Evidence map›Paper›PMID 29500433›Full record

ArticleCell death and differentiation2018

Simulating and predicting cellular and in vivo responses of colon cancer to combined treatment with chemotherapy and IAP antagonist Birinapant/TL32711.

Nyree Crawford, Manuela Salvucci, Christian T Hellwig, Frank A Lincoln, Ruth E Mooney, Carla L O'Connor, Jochen Hm Prehn, Daniel B Longley, Markus Rehm

Open access · bronzeAbstract read
In one paragraph

Article in Cell death and differentiation, 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
0.9field-weighted citation impact, top 26% 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, 21 citations in OpenAlex.

  1. Review
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  5. Mechanisms and Strategies to Overcome Drug Resistance in Colorectal Cancer.International journal of molecular sciences · 2025
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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

9 authors at 3 institutions in 3 countries.

Nyree CrawfordCell Death & Drug Resistance Group, Centre for Cancer Research & Cell Biology, Queen's University Belfast, Belfast, UK.
Manuela SalvucciDepartment of Physiology & Medical Physics, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Christian T HellwigInstitute of Cell Biology and Immunology, University of Stuttgart, D-70569, Stuttgart, Germany.
Frank A LincolnDepartment of Physiology & Medical Physics, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Ruth E MooneyDepartment of Physiology & Medical Physics, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Carla L O'ConnorDepartment of Physiology & Medical Physics, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Jochen Hm PrehnDepartment of Physiology & Medical Physics, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Daniel B LongleyCell Death & Drug Resistance Group, Centre for Cancer Research & Cell Biology, Queen's University Belfast, Belfast, UK. d.longley@qub.ac.uk.
Markus RehmDepartment of Physiology & Medical Physics, Royal College of Surgeons in Ireland, Dublin 2, Ireland. markus.morrison@izi.uni-stuttgart.de.ORCID http://orcid.org/0000-0001-6149-9261
Royal College of Surgeons in Ireland · IEQueen's University Belfast · GBUniversity of Stuttgart · DE

Funding

Cancer Research UK 24387Cancer Research UK A4220Health Research Board RP/2006/258Health Research Board RP/2008/7Medical Research Council G0400302Medical Research Council MC_PC_17117Science Foundation Ireland 09/RFP/BIC2375Wellcome Trust 110371
6 · The paper itself

Abstract

Apoptosis resistance contributes to treatment failure in colorectal cancer (CRC). New treatments that reinstate apoptosis competency have potential to improve patient outcome but require predictive biomarkers to target them to responsive patient populations. Inhibitor of apoptosis proteins (IAPs) suppress apoptosis, contributing to drug resistance; IAP antagonists such as TL32711 have therefore been developed. We developed a systems biology approach for predicting response of CRC cells to chemotherapy and TL32711 combinations in vitro and in vivo. CRC cells responded poorly to TL32711 monotherapy in vitro; however, co-treatment with 5-fluorouracil (5-FU) and oxaliplatin enhanced TL32711-induced apoptosis. Notably, cells from genetically identical populations responded highly heterogeneously, with caspases being activated both upstream and downstream of mitochondrial outer membrane permeabilisation (MOMP). These data, combined with quantities of key apoptosis regulators were sufficient to replicate in vitro cell death profiles by mathematical modelling. In vivo, apoptosis protein expression was significantly altered, and mathematical modelling for these conditions predicted higher apoptosis resistance that could nevertheless be overcome by combination of chemotherapy and TL32711. Subsequent experimental observations agreed with these predictions, and the observed effects on tumour growth inhibition correlated robustly with apoptosis competency. We therefore obtained insights into intracellular signal transduction kinetics and their population-based heterogeneities for chemotherapy/TL32711 combinations and provide proof-of-concept that mathematical modelling of apoptosis competency can simulate and predict responsiveness in vivo. Being able to predict response to IAP antagonist-based treatments on the background of cell-to-cell heterogeneities in the future might assist in improving treatment stratification approaches for these emerging apoptosis-targeting agents.

Indexed as

AnimalsAntineoplastic AgentsApoptosisCell Line, TumorColonic NeoplasmsDipeptidesDrug Therapy, CombinationFemaleFluorouracilHumansIndolesInhibitor of Apoptosis ProteinsMiceMice, Inbred BALB CMitochondrial Membrane Transport ProteinsMitochondrial Permeability Transition PoreAntineoplastic AgentsbirinapantDipeptidesFluorouracilIndolesInhibitor of Apoptosis ProteinsMitochondrial Membrane Transport ProteinsMitochondrial Permeability Transition PoreOxaliplatinReceptor-Interacting Protein Serine-Threonine KinasesRIPK1 protein, humanRNA, Small InterferingXIAP protein, humanX-Linked Inhibitor of Apoptosis Protein

Identifiers

PMID29500433
PMCPMC5989936
OpenAlexW2792588470

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.