Evidence map›Paper›PMID 29970892›Full record

ArticleCell death & disease2018

PIK3CA mutations confer resistance to first-line chemotherapy in colorectal cancer.

Qiang Wang, Yan-Long Shi, Kai Zhou, Li-Li Wang, Ze-Xuan Yan, Yu-Lin Liu, Li-Li Xu, Shi-Wei Zhao, Hui-Li Chu, Ting-Ting Shi and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05660083 (Phase II Trial of Alpelisib With iNOS Inhibitor and Nab-paclitaxel in Patients With HER2 Negative Metastatic or Locally Advanced Metaplastic Breast Cancer), which is not on this map. Cited by 99 papers.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed
6.0field-weighted citation impact, top 3% 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.

NCT05660083 phase2recruitingnot on this mapstarted 2023, after this paper: background citation

Phase II Trial of Alpelisib With iNOS Inhibitor and Nab-paclitaxel in Patients With HER2 Negative Metastatic or Locally Advanced Metaplastic Breast Cancer (MpBC)

TypeinterventionalSponsorThe Methodist Hospital Research InstituteRan2023 to 2028Enrolled36ConditionsHER2-negative Breast Cancer, Metastatic Breast Cancer, Metaplastic Breast Carcinoma, TNBC - Triple-Negative Breast CancerArmsL-NMMA
3 · Its place in the literature

Who cites it

99 citing papers in PubMed, 150 citations in OpenAlex.

  1. Therapy resistance-related ncRNAs in cervical cancer: biomarkers and therapeutic targets.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2026
    Review
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  4. CSIE: cancer subtyping via inference and ensemble.Briefings in bioinformatics · 2026
    Article
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  16. International journal of molecular sciences · 2025
    Review
  17. Article
  18. Review
  19. Article
  20. Review

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

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

12 authors at 4 institutions in 1 country.

Qiang WangDepartment of Oncology, General Hospital of Jinan Military Command PLA, Jinan, 250031, China.ORCID 0000-0003-2614-9201
Yan-Long ShiDepartment of Oncology, General Hospital of Jinan Military Command PLA, Jinan, 250031, China.
Kai ZhouInstitute of Pathology and Southwest Cancer Center, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China.
Li-Li WangDepartment of Oncology, Liaocheng Cancer Hospital, Liaocheng, 252000, China.
Ze-Xuan YanInstitute of Pathology and Southwest Cancer Center, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China.
Yu-Lin LiuDepartment of Pathology, 401 People's Liberation Army Hospital, Qingdao, 266071, China.
Li-Li XuDepartment of Pathology, 401 People's Liberation Army Hospital, Qingdao, 266071, China.
Shi-Wei ZhaoDepartment of Oncology, General Hospital of Jinan Military Command PLA, Jinan, 250031, China.
Hui-Li ChuDepartment of Oncology, General Hospital of Jinan Military Command PLA, Jinan, 250031, China.
Ting-Ting ShiDepartment of Oncology, General Hospital of Jinan Military Command PLA, Jinan, 250031, China.
Qing-Hua MaInstitute of Pathology and Southwest Cancer Center, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China.
Jingwang BiDepartment of Oncology, General Hospital of Jinan Military Command PLA, Jinan, 250031, China. jingwangbi@outlook.com.
General Hospital of Jinan Military Command · CNArmy Medical University · CNPeople's Liberation Army 401 Hospital · CNLiaocheng People's Hospital · CN

Funding

National Natural Science Foundation of China (National Science Foundation of China) 81502283
6 · The paper itself

Abstract

Chemotherapy represents an important treatment option for colorectal cancer (CRC), but only half of the patients benefit from these regimens. We explored the potential predicting value and mechanism of PIK3CA mutation in CRC chemotherapy. CRC specimens from 440 patients were retrospectively collected and examined with a fluorescence PCR-based method. The correlation of first-line chemotherapy response and PIK3CA mutation was evaluated according to follow-up and medical records. The underlying mechanism of PIK3CA mutation in chemotherapy resistance was assessed with CRC tumors and primary cells. The mutation frequency of the PIK3CA gene in CRC patients was 9.55%, which was correlated with late TNM staging and lower histological grade. The CRC patients with PIK3A mutation showed worse response to first-line chemotherapy than those without PIK3CA mutation. PIK3A mutation tumor cells showed poor sensitivity to first-line chemotherapy in vitro and in vivo. PIK3CA mutation induced PI3K/Akt signaling activation to increase LGR5

Indexed as

AdultAgedAged, 80 and overCell SurvivalChromonesClass I Phosphatidylinositol 3-KinasesColorectal NeoplasmsFemaleFluorouracilHCT116 CellsHumansMaleMiddle AgedMorpholinesMultivariate AnalysisMutation2-(4-morpholinyl)-8-phenyl-4H-1-benzopyran-4-oneChromonesClass I Phosphatidylinositol 3-KinasesFluorouracilLGR5 protein, humanMorpholinesperifosinePhosphorylcholinePIK3CA protein, humanReceptors, G-Protein-Coupled

Identifiers

PMID29970892
PMCPMC6030128
OpenAlexW2810475801

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.