Evidence map›Paper›PMID 27486761›Full record

ArticleOncotarget2016

Intratumoral heterogeneity of the therapeutical response to gemcitabine and metformin.

Dietmar Zechner, Florian Bürtin, Ann-Christin Albert, Xianbin Zhang, Simone Kumstel, Maria Schönrogge, Josefine Graffunder, Hao-Yu Shih, Sarah Müller, Tobias Radecke and 2 more

Abstract 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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

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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.

Dietmar ZechnerInstitute for Experimental Surgery, Rostock University Medical Center, 18057 Rostock, Germany.
Florian BürtinInstitute for Experimental Surgery, Rostock University Medical Center, 18057 Rostock, Germany.
Ann-Christin AlbertInstitute for Experimental Surgery, Rostock University Medical Center, 18057 Rostock, Germany.
Xianbin ZhangInstitute for Experimental Surgery, Rostock University Medical Center, 18057 Rostock, Germany.
Simone KumstelInstitute for Experimental Surgery, Rostock University Medical Center, 18057 Rostock, Germany.
Maria SchönroggeInstitute for Experimental Surgery, Rostock University Medical Center, 18057 Rostock, Germany.
Josefine GraffunderInstitute for Experimental Surgery, Rostock University Medical Center, 18057 Rostock, Germany.
Hao-Yu ShihInstitute for Experimental Surgery, Rostock University Medical Center, 18057 Rostock, Germany.
Sarah MüllerDivision of Gastroenterology, Department of Medicine II, Rostock University Medical Center, 18057 Rostock, Germany.
Tobias RadeckeInstitute for Experimental Surgery, Rostock University Medical Center, 18057 Rostock, Germany.
Robert JasterDivision of Gastroenterology, Department of Medicine II, Rostock University Medical Center, 18057 Rostock, Germany.
Brigitte VollmarInstitute for Experimental Surgery, Rostock University Medical Center, 18057 Rostock, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer heterogeneity and microenvironmental aspects within a tumor are considered key factors influencing resistance of carcinoma cells to distinct chemotherapeutical agents. We evaluated a high concentration of metformin in combination with gemcitabine on a syngeneic orthotopic mouse model using 6606PDA cells. We observed reduced tumor size and reduced cancer cell proliferation after three weeks of chemotherapy with either compound and noticed an additive effect between gemcitabine and metformin on tumor weight. Interestingly, distinct areas of the carcinoma responded differently to either compound. Metformin inhibited the proliferation of cancer cells close to the desmoplastic reaction, whereas gemcitabine inhibited the proliferation of cancer cells mainly 360-570 μm distant to the desmoplastic reaction. Indeed, co-culture of pancreatic stellate cells with 6606PDA, 7265PDA or MIA PaCa-2 cells increased gemcitabine resistance. Metformin resistance, however, was increased by high glucose concentration in the medium. Other factors such as hypoxia or the pH of the medium had no influence on gemcitabine or metformin induced inhibition of cancer cell proliferation. These data demonstrate a spatial heterogeneity in drug resistance within pancreatic adenocarcinomas and that microenvironmental aspects such as supply of glucose and the presence of pancreatic stellate cells regulate cancer cell sensitivity towards metformin or gemcitabine.

Indexed as

Drug Resistance, NeoplasmTumor MicroenvironmentAdenocarcinomaAnimalsAntineoplastic Combined Chemotherapy ProtocolsBlood GlucoseCell HypoxiaCell Line, TumorCell ProliferationCoculture TechniquesDeoxycytidineGemcitabineHumansHydrogen-Ion ConcentrationMaleMetforminBlood GlucoseDeoxycytidineGemcitabineMetforminchemotherapymicroenvironmentpancreatic adenocarcinomapH Blotsyngeneic orthotopic cancer model

Identifiers

PMID27486761
PMCPMC5302922

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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.