Evidence map›Paper›PMID 27091996›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

NF-κB-driven suppression of FOXO3a contributes to EGFR mutation-independent gefitinib resistance.

Ching-Feng Chiu, Yi-Wen Chang, Kuang-Tai Kuo, Yu-Shiuan Shen, Chien-Ying Liu, Yang-Hao Yu, Ching-Chia Cheng, Kang-Yun Lee, Feng-Chi Chen, Min-Kung Hsu and 3 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
7.0field-weighted citation impact, top 3% 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

57 citing papers in PubMed, 80 citations in OpenAlex.

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  12. Multi-Anticancer Activities of Phytoestrogens in Human Osteosarcoma.International journal of molecular sciences · 2023
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  16. The Role of miRNA-182 and FOXO3 Expression in Breast Cancer.Asian Pacific journal of cancer prevention : APJCP · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 1 country.

Ching-Feng ChiuNational Institute of Cancer Research, National Health Research Institutes, Miaoli County 35053, Taiwan;
Yi-Wen ChangNational Institute of Cancer Research, National Health Research Institutes, Miaoli County 35053, Taiwan;
Kuang-Tai KuoDivision of Thoracic Surgery, Department of Surgery, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan; Division of Thoracic Surgery, Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei City 110, Taiwan;
Yu-Shiuan ShenDepartment of Biotechnology, Asia University, Taichung City 413, Taiwan;
Chien-Ying LiuSchool of Medicine, Chang Gung University, Taoyuan City 33305, Taiwan; Division of Pulmonary Oncology and Interventional Bronchoscopy, Department of Thoracic Medicine, Chang Gung Memorial Hospital, Taoyuan City 33305, Taiwan;
Yang-Hao YuDivisions of Pulmonary and Critical Care Medicine, Department of Internal Medicine, China Medical University Hospital, Taichung City 404, Taiwan; School of Medicine, China Medical University, Taichung City 404, Taiwan;
Ching-Chia ChengNational Institute of Cancer Research, National Health Research Institutes, Miaoli County 35053, Taiwan;
Kang-Yun LeeDepartment of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei City 110, Taiwan; Division of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan;
Feng-Chi ChenInstitute of Population Health Sciences, National Health Research Institutes, Miaoli County 35053, Taiwan;
Min-Kung HsuDepartment of Biological Science and Technology, National Chiao Tung University, Hsinchu City 300, Taiwan;
Tsang-Chih KuoInstitute of Biochemical Sciences, College of Life Science, National Taiwan University, Taipei City 10617, Taiwan;
Jui-Ti MaNational Institute of Cancer Research, National Health Research Institutes, Miaoli County 35053, Taiwan;
Jen-Liang SuNational Institute of Cancer Research, National Health Research Institutes, Miaoli County 35053, Taiwan; Department of Biotechnology, Asia University, Taichung City 413, Taiwan; Graduate Institute of Cancer Biology, China Medical University, Taichung City 404, Taiwan; Center for Molecular Medicine, China Medical University Hospital, Taichung City 404, Taiwan jlsu@nhri.org.tw.
National Health Research Institutes · TWTaipei Medical University-Shuang Ho Hospital · TWAsia University · TWChang Gung University · TWChina Medical University · TWNational Taiwan University · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Therapy with epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (EGFR-TKIs, such as gefitinib or erlotinib) significantly prolongs survival time for patients with tumors harboring an activated mutation on EGFR; however, up to 40% of lung cancer patients exhibit acquired resistance to EGFR-TKIs with an unknown mechanism. FOXO3a, a transcription factor of the forkhead family, triggers apoptosis, but the mechanistic details involved in EGFR-TKI resistance and cancer stemness remain largely unclear. Here, we observed that a high level of FOXO3a was correlated with EGFR mutation-independent EGFR-TKI sensitivity, the suppression of cancer stemness, and better progression-free survival in lung cancer patients. The suppression of FOXO3a obviously increased gefitinib resistance and enhanced the stem-like properties of lung cancer cells; consistent overexpression of FOXO3a in gefitinib-resistant lung cancer cells reduced these effects. Moreover, we identified that miR-155 targeted the 3'UTR of FOXO3a and was transcriptionally regulated by NF-κB, leading to repressed FOXO3a expression and increased gefitinib resistance, as well as enhanced cancer stemness of lung cancer in vitro and in vivo. Our findings indicate that FOXO3a is a significant factor in EGFR mutation-independent gefitinib resistance and the stemness of lung cancer, and suggest that targeting the NF-κB/miR-155/FOXO3a pathway has potential therapeutic value in lung cancer with the acquisition of resistance to EGFR-TKIs.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsDose-Response Relationship, DrugDown-RegulationDrug Resistance, NeoplasmErbB ReceptorsFemaleForkhead Box Protein O3GefitinibHumansLung NeoplasmsMaleMiddle AgedMutationAntineoplastic AgentsEGFR protein, humanErbB ReceptorsForkhead Box Protein O3FOXO3 protein, humanGefitinibNF-kappa BProtein Kinase InhibitorsQuinazolinesEGFRgefitiniblung cancermiR-155NF-κB

Identifiers

PMID27091996
PMCPMC4983816
OpenAlexW2335896793

What OpenQuestion holds

Textmetadata
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.