Evidence map›Paper›PMID 27556517›Full record

ArticleOncotarget2016

Adrenomedullin blockade suppresses sunitinib-resistant renal cell carcinoma growth by targeting the ERK/MAPK pathway.

Yongqian Gao, Jinyi Li, Na Qiao, Qingsong Meng, Ming Zhang, Xin Wang, Jianghua Jia, Shuwen Yang, Changbao Qu, Wei Li and 1 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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

16 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Adrenomedullin in Tumorigenesis and Cancer Progression.International journal of molecular sciences · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Protective effect of adrenomedullin on hyperoxia-induced lung injury.Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2021
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
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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

11 authors at 3 institutions in 2 countries.

Yongqian GaoDepartment of Interventional Radiology, Tangshan Gongren Hospital, Hebei Medical University, Tangshan 063000, P.R. China.
Jinyi LiDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, 10029, USA.
Na QiaoDepartment of Urologic Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, China.
Qingsong MengDepartment of Urologic Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, China.
Ming ZhangDepartment of Urologic Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, China.
Xin WangDepartment of Urologic Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, China.
Jianghua JiaDepartment of Urologic Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, China.
Shuwen YangDepartment of Urologic Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, China.
Changbao QuDepartment of Urologic Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, China.
Wei LiDepartment of Urologic Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, China.
Dongbin WangDepartment of Urologic Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, China.
Hebei Medical University · CNSecond Hospital of Hebei Medical University · CNIcahn School of Medicine at Mount Sinai · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the mechanisms underlying sunitinib resistance in RCC and to identify targets that may be used to overcome this resistance.

resultsReanalysis of transcriptome microarray datasets (GSE64052 and GSE76068) showed that adrenomedullin expression was increased in sunitinib-resistant tumors. And adrenomedullin expression was increased in sunitinib-resistant tumor xenografts, accompanied by upregulation of phospho-ERK levels. However, blocking adrenomedullin inhibited sunitinib-resistant tumor growth. Treatment of RCC cells with sunitinib and ADM22-52 was superior to monotherapy with either agent. Additionally, adrenomedullin upregulated cAMP and activated the ERK/MAPK pathway, promoting cell proliferation, while knockdown of adrenomedullin inhibited RCC cell growth and invasion in vitro. MATERIALS AND

methodsWe searched the Gene Expression Omnibus (GEO) database to find data regarding sunitinib-resistant RCC. These data were subsequently reanalyzed to identify targets that contribute to sunitinib resistance, and adrenomedullin upregulation was found to mediate sunitinib resistance in RCC. Then, we created an RCC mouse xenograft model. Mice were treated with sunitinib, an adrenomedullin receptor antagonist (ADM22-52), a MEK inhibitor (PD98059) and different combinations of these three drugs to investigate their effects on tumor growth. RCC cells (786-0) were cultured in vitro and treated with an ADM22-52 or PD98059 to determine whether adrenomedullin activates the ERK/MAPK pathway. Adrenomedullin was knocked down in 786-0 cells via siRNA, and the effects of this knockdown on cell were subsequently investigated.

conclusionsAdrenomedullin plays an important role in RCC resistance to sunitinib treatment. The combination of sunitinib and an adrenomedullin receptor antagonist may result in better outcomes in advanced RCC patients.

Indexed as

Drug Resistance, NeoplasmAdrenomedullinAnimalsApoptosisBiomarkers, TumorCarcinoma, Renal CellCell ProliferationExtracellular Signal-Regulated MAP KinasesHumansIndolesKidney NeoplasmsMaleMAP Kinase Signaling SystemMiceMice, Inbred BALB CMice, NudeAdrenomedullinBiomarkers, TumorExtracellular Signal-Regulated MAP KinasesIndolesPyrrolesSunitinibadrenomedullinERKrenal cell carcinomatyrosine kinase inhibitor

Identifiers

PMID27556517
PMCPMC5325371
OpenAlexW2508973811

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.