Evidence map›Paper›PMID 29113809›Full record

ArticleGastroenterology2018

MIR21 Drives Resistance to Heat Shock Protein 90 Inhibition in Cholangiocarcinoma.

Andrea Lampis, Pietro Carotenuto, Georgios Vlachogiannis, Luciano Cascione, Somaieh Hedayat, Rosemary Burke, Paul Clarke, Else Bosma, Michele Simbolo, Aldo Scarpa and 24 more

Open access · hybridAbstract read
In one paragraph

Article in Gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 4 pooled it
9.9field-weighted citation impact, top 1% 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

70 citing papers in PubMed, 4 syntheses or guidelines pooled it, 113 citations in OpenAlex.

  1. Guideline
  2. Molecular Targets and Signaling Pathways in Cholangiocarcinoma: A Systematic Review.Asian Pacific journal of cancer prevention : APJCP · 2023
    Pooled it
  3. Pooled it
  4. Organoids of liver diseases: From bench to bedside.World journal of gastroenterology · 2019
    Pooled it
  5. Article
  6. Review
  7. State-of-the-Art Liver Cancer Organoids: Modeling Cancer Stem Cell Heterogeneity for Personalized Treatment.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  8. [Liver organoid technology and its related progress in liver disease research].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. Article

10 more citing papers are in PubMed but not listed here.

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

34 authors at 7 institutions in 5 countries.

Andrea LampisThe Institute of Cancer Research, London, UK.
Pietro CarotenutoThe Institute of Cancer Research, London, UK.
Georgios VlachogiannisThe Institute of Cancer Research, London, UK.
Luciano CascioneBioinformatics Core Unit, Institute of Oncology Research, Bellinzona, Switzerland.
Somaieh HedayatThe Institute of Cancer Research, London, UK.
Rosemary BurkeThe Institute of Cancer Research, London, UK.
Paul ClarkeThe Institute of Cancer Research, London, UK.
Else BosmaThe Institute of Cancer Research, London, UK.
Michele SimboloARC-Net Research Centre and Department of Pathology and Diagnostics, University of Verona, Verona, Italy.
Aldo ScarpaARC-Net Research Centre and Department of Pathology and Diagnostics, University of Verona, Verona, Italy.
Sijia YuThe Institute of Cancer Research, London, UK.
Rebecca ColeThe Institute of Cancer Research, London, UK.
Elizabeth SmythThe Royal Marsden NHS Trust, London and Surrey, UK.
Javier Fernández MateosThe Institute of Cancer Research, London, UK.
Ruwaida BegumThe Royal Marsden NHS Trust, London and Surrey, UK.
Blanka HezelovaThe Royal Marsden NHS Trust, London and Surrey, UK.
Zakaria EltahirThe Royal Marsden NHS Trust, London and Surrey, UK.
Andrew WotherspoonThe Royal Marsden NHS Trust, London and Surrey, UK.
Nicos FotiadisThe Royal Marsden NHS Trust, London and Surrey, UK.
Maria Antonietta BaliThe Royal Marsden NHS Trust, London and Surrey, UK.
Chirag NepalBiotech Research and Innovation Centre, Department of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Khurum KhanThe Royal Marsden NHS Trust, London and Surrey, UK.
Mark StubbsThe Institute of Cancer Research, London, UK.
Jens C HahneThe Institute of Cancer Research, London, UK.
Pierluigi GaspariniOhio State University, Columbus, Ohio, USA.
Vincenza GuzzardoDepartment of Medicine, University of Padua, Padua, Italy.
Carlo M CroceOhio State University, Columbus, Ohio, USA.
Suzanne EcclesThe Institute of Cancer Research, London, UK.
Matteo FassanARC-Net Research Centre and Department of Pathology and Diagnostics, University of Verona, Verona, Italy; Department of Medicine, University of Padua, Padua, Italy.
David CunninghamThe Royal Marsden NHS Trust, London and Surrey, UK.
Jesper B AndersenBiotech Research and Innovation Centre, Department of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Paul WorkmanThe Institute of Cancer Research, London, UK.
Nicola ValeriThe Institute of Cancer Research, London, UK; The Royal Marsden NHS Trust, London and Surrey, UK.
Chiara BraconiThe Institute of Cancer Research, London, UK; The Royal Marsden NHS Trust, London and Surrey, UK. Electronic address: Chiara.braconi@icr.ac.uk.
Institute of Cancer Research · GBRoyal Marsden NHS Foundation Trust · GBUniversity of Verona · ITThe Ohio State University · USUniversity of Copenhagen · DKInstitute of Oncology Research · CHUniversity of Padua · IT

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Jennifer A. Woyach · 1985 to 2026
$132.3M
Cancer Research UK 11566Cancer Research UK 18052Cancer Research UK 22897NCI NIH HHS P30 CA016058
6 · The paper itself

Abstract

BACKGROUND &

aimsCholangiocarcinomas (CCA) are resistant to chemotherapy, so new therapeutic agents are needed. We performed a screen to identify small-molecule compounds that are active against CCAs. Levels of microRNA 21 (MIR21 or miRNA21) are increased in CCAs. We investigated whether miRNA21 mediates resistance of CCA cells and organoids to HSP90 inhibitors.

methodsWe performed a high-throughput screen of 484 small-molecule compounds to identify those that reduced viability of 6 human CCA cell lines. We tested the effects of HSP90 inhibitors on cells with disruption of the MIR21 gene, cells incubated with MIR21 inhibitors, and stable cell lines with inducible expression of MIR21. We obtained CCA biopsies from patients, cultured them as organoids (patient-derived organoids). We assessed their architecture, mutation and gene expression patterns, response to compounds in culture, and when grown as subcutaneous xenograft tumors in mice.

resultsCells with IDH1 and PBRM1 mutations had the highest level of sensitivity to histone deacetylase inhibitors. HSP90 inhibitors were effective in all cell lines, irrespective of mutations. Sensitivity of cells to HSP90 inhibitors correlated inversely with baseline level of MIR21. Disruption of MIR21 increased cell sensitivity to HSP90 inhibitors. CCA cells that expressed transgenic MIR21 were more resistant to HSP90 inhibitors than cells transfected with control vectors; inactivation of MIR21 in these cells restored sensitivity to these agents. MIR21 was shown to target the DnaJ heat shock protein family (Hsp40) member B5 (DNAJB5). Transgenic expression of DNAJB5 in CCA cells that overexpressed MIR21 re-sensitized them to HSP90 inhibitors. Sensitivity of patient-derived organoids to HSP90 inhibitors, in culture and when grown as xenograft tumors in mice, depended on expression of miRNA21.

conclusionsmiRNA21 appears to mediate resistance of CCA cells to HSP90 inhibitors by reducing levels of DNAJB5. HSP90 inhibitors might be developed for the treatment of CCA and miRNA21 might be a marker of sensitivity to these agents.

Indexed as

Drug Resistance, NeoplasmAnimalsAntineoplastic AgentsBile Duct NeoplasmsCell Line, TumorCell SurvivalCholangiocarcinomaDNA-Binding ProteinsDose-Response Relationship, DrugGene Expression Regulation, NeoplasticHSP40 Heat-Shock ProteinsHSP90 Heat-Shock ProteinsHumansIsocitrate DehydrogenaseMice, Inbred NODMice, SCIDAntineoplastic AgentsDNA-Binding ProteinsDNAJB5 protein, humanHSP40 Heat-Shock ProteinsHSP90 Heat-Shock ProteinsIDH1 protein, humanIsocitrate DehydrogenaseMicroRNAsMIRN21 microRNA, humanNuclear ProteinsPBRM1 protein, humanTranscription FactorsAUY922Bile Duct CancerDNAJB5Organoid

Identifiers

PMID29113809
PMCPMC5863695
OpenAlexW2766010875

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.