Evidence map›Paper›PMID 27611696›Full record

ArticlePloS one2016

Heat Stress-Induced PI3K/mTORC2-Dependent AKT Signaling Is a Central Mediator of Hepatocellular Carcinoma Survival to Thermal Ablation Induced Heat Stress.

Scott M Thompson, Matthew R Callstrom, Danielle E Jondal, Kim A Butters, Bruce E Knudsen, Jill L Anderson, Karen R Lien, Shari L Sutor, Ju-Seog Lee, Snorri S Thorgeirsson and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
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  8. Review
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  10. Moderate hyperthermic heating encountered during thermal ablation increases tumor cell activity.International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2020
    Article
  11. Thermal Ablation of Metastatic Colon Cancer to the Liver.Seminars in interventional radiology · 2019
    Review
  12. Article
  13. Article
  14. Article
  15. Heat stress induced, ligand-independent MET and EGFR signalling in hepatocellular carcinoma.International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2018
    Article
  16. 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

13 authors at 4 institutions in 1 country.

Scott M ThompsonDepartment of Radiology, Mayo Clinic College of Medicine, Rochester, MN, United States of America.
Matthew R CallstromDepartment of Radiology, Mayo Clinic College of Medicine, Rochester, MN, United States of America.
Danielle E JondalDepartment of Radiology, Mayo Clinic College of Medicine, Rochester, MN, United States of America.
Kim A ButtersDepartment of Radiology, Mayo Clinic College of Medicine, Rochester, MN, United States of America.
Bruce E KnudsenDepartment of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine, Rochester, MN, United States of America.
Jill L AndersonDepartment of Radiology, Mayo Clinic College of Medicine, Rochester, MN, United States of America.
Karen R LienDepartment of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine, Rochester, MN, United States of America.
Shari L SutorGenomics Research Center, Mayo Clinic College of Medicine, Rochester, MN, United States of America.
Ju-Seog LeeDivision of Cancer Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, United States of America.
Snorri S ThorgeirssonCenter for Cancer Research, National Cancer Institute, Bethesda, Maryland, United States of America.
Joseph P GrandeDepartment of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine, Rochester, MN, United States of America.
Lewis R RobertsDivision of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, MN, United States of America.
David A WoodrumDepartment of Radiology, Mayo Clinic College of Medicine, Rochester, MN, United States of America.
Mayo Clinic · USCenter for Cancer Research · USMayo Clinic in Arizona · USThe University of Texas MD Anderson Cancer Center · US

Funding

MAYO CLINIC CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIESUL1RR024150 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$66.4M
Mayo Clinic Center for Translational Science ActivitiesTL1RR024152 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$2.5M
EXTRAMURAL RES FACIL IMPROVEMENT PROG: POLYCYSTIC KIDNEY DISEASE, RENAL STUDIES,C06RR018898 · NCRR · MAYO CLINIC · PI BURNETT, JOHN C · 2004 to 2004
$2.3M
Mayo Clinic Center for Translational Science ActivitiesTL1TR000137 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$2.1M
Regulation of molecular thermal ablative resistance in hepatocellular carcinomaR01CA177686 · NCI · MAYO CLINIC ROCHESTER · PI WOODRUM, DAVID A · 2013 to 2017
$1.6M
NCATS NIH HHS TL1 TR000137NCI NIH HHS R01 CA177686NCRR NIH HHS C06 RR018898NCRR NIH HHS TL1 RR024152NCRR NIH HHS UL1 RR024150
6 · The paper itself

Abstract

Thermal ablative therapies are important treatment options in the multidisciplinary care of patients with hepatocellular carcinoma (HCC), but lesions larger than 2-3 cm are plagued with high local recurrence rates and overall survival of these patients remains poor. Currently no adjuvant therapies exist to prevent local HCC recurrence in patients undergoing thermal ablation. The molecular mechanisms mediating HCC resistance to thermal ablation induced heat stress and local recurrence remain unclear. Here we demonstrate that the HCC cells with a poor prognostic hepatic stem cell subtype (Subtype HS) are more resistant to heat stress than HCC cells with a better prognostic hepatocyte subtype (Subtype HC). Moreover, sublethal heat stress rapidly induces phosphoinositide 3-kinase (PI3K)/mammalian target of rapamycin (mTOR) dependent-protein kinase B (AKT) survival signaling in HCC cells in vitro and at the tumor ablation margin in vivo. Conversely, inhibition of PI3K/mTOR complex 2 (mTORC2)-dependent AKT phosphorylation or direct inhibition of AKT function both enhance HCC cell killing and decrease HCC cell survival to sublethal heat stress in both poor and better prognostic HCC subtypes while mTOR complex 1 (mTORC1)-inhibition has no impact. Finally, we showed that AKT isoforms 1, 2 and 3 are differentially upregulated in primary human HCCs and that overexpression of AKT correlates with worse tumor biology and pathologic features (AKT3) and prognosis (AKT1). Together these findings define a novel molecular mechanism whereby heat stress induces PI3K/mTORC2-dependent AKT survival signaling in HCC cells and provide a mechanistic rationale for adjuvant AKT inhibition in combination with thermal ablation as a strategy to enhance HCC cell killing and prevent local recurrence, particularly at the ablation margin.

Indexed as

Hot TemperatureAnimalsBlotting, WesternCarcinoma, HepatocellularCaspase 3Caspase 7Cell Line, TumorCell ProliferationCell SurvivalExtracellular Signal-Regulated MAP KinasesHepatocytesHep G2 CellsHumansMaleMechanistic Target of Rapamycin Complex 2Multiprotein ComplexesCaspase 3Caspase 7Extracellular Signal-Regulated MAP KinasesMechanistic Target of Rapamycin Complex 2Multiprotein ComplexesOncogene Protein v-aktPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktTOR Serine-Threonine Kinases

Identifiers

PMID27611696
PMCPMC5017586
OpenAlexW2511126712

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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.