Evidence map›Paper›PMID 29381777›Full record

ArticleEndocrinology2018

The AKT/BCL-2 Axis Mediates Survival of Uterine Leiomyoma in a Novel 3D Spheroid Model.

Vania Vidimar, Debabrata Chakravarti, Serdar E Bulun, Ping Yin, Romana Nowak, Jian-Jun Wei, J Julie Kim

Open access · bronzeAbstract read
In one paragraph

Article in Endocrinology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. UTERINE FIBROIDS.Physiological reviews · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Uterine Fibroids: Hiding in Plain Sight.Physiology (Bethesda, Md.) · 2022
    Review
  10. Review
  11. Article
  12. An engineered chimeric toxin that cleaves activated mutant and wild-type RAS inhibits tumor growth.Proceedings of the National Academy of Sciences of the United States of America · 2020
    Article
  13. Article
  14. Article
  15. Article
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

7 authors at 2 institutions in 1 country.

Vania VidimarDivision of Reproductive Science and Medicine, Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois.
Debabrata ChakravartiDivision of Reproductive Science and Medicine, Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois.
Serdar E BulunDivision of Reproductive Science and Medicine, Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois.
Ping YinDivision of Reproductive Science and Medicine, Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois.
Romana NowakDepartment of Animal Sciences, University of Illinois, Urbana, Illinois.
Jian-Jun WeiDivision of Reproductive Science and Medicine, Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois.
J Julie KimDivision of Reproductive Science and Medicine, Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois.
Northwestern University · USUniversity of Illinois Urbana-Champaign · US

Funding

Uterine Leiomyoma Research Center ProgramP01HD057877 · NICHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BULUN, SERDAR E. · 2009 to 2019
$12.2M
NICHD NIH HHS P01 HD057877
6 · The paper itself

Abstract

A deeper understanding of the pathways that drive uterine leiomyoma (ULM) growth and survival requires model systems that more closely mimic the in vivo tumors. This would provide new insights into developing effective therapeutic strategies for these common benign tumors of childbearing-aged women. In this study, we examined the role of BCL-2 in mediating ULM survival in the context of increased protein kinase B (AKT) and oxidative stress using a three-dimensional (3D), spheroid-based model that more closely resembles the native ULM tumor microenvironment. Human primary cells from matched myometrium (MM) and ULM tissues were used to establish spheroid cultures in vitro. Histological and immunohistochemical methods were used to assess the spheroid architecture and characteristics. Viability assays for 3D cultures were used to evaluate their response to BH3 mimetics and the superoxide inducer, paraquat (PQ). Primary MM and ULM cells formed spheroids in culture. Notably, ULM spheroids exhibited low proliferation, increased oxidative stress, and secretion of interstitial collagen. Knockdown studies revealed that AKT sustained BCL-2 expression in ULM. The targeting of BCL-2 with BH3 mimetics effectively reduced viability and induced apoptosis in a subset of ULM spheroids. ULM spheroids that did not respond to BH3 mimetics alone responded to combination treatment with PQ. In conclusion, BCL-2 mediates AKT survival of ULM, providing compelling evidence for further evaluation of BH3 mimetics for ULM treatment. ULM spheroids recapitulated intrinsic features of the native ULM tumor microenvironment and can be used as a model for preclinical testing of potential therapeutic options for ULM.

Indexed as

Cell Line, TumorCell ProliferationCells, CulturedCell SurvivalFemaleHumansLeiomyomaOxidative StressProto-Oncogene Proteins c-aktProto-Oncogene Proteins c-bcl-2Spheroids, CellularProto-Oncogene Proteins c-aktProto-Oncogene Proteins c-bcl-2

Identifiers

PMID29381777
PMCPMC5839731
OpenAlexW2792688905

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.