHULER, STEVEN J · 2010 to 2015
$2.3M
(PQD1) An Iterative Approach for Overcoming Evolving Targeted Therapy ResistanceR01CA185404 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WU, LANI F · 2014 to 2017
$1.3M
NCI NIH HHS 1P30CA142543-01NCI NIH HHS P30 CA142543NCI NIH HHS R01 CA133253NCI NIH HHS R01CA133253NCI NIH HHS R01 CA185404NIBIB NIH HHS T32 EB009383NIGMS NIH HHS T32 GM008284NIGMS NIH HHS T32 GM067547
6 · The paper itself

Abstract

Cancer therapy has traditionally focused on eliminating fast-growing populations of cells. Yet, an increasing body of evidence suggests that small subpopulations of cancer cells can evade strong selective drug pressure by entering a 'persister' state of negligible growth. This drug-tolerant state has been hypothesized to be part of an initial strategy towards eventual acquisition of bona fide drug-resistance mechanisms. However, the diversity of drug-resistance mechanisms that can expand from a persister bottleneck is unknown. Here we compare persister-derived, erlotinib-resistant colonies that arose from a single, EGFR-addicted lung cancer cell. We find, using a combination of large-scale drug screening and whole-exome sequencing, that our erlotinib-resistant colonies acquired diverse resistance mechanisms, including the most commonly observed clinical resistance mechanisms. Thus, the drug-tolerant persister state does not limit--and may even provide a latent reservoir of cells for--the emergence of heterogeneous drug-resistance mechanisms.

Indexed as

Drug Resistance, NeoplasmAnimalsAntineoplastic AgentsCell Line, TumorErlotinib HydrochlorideHumansLung NeoplasmsMiceMutationTumor Cells, CulturedAntineoplastic AgentsErlotinib Hydrochloride

Identifiers

PMID26891683
PMCPMC4762880

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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.