Evidence map›Paper›PMID 30103709›Full record

ArticleBMC cancer2018

Rational development of synergistic combinations of chemotherapy and molecular targeted agents for colorectal cancer treatment.

Diego Tosi, Esther Pérez-Gracia, Salima Atis, Nadia Vié, Eve Combès, Mélissa Gabanou, Christel Larbouret, Marta Jarlier, Caroline Mollevi, Adeline Torro and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

22 citing papers in PubMed, 34 citations in OpenAlex.

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  4. Polyphenols, Polysaccharides, and Their Complexes fromMolecules (Basel, Switzerland) · 2025
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  16. Clinical Benefit of Therapeutic Drug Monitoring in Colorectal Cancer Patients Who Received Fluorouracil-Based Chemotherapy.Medical science monitor : international medical journal of experimental and clinical research · 2021
    Article
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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

13 authors at 2 institutions in 1 country.

Diego TosiInstitut régional du Cancer de Montpellier (ICM), 208 avenue des Apothicaires, 34298, Montpellier, France. diego.tosi@icm.unicancer.fr.ORCID http://orcid.org/0000-0003-0401-7400
Esther Pérez-GraciaInstitut de Recherche en Cancérologie de Montpellier (IRCM, Inserm U1194), 34298, Montpellier, France.
Salima AtisInstitut de Recherche en Cancérologie de Montpellier (IRCM, Inserm U1194), 34298, Montpellier, France.
Nadia ViéInstitut de Recherche en Cancérologie de Montpellier (IRCM, Inserm U1194), 34298, Montpellier, France.
Eve CombèsInstitut de Recherche en Cancérologie de Montpellier (IRCM, Inserm U1194), 34298, Montpellier, France.
Mélissa GabanouInstitut de Recherche en Cancérologie de Montpellier (IRCM, Inserm U1194), 34298, Montpellier, France.
Christel LarbouretInstitut de Recherche en Cancérologie de Montpellier (IRCM, Inserm U1194), 34298, Montpellier, France.
Marta JarlierInstitut régional du Cancer de Montpellier (ICM), 208 avenue des Apothicaires, 34298, Montpellier, France.
Caroline MolleviInstitut régional du Cancer de Montpellier (ICM), 208 avenue des Apothicaires, 34298, Montpellier, France.
Adeline TorroInstitut de Recherche en Cancérologie de Montpellier (IRCM, Inserm U1194), 34298, Montpellier, France.
Maguy Del RioInstitut de Recherche en Cancérologie de Montpellier (IRCM, Inserm U1194), 34298, Montpellier, France.
Pierre MartineauInstitut de Recherche en Cancérologie de Montpellier (IRCM, Inserm U1194), 34298, Montpellier, France.
Céline GongoraInstitut de Recherche en Cancérologie de Montpellier (IRCM, Inserm U1194), 34298, Montpellier, France.
Inserm · FRInstitut de Recherche en Cancérologie de Montpellier · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe irinotecan-induced phosphokinome changes in colorectal cancer (CRC) cells were used to guide the selection of targeted agents to be tested in combination with irinotecan.

methodsPhosphokinome profiling with peptide arrays of tumour samples from nude mice xenografted with HT29 cells and treated or not with an effective dose of irinotecan was used to identify signalling pathways activated by irinotecan treatment. Then, drugs targeting these pathways were combined in vitro with irinotecan to test potential synergistic effect. The interactions between these drug combinations were assessed by a dose matrix approach. Confirmation of the most potential combination has been confirmed in vivo in xenografted mice.

resultsIrinotecan induced in vivo the activation of AKT and MEK1 phosphorylation. The dose matrix approach showed that BKM120 (PI3K inhibitor) and MEK162 (MEK inhibitor) are synergistic in vitro and in vivo with a cytostatic and cytotoxic effect, while combination of BKM120 and irinotecan or MEK162 and irinotecan are only additive or even antagonistic. However, the triple combination of SN38, BKM120 and MEK162 showed a better synergistic effect that BKM120 and MEK162, indicating that the cells need to inhibit both AKT and ERK pathways to become more sensitive to irinotecan-based chemotherapies.

conclusionAnalysis of chemotherapy-induced phosphokinome changes helps to elucidate the mechanisms of drug resistance and to guide the selection of targets for combination therapies with synergistic activity.

Indexed as

Drug SynergismAminopyridinesAnimalsBenzimidazolesCamptothecinCell ProliferationColorectal NeoplasmsDrug Resistance, NeoplasmHT29 CellsHumansIrinotecanMAP Kinase Kinase 1MiceMolecular Targeted TherapyMorpholinesProtein Kinase InhibitorsAminopyridinesBenzimidazolesbinimetinibCamptothecinIrinotecanMAP Kinase Kinase 1MorpholinesNVP-BKM120Protein Kinase InhibitorsColorectal cancerDrug combinationsIrinotecanPhosphokinomeSynergistic effect

Identifiers

PMID30103709
PMCPMC6090616
OpenAlexW2885136634

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.