Evidence map›Paper›PMID 29334371›Full record

ArticleNature medicine2018

Cooperative targeting of melanoma heterogeneity with an AXL antibody-drug conjugate and BRAF/MEK inhibitors.

Julia Boshuizen, Louise A Koopman, Oscar Krijgsman, Aida Shahrabi, Elke Gresnigt- van den Heuvel, Maarten A Ligtenberg, David W Vredevoogd, Kristel Kemper, Thomas Kuilman, Ji-Ying Song and 10 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 144 papers.

0numbers the graph read from it
0cells of the map it votes in
144citing papers in PubMed
10.8field-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

144 citing papers in PubMed, 215 citations in OpenAlex.

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  13. Precision Oncology 2.0: Guiding Magic Bullets With Expression-Based Liquid Biopsy.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
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84 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

20 authors at 3 institutions in 1 country.

Julia BoshuizenDivision of Molecular Oncology and Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0002-8135-0525
Louise A KoopmanGenmab, Utrecht, the Netherlands.
Oscar KrijgsmanDivision of Molecular Oncology and Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.
Aida ShahrabiDivision of Molecular Oncology and Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.
Elke Gresnigt- van den HeuvelGenmab, Utrecht, the Netherlands.
Maarten A LigtenbergDivision of Molecular Oncology and Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.
David W VredevoogdDivision of Molecular Oncology and Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0001-6718-1422
Kristel KemperDivision of Molecular Oncology and Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.
Thomas KuilmanDivision of Molecular Oncology and Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0001-6724-6767
Ji-Ying SongDivision of Experimental Animal Pathology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.
Nora PenchevaGenmab, Utrecht, the Netherlands.
Jens Thing MortensenGenmab, Utrecht, the Netherlands.
Marnix Geukes FoppenDivision of Molecular Oncology and Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.
Elisa A RozemanDivision of Molecular Oncology and Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.
Christian U BlankDivision of Molecular Oncology and Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.
Maarten L JanmaatGenmab, Utrecht, the Netherlands.
David SatijnGenmab, Utrecht, the Netherlands.
Esther C W BreijGenmab, Utrecht, the Netherlands.
Daniel S PeeperDivision of Molecular Oncology and Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0003-1293-3177
Paul W H I ParrenGenmab, Utrecht, the Netherlands.ORCID 0000-0002-4365-3859
The Netherlands Cancer Institute · NLGenmab (Netherlands) · NLLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intratumor heterogeneity is a key factor contributing to therapeutic failure and, hence, cancer lethality. Heterogeneous tumors show partial therapy responses, allowing for the emergence of drug-resistant clones that often express high levels of the receptor tyrosine kinase AXL. In melanoma, AXL-high cells are resistant to MAPK pathway inhibitors, whereas AXL-low cells are sensitive to these inhibitors, rationalizing a differential therapeutic approach. We developed an antibody-drug conjugate, AXL-107-MMAE, comprising a human AXL antibody linked to the microtubule-disrupting agent monomethyl auristatin E. We found that AXL-107-MMAE, as a single agent, displayed potent in vivo anti-tumor activity in patient-derived xenografts, including melanoma, lung, pancreas and cervical cancer. By eliminating distinct populations in heterogeneous melanoma cell pools, AXL-107-MMAE and MAPK pathway inhibitors cooperatively inhibited tumor growth. Furthermore, by inducing AXL transcription, BRAF/MEK inhibitors potentiated the efficacy of AXL-107-MMAE. These findings provide proof of concept for the premise that rationalized combinatorial targeting of distinct populations in heterogeneous tumors may improve therapeutic effect, and merit clinical validation of AXL-107-MMAE in both treatment-naive and drug-resistant cancers in mono- or combination therapy.

Indexed as

AnimalsAxl Receptor Tyrosine KinaseCell Line, TumorDrug Resistance, NeoplasmGenetic HeterogeneityHumansImmunoconjugatesMelanomaMiceOligopeptidesProtein Kinase InhibitorsProto-Oncogene ProteinsProto-Oncogene Proteins B-rafReceptor Protein-Tyrosine KinasesXenograft Model Antitumor AssaysAxl Receptor Tyrosine KinaseBRAF protein, humanImmunoconjugatesmonomethyl auristatin EOligopeptidesProtein Kinase InhibitorsProto-Oncogene ProteinsProto-Oncogene Proteins B-rafReceptor Protein-Tyrosine Kinases

Identifiers

PMID29334371
OpenAlexW2783011222

What OpenQuestion holds

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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.