Evidence map›Paper›PMID 29389967›Full record

ArticlePloS one2018

RAPTOR up-regulation contributes to resistance of renal cancer cells to PI3K-mTOR inhibition.

Philip Earwaker, Caroline Anderson, Frances Willenbrock, Adrian L Harris, Andrew S Protheroe, Valentine M Macaulay

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

17 citing papers in PubMed, 28 citations in OpenAlex.

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  16. Metabolic Pathways in Kidney Cancer: Current Therapies and Future Directions.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018
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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

6 authors at 1 institution in 1 country.

Philip EarwakerDepartment of Oncology, Oxford, United Kingdom.
Caroline AndersonDepartment of Oncology, Oxford, United Kingdom.
Frances WillenbrockDepartment of Oncology, Oxford, United Kingdom.
Adrian L HarrisOxford Cancer and Haematology Centre, Oxford University Hospitals NHS Trust, Churchill Hospital, Oxford, United Kingdom.
Andrew S ProtheroeOxford Cancer and Haematology Centre, Oxford University Hospitals NHS Trust, Churchill Hospital, Oxford, United Kingdom.
Valentine M MacaulayDepartment of Oncology, Oxford, United Kingdom.ORCID 0000-0001-8659-0192
Churchill Hospital · GB

Funding

Cancer Research UK 11359Cancer Research UK 16466Cancer Research UK 18974Medical Research Council G0300648Medical Research Council G0601061
6 · The paper itself

Abstract

The outlook for patients with advanced renal cell cancer (RCC) has been improved by targeted agents including inhibitors of the PI3 kinase (PI3K)-AKT-mTOR axis, although treatment resistance is a major problem. Here, we aimed to understand how RCC cells acquire resistance to PI3K-mTOR inhibition. We used the RCC4 cell line to generate a model of in vitro resistance by continuous culture in PI3K-mTOR kinase inhibitor NVP-BEZ235 (BEZ235, Dactolisib). Resistant cells were cross-resistant to mTOR inhibitor AZD2014. Sensitivity was regained after 4 months drug withdrawal, and resistance was partially suppressed by HDAC inhibition, supporting an epigenetic mechanism. BEZ235-resistant cells up-regulated and/or activated numerous proteins including MET, ABL, Notch, IGF-1R, INSR and MEK/ERK. However, resistance was not reversed by inhibiting or depleting these pathways, suggesting that many induced changes were passengers not drivers of resistance. BEZ235 blocked phosphorylation of mTOR targets S6 and 4E-BP1 in parental cells, but 4E-BP1 remained phosphorylated in resistant cells, suggesting BEZ235-refractory mTORC1 activity. Consistent with this, resistant cells over-expressed mTORC1 component RAPTOR at the mRNA and protein level. Furthermore, BEZ235 resistance was suppressed by RAPTOR depletion, or allosteric mTORC1 inhibitor rapamycin. These data reveal that RAPTOR up-regulation contributes to PI3K-mTOR inhibitor resistance, and suggest that RAPTOR expression should be included in the pharmacodynamic assessment of mTOR kinase inhibitor trials.

Indexed as

Phosphoinositide-3 Kinase InhibitorsUp-RegulationAntineoplastic AgentsBenzamidesCarcinoma, Renal CellCell Line, TumorDrug Resistance, NeoplasmHistone Deacetylase InhibitorsHumansImidazolesKidney NeoplasmsMorpholinesPyrimidinesQuinolinesRegulatory-Associated Protein of mTORSignal TransductionAntineoplastic AgentsBenzamidesdactolisibHistone Deacetylase InhibitorsImidazolesMorpholinesMTOR protein, humanPhosphoinositide-3 Kinase InhibitorsPyrimidinesQuinolinesRegulatory-Associated Protein of mTORRPTOR protein, humanTOR Serine-Threonine Kinasesvistusertib

Identifiers

PMID29389967
PMCPMC5794101
OpenAlexW2793647770

What OpenQuestion holds

Textmetadata
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.