Evidence map›Paper›PMID 27780828›Full record

ArticleDisease models & mechanisms2016

Lurbinectedin induces depletion of tumor-associated macrophages, an essential component of its in vivo synergism with gemcitabine, in pancreatic adenocarcinoma mouse models.

María Virtudes Céspedes, María José Guillén, Pedro Pablo López-Casas, Francesca Sarno, Alberto Gallardo, Patricia Álamo, Carmen Cuevas, Manuel Hidalgo, Carlos María Galmarini, Paola Allavena and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Disease models & mechanisms, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05876715 (LINNOVATE), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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.

NCT05876715 phase1 / phase2recruitingnot on this mapstarted 2023, after this paper: background citation

LINNOVATE: A Phase 1/2 Study of Safety/Efficacy Using LURBINECTEDIN, Combined With IPILIMUMAB, and NIVOLUMAB for Advanced Soft Tissue Sarcomas

TypeinterventionalSponsorERLINDA M GORDONRan2023 to 2026Enrolled40ConditionsAdvanced Soft-tissue SarcomaArmsLurbinectedin
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
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  6. A glycogen derived from sea urchin-Frontiers in pharmacology · 2025
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  13. Barriers and opportunities for gemcitabine in pancreatic cancer therapy.American journal of physiology. Cell physiology · 2023
    Review
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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 at 5 institutions in 2 countries.

María Virtudes CéspedesInstitut d'Investigacions Biomèdiques Sant Pau, CIBER de Bioingenieria, Biomateriales y Nanomedicina (CIBER-BBN) and Josep Carreras Research Institute, Hospital de Sant Pau, Av. Sant Antoni M. Claret, 167, Barcelona 08025, Spain.
María José GuillénDepartment of Research and Development (R&D), PharmaMar S.A, Av. de los Reyes, 1, Colmenar Viejo, Madrid 28770, Spain.
Pedro Pablo López-CasasCentro Nacional de Investigaciones Oncológicas (CNIO), Calle de Melchor Fernandez Almagro, 3, Madrid 28029, Spain.
Francesca SarnoCentro Nacional de Investigaciones Oncológicas (CNIO), Calle de Melchor Fernandez Almagro, 3, Madrid 28029, Spain.
Alberto GallardoInstitut d'Investigacions Biomèdiques Sant Pau, CIBER de Bioingenieria, Biomateriales y Nanomedicina (CIBER-BBN) and Josep Carreras Research Institute, Hospital de Sant Pau, Av. Sant Antoni M. Claret, 167, Barcelona 08025, Spain.
Patricia ÁlamoInstitut d'Investigacions Biomèdiques Sant Pau, CIBER de Bioingenieria, Biomateriales y Nanomedicina (CIBER-BBN) and Josep Carreras Research Institute, Hospital de Sant Pau, Av. Sant Antoni M. Claret, 167, Barcelona 08025, Spain.
Carmen CuevasDepartment of Research and Development (R&D), PharmaMar S.A, Av. de los Reyes, 1, Colmenar Viejo, Madrid 28770, Spain.
Manuel HidalgoCentro Nacional de Investigaciones Oncológicas (CNIO), Calle de Melchor Fernandez Almagro, 3, Madrid 28029, Spain.
Carlos María GalmariniDepartment of Research and Development (R&D), PharmaMar S.A, Av. de los Reyes, 1, Colmenar Viejo, Madrid 28770, Spain.
Paola AllavenaIRCCS Istituto Clinico Humanitas, via Manzoni 56, Rozzano, Milano 20089, Italy.
Pablo AvilésDepartment of Research and Development (R&D), PharmaMar S.A, Av. de los Reyes, 1, Colmenar Viejo, Madrid 28770, Spain paviles@pharmamar.com.
Ramón ManguesInstitut d'Investigacions Biomèdiques Sant Pau, CIBER de Bioingenieria, Biomateriales y Nanomedicina (CIBER-BBN) and Josep Carreras Research Institute, Hospital de Sant Pau, Av. Sant Antoni M. Claret, 167, Barcelona 08025, Spain.
PharmaMar (Spain) · ESHospital de Sant Pau · ESSpanish National Cancer Research Centre · ESBiomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine · ESIRCCS Humanitas Research Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We explored whether the combination of lurbinectedin (PM01183) with the antimetabolite gemcitabine could result in a synergistic antitumor effect in pancreatic ductal adenocarcinoma (PDA) mouse models. We also studied the contribution of lurbinectedin to this synergism. This drug presents a dual pharmacological effect that contributes to its in vivo antitumor activity: (i) specific binding to DNA minor grooves, inhibiting active transcription and DNA repair; and (ii) specific depletion of tumor-associated macrophages (TAMs). We evaluated the in vivo antitumor activity of lurbinectedin and gemcitabine as single agents and in combination in SW-1990 and MIA PaCa-2 cell-line xenografts and in patient-derived PDA models (AVATAR). Lurbinectedin-gemcitabine combination induced a synergistic effect on both MIA PaCa-2 [combination index (CI)=0.66] and SW-1990 (CI=0.80) tumor xenografts. It also induced complete tumor remissions in four out of six patient-derived PDA xenografts. This synergism was associated with enhanced DNA damage (anti-γ-H2AX), cell cycle blockage, caspase-3 activation and apoptosis. In addition to the enhanced DNA damage, which is a consequence of the interaction of the two drugs with the DNA, lurbinectedin induced TAM depletion leading to cytidine deaminase (CDA) downregulation in PDA tumors. This effect could, in turn, induce an increase of gemcitabine-mediated DNA damage that was especially relevant in high-density TAM tumors. These results show that lurbinectedin can be used to develop 'molecularly targeted' combination strategies.

Indexed as

AdenocarcinomaAnimalsApoptosisCarbolinesCaspase 3Cell Line, TumorCell ProliferationCytidine DeaminaseDeoxycytidineDisease Models, AnimalDNA DamageDown-RegulationDrug SynergismEnzyme ActivationFemaleGemcitabineCarbolinesCaspase 3Cytidine DeaminaseDeoxycytidineGemcitabineHeterocyclic Compounds, 4 or More RingsPM 01183GemcitabineLurbinectedinPDA mouse modelsSynergismTumor-associated macrophage depletion

Identifiers

PMID27780828
PMCPMC5200894
OpenAlexW2532380331

What OpenQuestion holds

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Registered trials

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.