Evidence map›Paper›PMID 27370604›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2017

Combination of Imatinib Mesylate and AKT Inhibitor Provides Synergistic Effects in Preclinical Study of Gastrointestinal Stromal Tumor.

Phillip Zook, Harsh B Pathak, Martin G Belinsky, Lawrence Gersz, Karthik Devarajan, Yan Zhou, Andrew K Godwin, Margaret von Mehren, Lori Rink

Open access · bronzeAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

23 citing papers in PubMed, 40 citations in OpenAlex.

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  7. Endoscopic Characteristics of Small-Bowel Gastrointestinal Stromal Tumors Detected During Single-Balloon Enteroscopy: A Retrospective Analysis.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2024
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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

9 authors at 2 institutions in 1 country.

Phillip Zook *Molecular Therapeutics Program, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Harsh B Pathak *Department of Pathology and Laboratory Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Martin G BelinskyMolecular Therapeutics Program, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Lawrence GerszMolecular Therapeutics Program, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Karthik DevarajanDepartment of Biostatistics and Bioinformatics, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Yan ZhouDepartment of Biostatistics and Bioinformatics, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Andrew K GodwinDepartment of Pathology and Laboratory Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Margaret von MehrenMolecular Therapeutics Program, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Lori RinkMolecular Therapeutics Program, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Fox Chase Cancer Center · USUniversity of Kansas Medical Center · US

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Margaret von Mehren · 1985 to 2026
$138.8M
The Molecular Actions of Imatinib Mesylate in GISTsR01CA106588 · NCI · UNIVERSITY OF KANSAS MEDICAL CENTER · PI GODWIN, ANDREW K., VON MEHREN, MARGARET · 2004 to 2013
$3.8M
Exploiting vulnerabilities in GIST using novel combination therapiesR01CA212662 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI RINK, LORI · 2017 to 2021
$2.1M
ZNF-Mediated Resistance to Imatinib Mesylate in Gastrointestinal Stromal TumorR00CA158065 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI RINK, LORI · 2014 to 2016
$740k
NCI NIH HHS P30 CA006927NCI NIH HHS R00 CA158065NCI NIH HHS R01 CA106588NCI NIH HHS R01 CA212662
6 · The paper itself

Abstract

purposeGastrointestinal stromal tumors (GIST) generally harbor activating mutations in the receptor tyrosine kinase KIT or in the related platelet-derived growth factor receptor alpha (PDGFRA). GIST treated with imatinib mesylate or second-line therapies that target mutant forms of these receptors generally escape disease control and progress over time. Inhibiting additional molecular targets may provide more substantial disease control. Recent studies have implicated the PI3K/AKT pathway in the survival of imatinib mesylate-resistant GIST cell lines and tumors. EXPERIMENTAL

designHere, we performed in vitro and in vivo studies evaluating the novel combination of imatinib mesylate with the AKT inhibitor MK-2206 in GIST. Whole-transcriptome sequencing (WTS) of xenografts was performed to explore the molecular aspects of tumor response to this novel combination and to potentially identify additional therapeutic targets in GIST.

resultsThis drug combination demonstrated significant synergistic effects in a panel of imatinib mesylate-sensitive and -resistant GIST cell lines. Furthermore, combination therapy provided significantly greater efficacy, as measured by tumor response and animal survival, in imatinib mesylate-sensitive GIST xenografts as compared with treatment with imatinib mesylate or MK-2206 alone. WTS implicated two neural genes, brain expressed X-linked 1 and neuronal pentraxin I, whose expression was significantly upregulated in combination-treated tumors compared with tumors treated with the two monotherapies.

conclusionsThese studies provide strong preclinical justification for combining imatinib mesylate with an AKT inhibitor as a front-line therapy in GIST. In addition, the WTS implicated the BCL-2/BAX/BAD apoptotic pathway as a potential mechanism for this enhanced combination effect. Clin Cancer Res; 23(1); 171-80. ©2016 AACR.

Indexed as

AnimalsAntineoplastic AgentsCell Line, TumorCell SurvivalDisease Models, AnimalDose-Response Relationship, DrugDrug Evaluation, PreclinicalDrug SynergismExome SequencingGastrointestinal Stromal TumorsGene Expression ProfilingHeterocyclic Compounds, 3-RingHumansImatinib MesylateMiceProtein Kinase InhibitorsAntineoplastic AgentsHeterocyclic Compounds, 3-RingImatinib MesylateMK 2206Protein Kinase InhibitorsProto-Oncogene Proteins c-kit

Identifiers

PMID27370604
PMCPMC5203981
OpenAlexW2467976210

What OpenQuestion holds

Textmetadata
LicenceTDM
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.