Evidence map›Paper›PMID 27248821›Full record

ArticleOncotarget2016

Inhibition of ALK1 signaling with dalantercept combined with VEGFR TKI leads to tumor stasis in renal cell carcinoma.

Xiaoen Wang, Nicolas Solban, Prateek Khanna, Marcella Callea, Jiaxi Song, David C Alsop, R Scott Pearsall, Michael B Atkins, James W Mier, Sabina Signoretti and 4 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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 25 citations in OpenAlex.

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  10. Bone Morphogenetic Proteins in Vascular Homeostasis and Disease.Cold Spring Harbor perspectives in biology · 2018
    Review
  11. ALK1 signaling in development and disease: new paradigms.Cellular and molecular life sciences : CMLS · 2017
    Review
  12. Article
  13. Article
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  15. Review
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

14 authors at 5 institutions in 1 country.

Xiaoen WangDepartment of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Nicolas SolbanAcceleron Pharma, Inc., Cambridge, MA, USA.
Prateek KhannaDivision of Hematology-Oncology and Cancer Biology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Marcella CalleaDepartment of Pathology, Brigham and Women's Hospital, Boston, MA, USA.
Jiaxi SongDepartment of Pathology, Brigham and Women's Hospital, Boston, MA, USA.
David C AlsopDepartment of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
R Scott PearsallAcceleron Pharma, Inc., Cambridge, MA, USA.
Michael B AtkinsDepartments of Oncology and Medicine, Georgetown Lombardi Comprehensive Cancer Center, Washington, DC, USA.
James W MierDivision of Hematology-Oncology and Cancer Biology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Sabina SignorettiDepartment of Pathology, Brigham and Women's Hospital, Boston, MA, USA.
Marat AlimzhanovAcceleron Pharma, Inc., Cambridge, MA, USA.
Ravi KumarAcceleron Pharma, Inc., Cambridge, MA, USA.
Manoj K BhasinDivision of Interdisciplinary Medicine & Biotechnology, and Genomics, Proteomics, Bioinformatics and Systems Biology Center, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Rupal S BhattDivision of Hematology-Oncology and Cancer Biology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Acceleron Pharma (United States) · USBeth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USHarvard University · USGeorgetown Lombardi Comprehensive Cancer Center

Funding

Treating the P13-Kinase/AKTP50CA101942 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Wanling Xie · 2003 to 2026
$53.4M
Combating Resistance to Antiangiogenic Therapy in Renal Cell CarcinomaR01CA196996 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BHATT, RUPAL S · 2015 to 2019
$2.0M
NCI NIH HHS P50 CA101942NCI NIH HHS R01 CA196996
6 · The paper itself

Abstract

Treatment of metastatic renal cell carcinoma (mRCC) with agents that block signaling through vascular endothelial growth factor receptor 2 (VEGFR2) induces disease regression or stabilization in some patients; however, these responses tend to be short-lived. Therefore, development of combination therapies that can extend the efficacy of VEGFR antagonists in mRCC remains a priority.We studied murine xenograft models of RCC that become refractory to treatment with the VEGFR tyrosine kinase inhibitor (TKI) sunitinib. Dalantercept is a novel antagonist of Activin receptor-like kinase 1 (ALK1)/Bone morphogenetic protein (BMP) 9 signaling. Dalantercept inhibited growth in the murine A498 xenograft model which correlated with hyperdilation of the tumor vasculature and an increase in tumor hypoxia. When combined with sunitinib, dalantercept induced tumor necrosis and prevented tumor regrowth and revascularization typically seen with sunitinib monotherapy in two RCC models. Combination therapy led to significant downregulation of angiogenic genes as well as downregulation of endothelial specific gene expression particularly of the Notch signaling pathway. We demonstrate that simultaneous targeting of molecules that control distinct phases of angiogenesis, such as ALK1 and VEGFR, is a valid strategy for treatment of mRCC. At the molecular level, combination therapy leads to downregulation of Notch signaling.

Indexed as

Activin Receptors, Type IIAnimalsAntineoplastic Combined Chemotherapy ProtocolsAxitinibCarcinoma, Renal CellCell Line, TumorFemaleGene Expression Regulation, NeoplasticHumansImidazolesImmunoglobulin Fc FragmentsIndazolesIndolesKidney NeoplasmsMice, NudeNeovascularization, PathologicActivin Receptors, Type IIACVRL1 protein, humanALK1-Fc fusion protein, humanAxitinibImidazolesImmunoglobulin Fc FragmentsIndazolesIndolesProtein Kinase InhibitorsPyrrolesReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsSunitinibALK-1anti-angiogenic therapydalanterceptrenal cell carcinomaVEGF

Identifiers

PMID27248821
PMCPMC5173101
OpenAlexW2407455680

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.