Evidence map›Paper›PMID 29599906›Full record

ArticleOncotarget2018

Dynamic changes during the treatment of pancreatic cancer.

Robert A Wolff, Andrea Wang-Gillam, Hector Alvarez, Hervé Tiriac, Dannielle Engle, Shurong Hou, Abigail F Groff, Anthony San Lucas, Vincent Bernard, Kelvin Allenson and 20 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Lead identification using 3D models of pancreatic cancer.SLAS discovery : advancing life sciences R & D · 2022
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  10. Evolution of CD8Cells · 2021
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  11. Global Phosphoproteomics Reveal CDK Suppression as a Vulnerability to KRas Addiction in Pancreatic Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Article
  12. Review
  13. Breast cancer immunotherapy: current biomarkers and the potential ofCurrent opinion in biomedical engineering · 2021
    Article
  14. Article
  15. Article
  16. Linking long noncoding RNA to drug resistance.Proceedings of the National Academy of Sciences of the United States of America · 2019
    Article
  17. Article
  18. Article
  19. 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

30 authors at 8 institutions in 1 country.

Robert A WolffDepartment of Gastrointestinal (GI) Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Andrea Wang-GillamDivision of Oncology, Washington University, St. Louis, MO, USA.
Hector AlvarezDepartment of Pathology, MD Anderson Cancer Center, Houston, TX, USA.
Hervé TiriacCold Spring Harbor Laboratory, New York, NY, USA.
Dannielle EngleCold Spring Harbor Laboratory, New York, NY, USA.
Shurong HouDepartment of Molecular Therapeutics, The Scripps Research Institute, Jupiter, FL, USA.
Abigail F GroffDepartment of Molecular and Cellular Biology, Harvard University, The Broad Institute, Cambridge, MA, USA.
Anthony San LucasDepartment of Translational Molecular Pathology, MD Anderson Cancer Center, Houston, TX, USA.
Vincent BernardDepartment of Radiation Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Kelvin AllensonDepartment of Surgical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Jonathan CastilloDepartment of Pathology, MD Anderson Cancer Center, Houston, TX, USA.
Dong KimDepartment of Pathology, MD Anderson Cancer Center, Houston, TX, USA.
Feven MuluDepartment of Pathology, MD Anderson Cancer Center, Houston, TX, USA.
Jonathan HuangDepartment of Pathology, MD Anderson Cancer Center, Houston, TX, USA.
Bret StephensDepartment of Pathology, MD Anderson Cancer Center, Houston, TX, USA.
Ignacio I WistubaDepartment of Translational Molecular Pathology, MD Anderson Cancer Center, Houston, TX, USA.
Matthew KatzDepartment of Surgical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Gauri VaradhacharyDepartment of Gastrointestinal (GI) Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
YoungKyu ParkCold Spring Harbor Laboratory, New York, NY, USA.
James HicksCold Spring Harbor Laboratory, New York, NY, USA.
Arul ChinnaiyanCenter for Translational Pathology, University of Michigan Medical Center, Ann Arbor, MI, USA.
Louis ScampaviaDepartment of Molecular Therapeutics, The Scripps Research Institute, Jupiter, FL, USA.
Timothy SpicerDepartment of Molecular Therapeutics, The Scripps Research Institute, Jupiter, FL, USA.
Chiara GerhardingerDepartment of Molecular and Cellular Biology, Harvard University, The Broad Institute, Cambridge, MA, USA.
Anirban MaitraDepartment of Pathology, MD Anderson Cancer Center, Houston, TX, USA.
David TuvesonCold Spring Harbor Laboratory, New York, NY, USA.
John RinnDepartment of Molecular and Cellular Biology, Harvard University, The Broad Institute, Cambridge, MA, USA.
Gregory LizeeDepartment of Melanoma Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Cassian YeeDepartment of Melanoma Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Arnold J LevineSimons Center for Systems Biology, Institute for Advanced Study, Princeton, NJ, USA.
The University of Texas MD Anderson Cancer Center · USCold Spring Harbor Laboratory · USScripps Research Institute · USHarvard University · USBroad Institute · USInstitute for Advanced Study · USUniversity of Michigan–Ann Arbor · USWashington University in St. Louis · US

Funding

Single-Cell Biology Shared ResourceP30CA045508 · NCI · COLD SPRING HARBOR LABORATORY · PI John Edward Moses · 1987 to 2026
$118.9M
Scientific ReagentsP01CA087497 · NCI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI LEVINE, ARNOLD · 2000 to 2021
$35.4M
Center for Clinical and Translational Sciences (CCTS)KL2TR000370 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2012 to 2016
$4.3M
Longitudinal therapeutic monitoring of colorectal cancer patients using exosome-based liquid biopsiesR01CA218230 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KOPETZ, SCOTT, MAITRA, ANIRBAN · 2018 to 2022
$3.3M
CSHL Cancer Gene Discovery and Cancer Biology Postdoctoral Research Training ProgramT32CA148056 · NCI · COLD SPRING HARBOR LABORATORY · PI TROTMAN, LLOYD C · 2011 to 2020
$1.8M
Advanced Development and Validation of 3 Dimensional Spheroid Culture of Primary Cancer Cells using Nano3D TechnologyR33CA206949 · NCI · SCRIPPS FLORIDA · PI SPICER, TIMOTHY PATRICK · 2016 to 2019
$1.6M
NCATS NIH HHS KL2 TR000370NCI NIH HHS P01 CA087497NCI NIH HHS P30 CA045508NCI NIH HHS R01 CA218230NCI NIH HHS R33 CA206949NCI NIH HHS T32 CA148056
6 · The paper itself

Abstract

This manuscript follows a single patient with pancreatic adenocarcinoma for a five year period, detailing the clinical record, pathology, the dynamic evolution of molecular and cellular alterations as well as the responses to treatments with chemotherapies, targeted therapies and immunotherapies. DNA and RNA samples from biopsies and blood identified a dynamic set of changes in allelic imbalances and copy number variations in response to therapies. Organoid cultures established from biopsies over time were employed for extensive drug testing to determine if this approach was feasible for treatments. When an unusual drug response was detected, an extensive RNA sequencing analysis was employed to establish novel mechanisms of action of this drug. Organoid cell cultures were employed to identify possible antigens associated with the tumor and the patient's T-cells were expanded against one of these antigens. Similar and identical T-cell receptor sequences were observed in the initial biopsy and the expanded T-cell population. Immunotherapy treatment failed to shrink the tumor, which had undergone an epithelial to mesenchymal transition prior to therapy. A warm autopsy of the metastatic lung tumor permitted an extensive analysis of tumor heterogeneity over five years of treatment and surgery. This detailed analysis of the clinical descriptions, imaging, pathology, molecular and cellular evolution of the tumors, treatments, and responses to chemotherapy, targeted therapies, and immunotherapies, as well as attempts at the development of personalized medical treatments for a single patient should provide a valuable guide to future directions in cancer treatment.

Indexed as

epithelial-mesenchymal transitiongenomic instabilityorganoidspancreatic cancer

Identifiers

PMID29599906
PMCPMC5871077
OpenAlexW2789686937

What OpenQuestion holds

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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.