Evidence map›Paper›PMID 29533771›Full record

ArticleDevelopmental cell2018

Autophagy Inhibition Mediates Apoptosis Sensitization in Cancer Therapy by Relieving FOXO3a Turnover.

Brent E Fitzwalter, Christina G Towers, Kelly D Sullivan, Zdenek Andrysik, Maria Hoh, Michael Ludwig, Jim O'Prey, Kevin M Ryan, Joaquin M Espinosa, Michael J Morgan and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Developmental cell, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 128 papers.

0numbers the graph read from it
0cells of the map it votes in
128citing papers in PubMed
19.6field-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

128 citing papers in PubMed, 202 citations in OpenAlex.

  1. Article
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  11. Autophagy in cholangiocarcinoma: a comprehensive review about roles and regulatory mechanisms.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  12. Review
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  15. Gut microbiota interplay with autophagy-EMT dynamics in colorectal cancer.Frontiers in cell and developmental biology · 2025
    Review
  16. Dual role of autophagy in bone metastasis: mechanistic insights and therapeutic targeting.American journal of clinical and experimental urology · 2025
    Review
  17. Review
  18. Review
  19. Review
  20. Autophagy-mediated ID1 turnover dictates chemo-resistant fate in ovarian cancer stem cells.Journal of experimental & clinical cancer research : CR · 2024
    Article

68 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

Brent E FitzwalterDepartment of Pharmacology, University of Colorado Anschutz Medical Campus, Mail Stop 8303, 12801 East 17th Avenue, Room L18-6105, Aurora, CO 80045, USA.
Christina G TowersDepartment of Pharmacology, University of Colorado Anschutz Medical Campus, Mail Stop 8303, 12801 East 17th Avenue, Room L18-6105, Aurora, CO 80045, USA.
Kelly D SullivanDepartment of Pharmacology, University of Colorado Anschutz Medical Campus, Mail Stop 8303, 12801 East 17th Avenue, Room L18-6105, Aurora, CO 80045, USA; Linda Crnic Institute for Down Syndrome, University of Colorado, Denver, Anschutz Medical Campus, Aurora, CO 80045, USA.
Zdenek AndrysikDepartment of Pharmacology, University of Colorado Anschutz Medical Campus, Mail Stop 8303, 12801 East 17th Avenue, Room L18-6105, Aurora, CO 80045, USA.
Maria HohDepartment of Pharmacology, University of Colorado Anschutz Medical Campus, Mail Stop 8303, 12801 East 17th Avenue, Room L18-6105, Aurora, CO 80045, USA.
Michael LudwigDepartment of Pharmacology, University of Colorado Anschutz Medical Campus, Mail Stop 8303, 12801 East 17th Avenue, Room L18-6105, Aurora, CO 80045, USA.
Jim O'PreyCancer Research UK, Beatson Institute, Garscube Estate, Switchback Road, Glasgow, G61 1BD, UK.
Kevin M RyanCancer Research UK, Beatson Institute, Garscube Estate, Switchback Road, Glasgow, G61 1BD, UK.
Joaquin M EspinosaDepartment of Pharmacology, University of Colorado Anschutz Medical Campus, Mail Stop 8303, 12801 East 17th Avenue, Room L18-6105, Aurora, CO 80045, USA; Linda Crnic Institute for Down Syndrome, University of Colorado, Denver, Anschutz Medical Campus, Aurora, CO 80045, USA.
Michael J MorganDepartment of Pharmacology, University of Colorado Anschutz Medical Campus, Mail Stop 8303, 12801 East 17th Avenue, Room L18-6105, Aurora, CO 80045, USA.
Andrew ThorburnDepartment of Pharmacology, University of Colorado Anschutz Medical Campus, Mail Stop 8303, 12801 East 17th Avenue, Room L18-6105, Aurora, CO 80045, USA. Electronic address: andrew.thorburn@ucdenver.edu.
University of Colorado Anschutz Medical Campus · USCancer Research UK · GB

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
PREDOCTORAL TRAINING PROGRAM IN PHARMACOLOGYT32GM007635 · NIGMS · UNIVERSITY OF COLORADO DENVER · PI DELL'ACQUA, MARK L · 1985 to 2023
$6.1M
Role of autophagy in tumor cell deathR01CA150925 · NCI · UNIVERSITY OF COLORADO DENVER · PI DEGREGORI, JAMES V · 2010 to 2024
$5.5M
Stress- and Promoter-Specific Mechanisms of Transcritpional Activation by p53R01CA117907 · NCI · UNIVERSITY OF COLORADO DENVER · PI ESPINOSA, JOAQUIN M. · 2006 to 2022
$4.4M
Training Program in Cancer BiologyT32CA190216 · NCI · UNIVERSITY OF COLORADO DENVER · PI Craig T. Jordan · 2016 to 2026
$3.5M
Therapeutic targeting of autophagy-dependent cancerR01CA190170 · NCI · UNIVERSITY OF COLORADO DENVER · PI GUSTAFSON, DANIEL L, THORBURN, ANDREW M · 2015 to 2019
$2.5M
Cancer Research UK 15816Cancer Research UK 22903NCI NIH HHS P30 CA046934NCI NIH HHS R01 CA117907NCI NIH HHS R01 CA150925NCI NIH HHS R01 CA190170NCI NIH HHS T32 CA190216NIGMS NIH HHS T32 GM007635
6 · The paper itself

Abstract

Macroautophagy (autophagy) is intimately linked with cell death and allows cells to evade apoptosis. This has prompted clinical trials to combine autophagy inhibitors with other drugs with the aim of increasing the likelihood of cancer cells dying. However, the molecular basis for such effects is unknown. Here, we describe a transcriptional mechanism that connects autophagy to apoptosis. The autophagy-regulating transcription factor, FOXO3a, is itself turned over by basal autophagy creating a potential feedback loop. Increased FOXO3a upon autophagy inhibition stimulates transcription of the pro-apoptotic BBC3/PUMA gene to cause apoptosis sensitization. This mechanism explains how autophagy inhibition can sensitize tumor cells to chemotherapy drugs and allows an autophagy inhibitor to change the action of an MDM2-targeted drug from growth inhibition to apoptosis, reducing tumor burden in vivo. Thus, a link between two processes mediated via a single transcription factor binding site in the genome can be leveraged to improve anti-cancer therapies.

Indexed as

Antineoplastic AgentsApoptosisApoptosis Regulatory ProteinsAutophagyBreast NeoplasmsColonic NeoplasmsFemaleForkhead Box Protein O3Gene Expression Regulation, NeoplasticHumansProto-Oncogene ProteinsTumor Cells, CulturedAntineoplastic AgentsApoptosis Regulatory ProteinsBBC3 protein, humanForkhead Box Protein O3FOXO3 protein, humanProto-Oncogene ProteinsapoptosisautophagychloroquineCRISPR/Cas9FOXO3ahomeostasisMDM2nutlinp53PUMA

Identifiers

PMID29533771
PMCPMC5866042
OpenAlexW2792784918

What OpenQuestion holds

Textmetadata
LicenceTDM
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.