Evidence map›Paper›PMID 28850563›Full record

ArticleBritish journal of cancer2017

Activation of an AKT/FOXM1/STMN1 pathway drives resistance to tyrosine kinase inhibitors in lung cancer.

Meng Li, Jingyu Yang, Wenlong Zhou, Yong Ren, Xiaoxuan Wang, Huiping Chen, Jingyuan Zhang, Junli Chen, Yuhong Sun, Lijuan Cui and 3 more

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. [Prognostic Value of STMN1 Expression in Non-small Cell Lung Cancer: 
A Meta-analysis].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2024
    Pooled it
  2. Article
  3. The Activity of EGFR CAR NK and CAR T Cells against EGFR Inhibitor-Resistant NSCLC and Drug-Tolerant Persister Cells.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  4. [Research progress in the role of STMN1 in tumor].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    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

13 authors at 2 institutions in 1 country.

Meng LiDepartment of Pharmacology, Shenyang Pharmaceutical University, Shenyang 110016, China.
Jingyu YangDepartment of Pharmacology, Shenyang Pharmaceutical University, Shenyang 110016, China.
Wenlong ZhouDepartment of Pharmacology, Shenyang Pharmaceutical University, Shenyang 110016, China.
Yong RenDepartment of Pathology, Wuhan General Hospital, People's Liberation Army of China, Wuhan 430060, China.
Xiaoxuan WangDepartment of Pharmacology, Shenyang Pharmaceutical University, Shenyang 110016, China.
Huiping ChenDepartment of Pharmacology, Shenyang Pharmaceutical University, Shenyang 110016, China.
Jingyuan ZhangDepartment of Pharmacology, Shenyang Pharmaceutical University, Shenyang 110016, China.
Junli ChenDepartment of Pharmacology, Shenyang Pharmaceutical University, Shenyang 110016, China.
Yuhong SunDepartment of Pharmacology, Shenyang Pharmaceutical University, Shenyang 110016, China.
Lijuan CuiDepartment of Pharmacology, Shenyang Pharmaceutical University, Shenyang 110016, China.
Xing LiuDepartment of Pharmacology, Shenyang Pharmaceutical University, Shenyang 110016, China.
Lihui WangDepartment of Pharmacology, Shenyang Pharmaceutical University, Shenyang 110016, China.
Chunfu WuDepartment of Pharmacology, Shenyang Pharmaceutical University, Shenyang 110016, China.
Shenyang Pharmaceutical University · CNWuhan General Hospital of Guangzhou · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTyrosine kinase inhibitors (TKIs) have demonstrated clinical benefits in the treatment of several tumour types. However, the emergence of TKI resistance restricts the therapeutic effect. This study uses non-small cell lung cancer (NSCLC) to explore the mechanisms contributing to TKI resistance in tumours.

methodsBiological phenotypes and RNA microarray expression data were analysed in NSCLC cells with and without TKI pretreatment. Specific inhibitors and siRNAs were used to validate the direct involvement of an AKT/FOXM1/STMN1 pathway in TKI resistance. Patients' tissues were analysed to explore the clinical importance of FOXM1 and STMN1.

resultsIn vitro and in vivo studies showed that TKIs induced the enrichment of cancer stem cells (CSC), promoted epithelial to mesenchymal transition (EMT), and conferred multidrug resistance on NSCLC cells in a cell type- and TKI class-dependent manner. Mechanistically, TKIs activated an AKT/FOXM1/STMN1 pathway. The crucial role of this pathway in TKI-induced enrichment of CSC and drug resistance was verified by silencing FOXM1 and STMN1 or blocking the AKT pathway. Additionally, overexpression of STMN1 was associated with upregulation of FOXM1 in advanced NSCLC patients, and STMN1/FOXM1 upregulation predicted a poor outcome.

conclusionsOur findings elucidate an additional common mechanism for TKI resistance and provide a promising therapeutic target for reversing TKI resistance in NSCLC.

Indexed as

AnimalsCarcinoma, Non-Small-Cell LungCell Line, TumorDrug Resistance, NeoplasmEpithelial-Mesenchymal TransitionForkhead Box Protein M1GefitinibGene SilencingHumansLung NeoplasmsMaleMiceMice, Inbred BALB CNeoplastic Stem CellsNiacinamidePhenotypeForkhead Box Protein M1FOXM1 protein, humanGefitinibNiacinamidePhenylurea CompoundsProtein Kinase InhibitorsProto-Oncogene Proteins c-aktPyridinesQuinazolinesregorafenibRNA, NeoplasmSorafenibStathminSTMN1 protein, human

Identifiers

PMID28850563
PMCPMC5625681
OpenAlexW2751440913

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.