Evidence map›Paper›PMID 30021885›Full record

ArticleScience translational medicine2018

PP2A inhibition is a druggable MEK inhibitor resistance mechanism in KRAS-mutant lung cancer cells.

Otto Kauko, Caitlin M O'Connor, Evgeny Kulesskiy, Jaya Sangodkar, Anna Aakula, Sudeh Izadmehr, Laxman Yetukuri, Bhagwan Yadav, Artur Padzik, Teemu Daniel Laajala and 8 more

Open access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed
6.8field-weighted citation impact, top 2% 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

92 citing papers in PubMed, 153 citations in OpenAlex.

  1. Phosphoproteomic dysregulation promotes tumor proliferation in Cushing's disease.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  2. Article
  3. Targeting MYC-Driven Cancers: From Oncogenic Addiction to Therapeutic Vulnerability.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  4. Article
  5. Review
  6. Article
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  12. Targeting PP2A in cancer: an underrated option.Journal of experimental & clinical cancer research : CR · 2025
    Review
  13. Review
  14. Article
  15. Blocking CXCR4Genome medicine · 2025
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

32 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

18 authors at 4 institutions in 2 countries.

Otto KaukoTurku Centre for Biotechnology, University of Turku and Åbo Akademi University, 20520 Turku, Finland.ORCID 0000-0001-8948-9452
Caitlin M O'ConnorCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH 44106-7285, USA.
Evgeny KulesskiyInstitute for Molecular Medicine Finland, University of Helsinki, 00014 Helsinki, Finland.
Jaya SangodkarIcahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Anna AakulaTurku Centre for Biotechnology, University of Turku and Åbo Akademi University, 20520 Turku, Finland.
Sudeh IzadmehrIcahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Laxman YetukuriTurku Centre for Biotechnology, University of Turku and Åbo Akademi University, 20520 Turku, Finland.ORCID 0000-0002-6728-7064
Bhagwan YadavInstitute for Molecular Medicine Finland, University of Helsinki, 00014 Helsinki, Finland.ORCID 0000-0002-3502-9335
Artur PadzikTurku Centre for Biotechnology, University of Turku and Åbo Akademi University, 20520 Turku, Finland.ORCID 0000-0002-5009-7045
Teemu Daniel LaajalaInstitute for Molecular Medicine Finland, University of Helsinki, 00014 Helsinki, Finland.ORCID 0000-0002-7016-7354
Pekka HaapaniemiTurku Centre for Biotechnology, University of Turku and Åbo Akademi University, 20520 Turku, Finland.
Majid MomenyTurku Centre for Biotechnology, University of Turku and Åbo Akademi University, 20520 Turku, Finland.ORCID 0000-0001-7755-0826
Taru VarilaTurku Centre for Biotechnology, University of Turku and Åbo Akademi University, 20520 Turku, Finland.ORCID 0000-0002-5637-7507
Michael OhlmeyerIcahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Tero AittokallioInstitute for Molecular Medicine Finland, University of Helsinki, 00014 Helsinki, Finland.ORCID 0000-0002-0886-9769
Krister WennerbergInstitute for Molecular Medicine Finland, University of Helsinki, 00014 Helsinki, Finland.
Goutham NarlaCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH 44106-7285, USA.
Jukka WestermarckTurku Centre for Biotechnology, University of Turku and Åbo Akademi University, 20520 Turku, Finland. jukwes@utu.fi.
Åbo Akademi University · FIUniversity of Helsinki · FIIcahn School of Medicine at Mount Sinai · USCase Western Reserve University · US

Funding

PREDOCTORAL TRAINING PROGRAM IN MOLECULAR THERAPEUTICST32GM008803 · NIGMS · CASE WESTERN RESERVE UNIVERSITY · PI MIEYAL, JOHN J, NIEMAN, MARVIN THOMAS · 2001 to 2023
$4.2M
Small Molecule Activators of PP2A (SMAPs) for Prostate Cancer TherapyR01CA181654 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NARLA, GOUTHAM · 2015 to 2019
$1.9M
NCI NIH HHS R01 CA181654
6 · The paper itself

Abstract

Kinase inhibitor resistance constitutes a major unresolved clinical challenge in cancer. Furthermore, the role of serine/threonine phosphatase deregulation as a potential cause for resistance to kinase inhibitors has not been thoroughly addressed. We characterize protein phosphatase 2A (PP2A) activity as a global determinant of KRAS-mutant lung cancer cell resistance across a library of >200 kinase inhibitors. The results show that PP2A activity modulation alters cancer cell sensitivities to a large number of kinase inhibitors. Specifically, PP2A inhibition ablated mitogen-activated protein kinase kinase (MEK) inhibitor response through the collateral activation of AKT/mammalian target of rapamycin (mTOR) signaling. Combination of mTOR and MEK inhibitors induced cytotoxicity in PP2A-inhibited cells, but even this drug combination could not abrogate MYC up-regulation in PP2A-inhibited cells. Treatment with an orally bioavailable small-molecule activator of PP2A DT-061, in combination with the MEK inhibitor AZD6244, resulted in suppression of both p-AKT and MYC, as well as tumor regression in two KRAS-driven lung cancer mouse models. DT-061 therapy also abrogated MYC-driven tumorigenesis. These data demonstrate that PP2A deregulation drives MEK inhibitor resistance in KRAS-mutant cells. These results emphasize the need for better understanding of phosphatases as key modulators of cancer therapy responses.

Indexed as

AnimalsCell Line, TumorCellular SenescenceDrug Resistance, NeoplasmHumansLung NeoplasmsMaleMAP Kinase Signaling SystemMice, Inbred BALB CMice, NudeMitogen-Activated Protein Kinase KinasesMutationProtein Kinase InhibitorsProtein Phosphatase 2Proto-Oncogene Proteins c-aktProto-Oncogene Proteins p21(ras)KRAS protein, humanMitogen-Activated Protein Kinase KinasesProtein Kinase InhibitorsProtein Phosphatase 2Proto-Oncogene Proteins c-aktProto-Oncogene Proteins p21(ras)TOR Serine-Threonine Kinases

Identifiers

PMID30021885
PMCPMC8335581
OpenAlexW2884137656

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.