Evidence map›Paper›PMID 30155899›Full record

ArticleThe Prostate2019

TGF-β receptor I inhibitor enhances response to enzalutamide in a pre-clinical model of advanced prostate cancer.

Channing Paller, Hong Pu, Diane E Begemann, Cameron A Wade, Patrick J Hensley, Natasha Kyprianou

Open access · greenAbstract read
In one paragraph

Article in The Prostate, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
5.5field-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.

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

40 citing papers in PubMed, 63 citations in OpenAlex.

  1. Transcriptional profiling identifies an androgen receptor activity-low, stemness program associated with enzalutamide resistance.Proceedings of the National Academy of Sciences of the United States of America · 2020
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  11. Impact of cell plasticity on prostate tumor heterogeneity and therapeutic response.American journal of clinical and experimental urology · 2024
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  12. Role of actin-binding proteins in prostate cancer.Frontiers in cell and developmental biology · 2024
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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

6 authors at 2 institutions in 1 country.

Channing PallerThe Johns Hopkins Kimmel Cancer Center and Department of Medicine, Johns Hopkins University, Baltimore, Maryland.
Hong PuDepartment of Urology, University of Kentucky College of Medicine, Lexington, Kentucky.
Diane E BegemannDepartment of Toxicology and Cancer Biology, University of Kentucky College of Medicine, Lexington, Kentucky.
Cameron A WadeDepartment of Urology, University of Kentucky College of Medicine, Lexington, Kentucky.
Patrick J HensleyDepartment of Urology, University of Kentucky College of Medicine, Lexington, Kentucky.
Natasha KyprianouDepartment of Urology, University of Kentucky College of Medicine, Lexington, Kentucky.ORCID 0000-0002-9382-9664
University of Kentucky · USJohns Hopkins University · US

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR000117 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$13.3M
Overcoming drug resistance in metastatic castration resistant prostate cancer with a novel combination of TGF-beta inhibition and enzalutamideK23CA197526 · NCI · JOHNS HOPKINS UNIVERSITY · PI PALLER, CHANNING · 2016 to 2018
$531k
NCATS NIH HHS UL1 TR000117NCI NIH HHS K23 CA197526Schwab Foundation
6 · The paper itself

Abstract

backgroundProstate cancer progression is navigated by the androgen receptor (AR) and transforming-growth factor-β (TGF-β) signaling. We previously demonstrated that aberrant TGF-β signaling accelerates prostate tumor progression in a transgenic mouse model of prostate cancer via effects on epithelial-mesenchymal transition (EMT), driving castration-resistant prostate cancer (CRPC).

methodsThis study examined the antitumor effect of the combination of TGF-β receptor I (TβRI) inhibitor, galunisertib, and FDA-approved antiandrogen enzalutamide, in our pre-clinical model. Age-matched genotypically characterized DNTGFβRII male mice were treated with either galunisertib and enzalutamide, in combination or as single agents in three "mini"-trials and the effects on tumor growth, phenotypic EMT, and actin cytoskeleton were evaluated.

resultsGalunisertib in combination with enzalutamide significantly suppressed prostate tumor growth, by increasing apoptosis and decreasing cell proliferation of tumor cell populations compared to the inhibitor as a monotherapy (P < 0.05). The combination treatment dramatically reduced cofilin levels, actin cytoskeleton regulator, compared to single agents. Treatment with galunisertib targeted nuclear Smad4 protein (intracellular TGF-β effector), but had no effect on nuclear AR. Consequential to TGF-β inhibition there was an EMT reversion to mesenchymal-epithelial transition (MET) and re-differentiation of prostate tumors. Elevated intratumoral TGF-β1 ligand, in response to galunisertib, was blocked by enzalutamide.

conclusionOur results provide novel insights into the therapeutic value of targeting TGF-β signaling to overcome resistance to enzalutamide in prostate cancer by phenotypic reprogramming of EMT towards tumor re-differentiation and cytoskeleton remodeling. This translational work is significant in sequencing TGF-β blockade and antiandrogens to optimize therapeutic response in CRPC.

Indexed as

AnimalsAntineoplastic AgentsBenzamidesDrug SynergismEpithelial-Mesenchymal TransitionMaleMice, Inbred C57BLMice, TransgenicNitrilesPhenylthiohydantoinProstatic NeoplasmsPyrazolesQuinolinesReceptor, Transforming Growth Factor-beta Type IAntineoplastic AgentsBenzamidesenzalutamideLY-2157299NitrilesPhenylthiohydantoinPyrazolesQuinolinesReceptor, Transforming Growth Factor-beta Type IEMTenzalutamideTGF-β inhibition strongtherapeutic response

Identifiers

PMID30155899
PMCPMC8444158
OpenAlexW2889388779

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.