Evidence map›Paper›PMID 27655645›Full record

ArticleOncotarget2017

Early detection of pemetrexed-induced inhibition of thymidylate synthase in non-small cell lung cancer with FLT-PET imaging.

Xiao Chen, Yizeng Yang, Ian Berger, Urooj Khalid, Akash Patel, Jenny Cai, Michael D Farwell, Corey Langer, Charu Aggarwal, Steven M Albelda and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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 1 institution in 2 countries.

Xiao ChenDepartment of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Yizeng YangDepartment of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Ian BergerDepartment of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Urooj KhalidDepartment of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Akash PatelDepartment of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Jenny CaiDepartment of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Michael D FarwellDepartment of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Corey LangerDepartment of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Charu AggarwalDepartment of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Steven M AlbeldaDepartment of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Sharyn I KatzDepartment of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
University of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inhibition of thymidylate synthase (TS) results in a transient "flare" in DNA thymidine salvage pathway activity measurable with FLT ([18F]thymidine)-positron emission tomography (PET). Here we characterize this imaging strategy for potential clinical translation in non-small cell lung cancer (NSCLC). Since pemetrexed acts by inhibiting TS, we defined the kinetics of increases in thymidine salvage pathway mediated by TS inhibition following treatment with pemetrexed in vitro. Next, using a mouse model of NSCLC, we validated the kinetics of the pemetrexed-mediated "flare" in thymidine salvage pathway activity in vivo using FLT-PET imaging. Finally, we translated our findings into a proof-of-principle clinical trial of FLT-PET in a human NSCLC patient. In NSCLC cells in vitro, we identified a burst in pemetrexed-mediated thymidine salvage pathway activity, assessed by 3H-thymidine assays, thymidine kinase 1 (TK1) expression, and equilibrative nucleoside transporter 1 (ENT1) mobilization to the cell membrane, that peaked at 2hrs. This 2hr time-point was also optimal for FLT-PET imaging of pemetrexed-mediated TS inhibition in murine xenograft tumors and was demonstrated to be feasible in a NSCLC patient. FLT-PET imaging of pemetrexed-induced TS inhibition is optimal at 2hrs from therapy start; this timing is feasible in human clinical trials.

Indexed as

Positron-Emission TomographyRadiopharmaceuticalsAnimalsAntineoplastic AgentsCarcinoma, Non-Small-Cell LungCell Line, TumorDisease Models, AnimalEquilibrative Nucleoside Transporter 1FemaleHumansImage Processing, Computer-AssistedLung NeoplasmsMicePemetrexedThymidineThymidine KinaseAntineoplastic AgentsEquilibrative Nucleoside Transporter 1PemetrexedRadiopharmaceuticalsThymidineThymidine Kinasethymidine kinase 1Thymidylate SynthaseflareFLTlung cancerpemetrexedPET

Identifiers

PMID27655645
PMCPMC5421841
OpenAlexW2519367915

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.