Evidence map›Paper›PMID 27044711›Full record

ArticleLeukemia2016

A role for FOXO1 in BCR-ABL1-independent tyrosine kinase inhibitor resistance in chronic myeloid leukemia.

M Wagle, A M Eiring, M Wongchenko, S Lu, Y Guan, Y Wang, M Lackner, L Amler, G Hampton, M W Deininger and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Leukemia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
4.8field-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

41 citing papers in PubMed, 83 citations in OpenAlex.

  1. Article
  2. Oxidative Phosphorylation and Fatty Acid Oxidation Are Central to Mitochondrial Metabolism Rewiring in CML Stem/Progenitor Cell Survival.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
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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

12 authors at 2 institutions in 1 country.

M WagleOncology Biomarker Development, Genentech, South San Francisco, CA, USA.
A M EiringHuntsman Cancer Institute, The University of Utah, Salt Lake City, UT, USA.
M WongchenkoOncology Biomarker Development, Genentech, South San Francisco, CA, USA.
S LuOncology Biomarker Development, Genentech, South San Francisco, CA, USA.
Y GuanOncology Biomarker Development, Genentech, South San Francisco, CA, USA.
Y WangOncology Biomarker Development, Genentech, South San Francisco, CA, USA.
M LacknerOncology Biomarker Development, Genentech, South San Francisco, CA, USA.
L AmlerOncology Biomarker Development, Genentech, South San Francisco, CA, USA.
G HamptonOncology Biomarker Development, Genentech, South San Francisco, CA, USA.
M W DeiningerHuntsman Cancer Institute, The University of Utah, Salt Lake City, UT, USA.
T O'HareHuntsman Cancer Institute, The University of Utah, Salt Lake City, UT, USA.
Y YanOncology Biomarker Development, Genentech, South San Francisco, CA, USA.
Huntsman Cancer Institute · USUniversity of Utah · US

Funding

MULTIDISCIPLINARY CANCER RESEARCH TRAINING PROGRAMT32CA093247 · NCI · UNIVERSITY OF UTAH · PI AYER, DONALD E · 2002 to 2011
$5.2M
Mechanisms of resistance to ponatinib therapy in chronic myeloid leukemiaR01CA178397 · NCI · UNIVERSITY OF UTAH · PI DEININGER, MICHAEL W., O'HARE, THOMAS J. · 2014 to 2018
$2.6M
NCI NIH HHS R01 CA178397NCI NIH HHS T32 CA093247
6 · The paper itself

Abstract

Chronic myeloid leukemia (CML) patients who relapse on imatinib due to acquired ABL1 kinase domain mutations are successfully treated with second-generation ABL1-tyrosine kinase inhibitors (ABL-TKIs) such as dasatinib, nilotinib or ponatinib. However, ~40% of relapsed patients have uncharacterized BCR-ABL1 kinase-independent mechanisms of resistance. To identify these mechanisms of resistance and potential treatment options, we generated ABL-TKI-resistant K562 cells through prolonged sequential exposure to imatinib and dasatinib. Dual-resistant K562 cells lacked BCR-ABL1 kinase domain mutations, but acquired other genomic aberrations that were characterized by next-generation sequencing and copy number analyses. Proteomics showed that dual-resistant cells had elevated levels of FOXO1, phospho-ERK and BCL-2, and that dasatinib no longer inhibited substrates of the PI3K/AKT pathway. In contrast to parental cells, resistant cells were sensitive to growth inhibition and apoptosis induced by the class I PI3K inhibitor, GDC-0941 (pictilisib), which also induced FOXO1 nuclear translocation. FOXO1 was elevated in a subset of primary specimens from relapsed CML patients lacking BCR-ABL1 kinase domain mutations, and these samples were responsive to GDC-0941 treatment ex vivo. We conclude that elevated FOXO1 contributes to BCR-ABL1 kinase-independent resistance experienced by these CML patients and that PI3K inhibition coupled with BCR-ABL1 inhibition may represent a novel therapeutic approach.

Indexed as

Drug Resistance, NeoplasmApoptosisCell ProliferationDasatinibDrug ToleranceForkhead Box Protein O1Fusion Proteins, bcr-ablHumansImatinib MesylateIndazolesK562 CellsLeukemia, Myelogenous, Chronic, BCR-ABL PositivePhosphoinositide-3 Kinase InhibitorsProtein Kinase InhibitorsSulfonamidesTumor Cells, Cultured2-(1H-indazol-4-yl)-6-(4-methanesulfonylpiperazin-1-ylmethyl)-4-morpholin-4-ylthieno(3,2-d)pyrimidineDasatinibForkhead Box Protein O1FOXO1 protein, humanFusion Proteins, bcr-ablImatinib MesylateIndazolesPhosphoinositide-3 Kinase InhibitorsProtein Kinase InhibitorsSulfonamides

Identifiers

PMID27044711
PMCPMC4935980
OpenAlexW2296146218

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.