Evidence map›Paper›PMID 27167191›Full record

ArticleOncotarget2016

Efficacy of the combination of MEK and CDK4/6 inhibitors in vitro and in vivo in KRAS mutant colorectal cancer models.

Michael S Lee, Timothy L Helms, Ningping Feng, Jason Gay, Qing Edward Chang, Feng Tian, Ji Y Wu, Carlo Toniatti, Timothy P Heffernan, Garth Powis and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 1 pooled it
5.8field-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

91 citing papers in PubMed, 1 synthesis or guideline pooled it, 124 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Cancers · 2026
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  20. Enhancing efficacy of the MEK inhibitor trametinib with paclitaxel inTherapeutic advances in medical oncology · 2024
    Article

31 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

12 authors at 3 institutions in 1 country.

Michael S LeeDivision of Hematology and Oncology, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Timothy L HelmsDepartment of Genomic Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Ningping FengApplied Cancer Science, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Jason GayApplied Cancer Science, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Qing Edward ChangApplied Cancer Science, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Feng TianDepartment of Gastrointestinal Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Ji Y WuDepartment of Gastrointestinal Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Carlo ToniattiApplied Cancer Science, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Timothy P HeffernanApplied Cancer Science, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Garth PowisSanford-Burnham Medical Research Institute, La Jolla, CA, USA.
Lawrence N KwongDepartment of Genomic Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Scott KopetzDepartment of Gastrointestinal Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
The University of Texas MD Anderson Cancer Center · USSanford Burnham Prebys Medical Discovery Institute · USUNC Lineberger Comprehensive Cancer Center

Funding

UT M.D. Anderson Cancer Center SPORE in MelanomaP50CA093459 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI GRIMM, ELIZABETH A · 2004 to 2014
$23.7M
Center for Clinical and Translational Sciences (CCTS)KL2TR000370 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2012 to 2016
$4.3M
Stress Signaling Pathways and Resistance in Colorectal CancerR01CA172670 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KOPETZ, SCOTT · 2013 to 2017
$1.6M
(PQD4) MicroRNA Dysregulation in Field Effect is a Prerequisite for TumorigenesisR21CA185504 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI YANG, ZENG-JIE · 2014 to 2015
$427k
NCATS NIH HHS KL2 TR000370NCI NIH HHS P50 CA093459NCI NIH HHS R01 CA172670NCI NIH HHS R21 CA185504
6 · The paper itself

Abstract

purposeThough the efficacy of MEK inhibitors is being investigated in KRAS-mutant colorectal cancers (CRC), early clinical trials of MEK inhibitor monotherapy did not reveal significant antitumor activity. Resistance to MEK inhibitor monotherapy developed through a variety of mechanisms converging in ERK reactivation. Since ERK increases cyclin D expression and increases entry into the cell cycle, we hypothesized that the combination of MEK inhibitors and CDK4/6 inhibitors would have synergistic antitumor activity and cause tumor regression in vivo.

resultsThe combination of MEK and CDK4/6 inhibitors synergistically inhibited cancer cell growth in vitro and caused tumor regression in vivo in cell line and patient-derived xenograft models. Combination therapy markedly decreased levels of phosphorylated ribosomal protein S6 both in vitro and in vivo and decreased Ki67 staining in vivo. EXPERIMENTAL

designWe performed in vitro proliferation, colony formation, apoptosis, and senescence assays, and Western blots, on a panel of 11 KRAS mutant CRC cell lines treated with the MEK inhibitor MEK162, the CDK4/6 inhibitor palbociclib, or the combination. We also treated 4 KRAS mutant CRC cell line and patient-derived xenografts with the MEK inhibitor trametinib, the CDK4/6 inhibitor palbociclib, or the combination, and performed immunohistochemical and reverse phase protein array analysis.

conclusionsCombined inhibition of both MEK and CDK4/6 is effective in preclinical models of KRAS mutant CRC and justifies a planned phase II clinical trial in patients with refractory KRAS-mutant CRC.Efficacy of the combination of MEK and CDK4/6 inhibitors in vitro and in vivo in KRAS mutant colorectal cancer models.

Indexed as

AnimalsAntineoplastic AgentsCell Line, TumorCell ProliferationClinical Trials as TopicColorectal NeoplasmsCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Disease Models, AnimalExtracellular Signal-Regulated MAP KinasesFemaleGenes, rasHumansMAP Kinase Kinase Kinase 1MiceMice, NudeAntineoplastic AgentsCDK4 protein, humanCdk4 protein, mouseCDK6 protein, humanCdk6 protein, mouseCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Extracellular Signal-Regulated MAP KinasesMAP Kinase Kinase Kinase 1palbociclibPiperazinesPyridinesCDK4/6 inhibitorKRASMEK inhibitorNRAS

Identifiers

PMID27167191
PMCPMC5129956
OpenAlexW2345781825

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.