Evidence map›Paper›PMID 27765909›Full record

ArticleOncotarget2016

In pursuit of synergy: An investigation of the PI3K/mTOR/MEK co-targeted inhibition strategy in NSCLC.

Susan Heavey, Sinead Cuffe, Stephen Finn, Vincent Young, Ronan Ryan, Siobhan Nicholson, Niamh Leonard, Niall McVeigh, Martin Barr, Kenneth O'Byrne and 1 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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Review
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  8. Review
  9. A conjugated mTOR/MEK bifunctional inhibitor as potential polypharmacological anticancer agent: the prototype compound discovery.Medicinal chemistry research : an international journal for rapid communications on design and mechanisms of action of biologically active agents · 2020
    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.

Susan HeaveyDepartment of Clinical Medicine, Trinity College Dublin, Dublin, Ireland.
Sinead CuffeDepartment of Clinical Medicine, Trinity College Dublin, Dublin, Ireland.
Stephen FinnDepartment of Clinical Medicine, Trinity College Dublin, Dublin, Ireland.
Vincent YoungDepartment of Cardiothoracic Surgery, St. James's Hospital, Dublin, Ireland.
Ronan RyanDepartment of Cardiothoracic Surgery, St. James's Hospital, Dublin, Ireland.
Siobhan NicholsonDepartment of Histopathology, St James Hospital, Dublin, Ireland.
Niamh LeonardDepartment of Histopathology, St James Hospital, Dublin, Ireland.
Niall McVeighDepartment of Clinical Medicine, Trinity College Dublin, Dublin, Ireland.
Martin BarrDepartment of Clinical Medicine, Trinity College Dublin, Dublin, Ireland.
Kenneth O'ByrneCancer and Ageing Research Program, Institute of Health and Biomedical Innovation at the Translational Research Institute (TRI), Queensland University of Technology, Brisbane, Australia.
Kathy GatelyDepartment of Clinical Medicine, Trinity College Dublin, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical PI3K inhibition has been somewhat disappointing, due to both inadequate patient stratification and compensatory cell signalling through bypass mechanisms. As such, investigation of PI3K-MEK co-targeted inhibition has been recommended. With high mortality rates and a clear need for new therapeutic intervention strategies, non-small cell lung cancer (NSCLC) is an important setting to investigate the effectiveness of this approach.Here, 174 NSCLC tumours were screened for 150 mutations by Fluidigm technology, with 15 patients being profiled for phosphoprotein expression. The effects of GDC-0941 (a pan PI3K inhibitor), GDC-0980 (a dual PI3K/mTOR inhibitor) and GDC-0973 (a MEK inhibitor) alone and in combination were assessed in 3 NSCLC cell lines.PIK3CA was mutated in 5.17% of NSCLC patients. GDC-0941 and GDC-0980 treatment induced anti-proliferative and pro-apoptotic responses across all NSCLC cell lines, while GDC-0973 treatment induced only anti-proliferative responses. GDC-0980 and GDC-0973 combined treatment led to significant increases in apoptosis and synergistic reductions in proliferation across the panel of cell lines.This study found that the PI3K/MEK co-targeted inhibition strategy is synergistic in all 3 molecular subtypes of NSCLC investigated. Consequently, we would advocate clinical trials for NSCLC patients combining GDC-0980 and GDC-0973, each of which are separately under clinical investigation currently.

Indexed as

A549 CellsAgedAntineoplastic Combined Chemotherapy ProtocolsApoptosisAzetidinesCarcinoma, Non-Small-Cell LungCell ProliferationClass I Phosphatidylinositol 3-KinasesDNA Mutational AnalysisDose-Response Relationship, DrugDrug SynergismFemaleGene Expression Regulation, EnzymologicGene Expression Regulation, NeoplasticHumansIndazoles2-(1H-indazol-4-yl)-6-(4-methanesulfonylpiperazin-1-ylmethyl)-4-morpholin-4-ylthieno(3,2-d)pyrimidineAzetidinesClass I Phosphatidylinositol 3-KinasescobimetinibIndazolesMAP Kinase Kinase KinasesMTOR protein, humanPIK3CA protein, humanPiperidinesProtein Kinase InhibitorsSulfonamidesTOR Serine-Threonine Kinasesco-targetlungMEKNSCLCPI3K

Identifiers

PMID27765909
PMCPMC5346733

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.