Evidence map›Paper›PMID 29212027›Full record

ArticleCell reports2017

Melanoma Therapeutic Strategies that Select against Resistance by Exploiting MYC-Driven Evolutionary Convergence.

Katherine R Singleton, Lorin Crawford, Elizabeth Tsui, Haley E Manchester, Ophelia Maertens, Xiaojing Liu, Maria V Liberti, Anniefer N Magpusao, Elizabeth M Stein, Jennifer P Tingley and 12 more

Abstract read
In one paragraph

Article in Cell reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing 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

67 citing papers in PubMed.

  1. Article
  2. PredictedInternational journal of molecular sciences · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. MYC as a key target for melanoma therapy.Frontiers in cell and developmental biology · 2026
    Review
  11. Review
  12. Metabolic Reprogramming in Melanoma: An Epigenetic Point of View.Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  13. Article
  14. Review
  15. Blocking interplay between TERT and c-Myc: a new therapeutic strategy forInternational journal of biological sciences · 2025
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review

7 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

22 authors.

Katherine R SingletonDepartment of Pharmacology and Cancer Biology, Duke University, Durham, NC 27710, USA.
Lorin CrawfordDepartment of Statistical Science, Duke University, Durham, NC 27708, USA.
Elizabeth TsuiDepartment of Pharmacology and Cancer Biology, Duke University, Durham, NC 27710, USA.
Haley E ManchesterGenetics Division, Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA; Harvard Medical School, Boston, MA 02115, USA.
Ophelia MaertensGenetics Division, Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA; Harvard Medical School, Boston, MA 02115, USA.
Xiaojing LiuDepartment of Pharmacology and Cancer Biology, Duke University, Durham, NC 27710, USA.
Maria V LibertiDepartment of Pharmacology and Cancer Biology, Duke University, Durham, NC 27710, USA; Department of Molecular Biology and Genetics, Graduate Field of Biochemistry, Molecular and Cell Biology, Cornell University, Ithaca, NY 14853, USA.
Anniefer N MagpusaoDepartment of Genetics, Case Western Reserve University, Cleveland, OH 44106, USA.
Elizabeth M SteinDepartment of Pharmacology and Cancer Biology, Duke University, Durham, NC 27710, USA.
Jennifer P TingleyDepartment of Pharmacology and Cancer Biology, Duke University, Durham, NC 27710, USA.
Dennie T FrederickHarvard Medical School, Boston, MA 02115, USA; Massachusetts General Hospital Cancer Center, Boston, MA 02114, USA.
Genevieve M BolandHarvard Medical School, Boston, MA 02115, USA; Massachusetts General Hospital Cancer Center, Boston, MA 02114, USA.
Keith T FlahertyHarvard Medical School, Boston, MA 02115, USA; Massachusetts General Hospital Cancer Center, Boston, MA 02114, USA.
Shannon J McCallDepartment of Pathology, Duke University, Durham, NC 27710, USA.
Clemens KreplerMolecular and Cellular Oncogenesis Program, The Wistar Institute, Philadelphia, PA 19104, USA.
Katrin SproesserMolecular and Cellular Oncogenesis Program, The Wistar Institute, Philadelphia, PA 19104, USA.
Meenhard HerlynMolecular and Cellular Oncogenesis Program, The Wistar Institute, Philadelphia, PA 19104, USA.
Drew J AdamsDepartment of Genetics, Case Western Reserve University, Cleveland, OH 44106, USA.
Jason W LocasaleDepartment of Pharmacology and Cancer Biology, Duke University, Durham, NC 27710, USA.
Karen CichowskiGenetics Division, Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA; Harvard Medical School, Boston, MA 02115, USA; Ludwig Center at Harvard, Boston, MA 02115, USA.
Sayan MukherjeeDepartment of Statistical Science, Duke University, Durham, NC 27708, USA; Departments of Mathematics and Computer Science, Duke University, Durham, NC 27708, USA.
Kris C WoodDepartment of Pharmacology and Cancer Biology, Duke University, Durham, NC 27710, USA. Electronic address: kris.wood@duke.edu.

Funding

Tumor Microenvironment and MetastasisP30CA010815 · NCI · WISTAR INSTITUTE · PI Luis J Montaner · 1985 to 2026
$75.9M
Targeted Combination Therapy for MelanomaP50CA174523 · NCI · WISTAR INSTITUTE · PI HERLYN, MEENHARD F · 2014 to 2018
$11.1M
Interdisciplinary Research Careers in Women's HealthK12HD043446 · NICHD · DUKE UNIVERSITY · PI AMUNDSEN, CINDY · 2002 to 2023
$9.6M
Elucidating the Regulation and Function of the NF1 tumor suppressorR01CA111754 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI KAREN M CICHOWSKI · 2005 to 2026
$7.4M
Dietary methionine and cancerR01CA193256 · NCI · DUKE UNIVERSITY · PI LOCASALE, JASON W. · 2015 to 2023
$3.1M
Selectively targeting apoptosis in PIK3CA mutant colorectal cancersR01CA207083 · NCI · DUKE UNIVERSITY · PI WOOD, KRIS C. · 2016 to 2020
$1.8M
Understanding metabolic flux and the control of mammalian cell growthR00CA168997 · NCI · DUKE UNIVERSITY · PI LOCASALE, JASON W. · 2013 to 2015
$695k
Data commons for 'omic, microscopy and analysis core facilitiesS10OD018164 · OD · DUKE UNIVERSITY · PI WRAY, GREGORY A. · 2014 to 2014
$598k
NCI NIH HHS P30 CA010815NCI NIH HHS P50 CA174523NCI NIH HHS R00 CA168997NCI NIH HHS R01 CA193256NCI NIH HHS R01 CA207083NICHD NIH HHS K12 HD043446NIH HHS S10 OD018164
6 · The paper itself

Abstract

Diverse pathways drive resistance to BRAF/MEK inhibitors in BRAF-mutant melanoma, suggesting that durable control of resistance will be a challenge. By combining statistical modeling of genomic data from matched pre-treatment and post-relapse patient tumors with functional interrogation of >20 in vitro and in vivo resistance models, we discovered that major pathways of resistance converge to activate the transcription factor, c-MYC (MYC). MYC expression and pathway gene signatures were suppressed following drug treatment, and then rebounded during progression. Critically, MYC activation was necessary and sufficient for resistance, and suppression of MYC activity using genetic approaches or BET bromodomain inhibition was sufficient to resensitize cells and delay BRAFi resistance. Finally, MYC-driven, BRAFi-resistant cells are hypersensitive to the inhibition of MYC synthetic lethal partners, including SRC family and c-KIT tyrosine kinases, as well as glucose, glutamine, and serine metabolic pathways. These insights enable the design of combination therapies that select against resistance evolution.

Indexed as

Antineoplastic Agents, HormonalBenzimidazolesCell Line, TumorEstradiolEvolution, MolecularFemaleFulvestrantHumansImidazolesIndolesMaleMelanomaOximesProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-mycPyridonesAntineoplastic Agents, HormonalAZD 6244BenzimidazolesdabrafenibdactolisibEstradiolFulvestrantImidazolesIndolesOximesPLX 4720Proto-Oncogene Proteins B-rafProto-Oncogene Proteins c-mycPyridonesPyrimidinonesQuinolinesSulfonamidestrametinibcancer therapeuticsmelanomametabolismMYCsignaling networkssynthetic lethalitytherapeutic resistance

Identifiers

PMID29212027
PMCPMC5728698

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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.