Evidence map›Paper›PMID 29227281›Full record

ArticleThe Journal of clinical investigation2018

Targeting Mcl-1 enhances DNA replication stress sensitivity to cancer therapy.

Guo Chen, Andrew T Magis, Ke Xu, Dongkyoo Park, David S Yu, Taofeek K Owonikoko, Gabriel L Sica, Sarah W Satola, Suresh S Ramalingam, Walter J Curran and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Saga of MCL1 inhibitors in multiple myeloma.Biochemical pharmacology · 2026
    Review
  3. Article
  4. MCL1 may not mediate chemoresistance.bioRxiv : the preprint server for biology · 2025
    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

12 authors at 2 institutions in 1 country.

Guo ChenDepartment of Radiation Oncology, Emory University School of Medicine and Winship Cancer Institute of Emory University, Atlanta, Georgia, USA.
Andrew T MagisInstitute for Systems Biology, Seattle, Washington, USA.
Ke XuDepartment of Radiation Oncology, Emory University School of Medicine and Winship Cancer Institute of Emory University, Atlanta, Georgia, USA.
Dongkyoo ParkDepartment of Radiation Oncology, Emory University School of Medicine and Winship Cancer Institute of Emory University, Atlanta, Georgia, USA.
David S YuDepartment of Radiation Oncology, Emory University School of Medicine and Winship Cancer Institute of Emory University, Atlanta, Georgia, USA.
Taofeek K OwonikokoDepartment of Hematology and Medical Oncology.
Gabriel L SicaDepartment of Pathology and Laboratory Medicine.
Sarah W SatolaDepartment of Medicine, and.
Suresh S RamalingamDepartment of Hematology and Medical Oncology.
Walter J CurranDepartment of Radiation Oncology, Emory University School of Medicine and Winship Cancer Institute of Emory University, Atlanta, Georgia, USA.
Paul W DoetschDepartment of Radiation Oncology, Emory University School of Medicine and Winship Cancer Institute of Emory University, Atlanta, Georgia, USA.
Xingming DengDepartment of Radiation Oncology, Emory University School of Medicine and Winship Cancer Institute of Emory University, Atlanta, Georgia, USA.
Emory University · USInstitute for Systems Biology · US

Funding

Mechanisms of transcriptional and replicative mutagenesisZIAES103328 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI DOETSCH, PAUL · 2018 to 2025
$10.5M
Mechanisms of SIRT2 Function in the Replication Stress ResponseR01CA178999 · NCI · EMORY UNIVERSITY · PI YU, DAVID SUNG-WEN · 2013 to 2023
$3.5M
Structure-based anti-cancer drug developmentR01CA136534 · NCI · EMORY UNIVERSITY · PI DENG, XINGMING · 2010 to 2020
$3.4M
Modulation of Bcl2 BH4 and mTOR in lung cancer therapeuticsR01CA193828 · NCI · EMORY UNIVERSITY · PI DENG, XINGMING · 2015 to 2019
$1.8M
Modulation of BAK in Lung Cancer TherapeuticsR01CA200905 · NCI · EMORY UNIVERSITY · PI DENG, XINGMING · 2017 to 2021
$1.8M
NCI NIH HHS R01 CA136534NCI NIH HHS R01 CA178999NCI NIH HHS R01 CA193828NCI NIH HHS R01 CA200905
6 · The paper itself

Abstract

DNA double-strand breaks (DSBs) are mainly repaired either by homologous recombination (HR) or by nonhomologous end-joining (NHEJ) pathways. Here, we showed that myeloid cell leukemia sequence 1 (Mcl-1) acts as a functional switch in selecting between HR and NHEJ pathways. Mcl-1 was cell cycle-regulated during HR, with its expression peaking in S/G2 phase. While endogenous Mcl-1 depletion reduced HR and enhanced NHEJ, Mcl-1 overexpression resulted in a net increase in HR over NHEJ. Mcl-1 directly interacted with the dimeric Ku protein complex via its Bcl-2 homology 1 and 3 (BH1 and BH3) domains, which are required for Mcl-1 to inhibit Ku-mediated NHEJ. Mcl-1 also promoted DNA resection mediated by the Mre11 complex and HR-dependent DSB repair. Using the Mcl-1 BH1 domain as a docking site, we identified a small molecule, MI-223, that directly bound to BH1 and blocked Mcl-1-stimulated HR DNA repair, leading to sensitization of cancer cells to hydroxyurea- or olaparib-induced DNA replication stress. Combined treatment with MI-223 and hydroxyurea or olaparib exhibited a strong synergy against lung cancer in vivo. This mechanism-driven combination of agents provides a highly attractive therapeutic strategy to improve lung cancer outcomes.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCellular SenescenceDNA Breaks, Double-StrandedDNA End-Joining RepairDrug Delivery SystemsLung NeoplasmsMolecular Docking SimulationMyeloid Cell Leukemia Sequence 1 ProteinRecombinational DNA RepairAnimalsHydroxyureaKu AutoantigenMiceMice, KnockoutPhthalazinesPiperazinesHydroxyureaKu AutoantigenMcl1 protein, mouseMyeloid Cell Leukemia Sequence 1 ProteinolaparibPhthalazinesPiperazinesCancerCell Biology

Identifiers

PMID29227281
PMCPMC5749500
OpenAlexW2775609536

What OpenQuestion holds

Textmetadata
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.