Evidence map›Paper›PMID 30054476›Full record

ArticleNature communications2018

A novel enhancer regulates MGMT expression and promotes temozolomide resistance in glioblastoma.

Xiaoyue Chen, Minjie Zhang, Haiyun Gan, Heping Wang, Jeong-Heon Lee, Dong Fang, Gaspar J Kitange, Lihong He, Zeng Hu, Ian F Parney and 4 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 156 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
156citing papers in PubMed, 2 pooled it
17.5field-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

156 citing papers in PubMed, 2 syntheses or guidelines pooled it, 280 citations in OpenAlex.

  1. Pooled it
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  12. Targeting BRD4-A Promising Therapeutic Option for Glioblastoma?International journal of molecular sciences · 2026
    Review
  13. Cells · 2026
    Article
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  16. Article
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96 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

14 authors at 6 institutions in 2 countries.

Xiaoyue ChenBiochemistry and Molecular Biology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Minjie ZhangInstitute for Cancer Genetics, Department of Pediatrics and Department of Genetics and Development, Irving Cancer Research Center, Columbia University, 1130 St. Nicholas Avenue, New York, NY, 10032, USA.
Haiyun GanInstitute for Cancer Genetics, Department of Pediatrics and Department of Genetics and Development, Irving Cancer Research Center, Columbia University, 1130 St. Nicholas Avenue, New York, NY, 10032, USA.
Heping WangDepartment of Neurosurgery, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, No.1095 Jie Fang Avenue, Hankou, 430030, Wuhan, China.
Jeong-Heon LeeBiochemistry and Molecular Biology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Dong FangInstitute for Cancer Genetics, Department of Pediatrics and Department of Genetics and Development, Irving Cancer Research Center, Columbia University, 1130 St. Nicholas Avenue, New York, NY, 10032, USA.
Gaspar J KitangeDepartment of Radiation Oncology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Lihong HeDepartment of Radiation Oncology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Zeng HuDepartment of Radiation Oncology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Ian F ParneyDepartment of Neurologic Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Fredric B MeyerDepartment of Neurologic Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Caterina GianniniDepartment of Laboratory Medicine and Pathology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Jann N SarkariaDepartment of Radiation Oncology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA. Sarkaria.Jann@mayo.edu.
Zhiguo ZhangInstitute for Cancer Genetics, Department of Pediatrics and Department of Genetics and Development, Irving Cancer Research Center, Columbia University, 1130 St. Nicholas Avenue, New York, NY, 10032, USA. zz2401@cumc.columbia.edu.
Mayo Clinic · USColumbia University · USCancer Genetics (United States) · USCancer Research Center · USTongji Hospital · CNWinnMed · US

Funding

Targeted MV-CEA as a Potent Antitumor Agent against GBMP50CA108961 · NCI · MAYO CLINIC ROCHESTER · PI O'NEILL, BRIAN PATRICK · 2004 to 2015
$22.5M
(PQD3) Mechanisms of prolonged initial disease-free survival in glioblastomaR01CA184320 · NCI · MAYO CLINIC ROCHESTER · PI SARKARIA, JANN N. · 2014 to 2017
$2.9M
The epigenetic mechanisms of high-grade pediatric glioblastomaR01CA204297 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ZHANG, ZHIGUO · 2017 to 2021
$2.2M
Mechanisms of acquired temozolomide resistance in glioblastoma multiformeR01CA176830 · NCI · MAYO CLINIC ROCHESTER · PI SARKARIA, JANN N. · 2013 to 2017
$1.6M
The role of a histone H4 phosphorylation in drug resistanceR01CA157489 · NCI · MAYO CLINIC ROCHESTER · PI ZHANG, ZHIGUO · 2012 to 2016
$1.6M
NCI NIH HHS P50 CA108961NCI NIH HHS R01 CA157489NCI NIH HHS R01 CA176830NCI NIH HHS R01 CA184320NCI NIH HHS R01 CA204297
6 · The paper itself

Abstract

Temozolomide (TMZ) was used for the treatment of glioblastoma (GBM) for over a decade, but its treatment benefits are limited by acquired resistance, a process that remains incompletely understood. Here we report that an enhancer, located between the promoters of marker of proliferation Ki67 (MKI67) and O6-methylguanine-DNA-methyltransferase (MGMT) genes, is activated in TMZ-resistant patient-derived xenograft (PDX) lines and recurrent tumor samples. Activation of the enhancer correlates with increased MGMT expression, a major known mechanism for TMZ resistance. We show that forced activation of the enhancer in cell lines with low MGMT expression results in elevated MGMT expression. Deletion of this enhancer in cell lines with high MGMT expression leads to a dramatic reduction of MGMT and a lesser extent of Ki67 expression, increased TMZ sensitivity, and impaired proliferation. Together, these studies uncover a mechanism that regulates MGMT expression, confers TMZ resistance, and potentially regulates tumor proliferation.

Indexed as

Biomarkers, TumorCell Line, TumorCell ProliferationClustered Regularly Interspaced Short Palindromic RepeatsDNA MethylationDNA Modification MethylasesDNA Repair EnzymesDrug Resistance, NeoplasmE1A-Associated p300 ProteinGene DeletionGene Expression Regulation, NeoplasticGlioblastomaHEK293 CellsHeterograftsHumansKi-67 AntigenBiomarkers, TumorDNA Modification MethylasesDNA Repair EnzymesE1A-Associated p300 ProteinEP300 protein, humanKi-67 AntigenMGMT protein, humanMKI67 protein, humanTemozolomideTumor Suppressor Proteins

Identifiers

PMID30054476
PMCPMC6063898
OpenAlexW2884785743

What OpenQuestion holds

Textmetadata
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.