Evidence map›Paper›PMID 30171261›Full record

ArticleOncogene2019

mTOR mediates a mechanism of resistance to chemotherapy and defines a rational combination strategy to treat KRAS-mutant lung cancer.

Shun-Qing Liang, Elias D Bührer, Sabina Berezowska, Thomas M Marti, Duo Xu, Laurène Froment, Haitang Yang, Sean R R Hall, Erik Vassella, Zhang Yang and 6 more

Abstract read
PubMed Publisher
In one paragraph

Article in Oncogene, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

35 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. A multiomic investigation of lung adenocarcinoma molecular subtypes.Journal of the Chinese Medical Association : JCMA · 2024
    Article
  10. Article
  11. Article
  12. c-MYC-mediated TRIB3/P62Acta pharmaceutica Sinica. B · 2022
    Article
  13. Metabolic synthetic lethality by targeting NOP56 and mTOR in KRAS-mutant lung cancer.Journal of experimental & clinical cancer research : CR · 2022
    Article
  14. Review
  15. Article
  16. High DHCR7 Expression Predicts Poor Prognosis for Cervical Cancer.Computational and mathematical methods in medicine · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Review
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

16 authors at 1 institution in 1 country.

Shun-Qing LiangDivision of General Thoracic Surgery, Inselspital, Bern University Hospital, Bern, Switzerland.
Elias D BührerTumor Immunology, Department for BioMedical Research (DBMR), University of Bern, Bern, Switzerland.
Sabina BerezowskaInstitute of Pathology, University of Bern, Bern, Switzerland.
Thomas M MartiDivision of General Thoracic Surgery, Inselspital, Bern University Hospital, Bern, Switzerland.
Duo XuDivision of General Thoracic Surgery, Inselspital, Bern University Hospital, Bern, Switzerland.
Laurène FromentDivision of General Thoracic Surgery, Inselspital, Bern University Hospital, Bern, Switzerland.
Haitang YangDivision of General Thoracic Surgery, Inselspital, Bern University Hospital, Bern, Switzerland.
Sean R R HallDivision of General Thoracic Surgery, Inselspital, Bern University Hospital, Bern, Switzerland.
Erik VassellaInstitute of Pathology, University of Bern, Bern, Switzerland.
Zhang YangDivision of General Thoracic Surgery, Inselspital, Bern University Hospital, Bern, Switzerland.
Gregor J KocherDivision of General Thoracic Surgery, Inselspital, Bern University Hospital, Bern, Switzerland.
Michael A AmreinTumor Immunology, Department for BioMedical Research (DBMR), University of Bern, Bern, Switzerland.
Carsten RietherTumor Immunology, Department for BioMedical Research (DBMR), University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0001-7512-513X
Adrian F OchsenbeinTumor Immunology, Department for BioMedical Research (DBMR), University of Bern, Bern, Switzerland.
Ralph A SchmidDivision of General Thoracic Surgery, Inselspital, Bern University Hospital, Bern, Switzerland. Ralph.Schmid@insel.ch.
Ren-Wang PengDivision of General Thoracic Surgery, Inselspital, Bern University Hospital, Bern, Switzerland. Renwang.Peng@insel.ch.
University of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oncogenic KRAS mutations comprise the largest subset of lung cancer defined by genetic alterations, but in the clinic no targeted therapies are available that effectively control mutational KRAS activation. Consequently, patients with KRAS-driven tumors are routinely treated with cytotoxic chemotherapy, which is often transiently effective owing to development of drug resistance. In this study, we show that hyperactivated mammalian target of rapamycin (mTOR) pathway is a characteristic hallmark of KRAS-mutant lung adenocarcinoma after chemotherapy treatment, and that KRAS-mutant lung cancer cells rely on persistent mTOR signaling to resist chemotherapeutic drugs. Coherently, mTOR inhibition circumvents the refractory phenotype and restores sensitivity of resistant KRAS-mutant lung cancer cells to chemotherapy. Importantly, drug combinations of clinically approved mTOR inhibitors and chemotherapy drugs synergize in inhibiting cell proliferation of KRAS-mutant cancer cells in vitro and in vivo, and the efficacy of this combination treatment correlates with the magnitude of mTOR activity induced by chemotherapy alone. These results pinpoint mTOR as a mechanism of resistance to chemotherapy in KRAS-mutant lung cancer and validate a rational and readily translatable strategy that combines mTOR inhibitors with standard chemotherapy to treat KRAS-mutant adenocarcinoma, the most common and deadliest lung cancer subset.

Indexed as

Drug Resistance, NeoplasmAdenocarcinoma of LungAnimalsHumansLung NeoplasmsMiceMice, KnockoutProto-Oncogene Proteins p21(ras)TOR Serine-Threonine KinasesHras protein, mouseKRAS protein, humanMTOR protein, humanmTOR protein, mouseProto-Oncogene Proteins p21(ras)TOR Serine-Threonine Kinases

Identifiers

PMID30171261
OpenAlexW2889171823

What OpenQuestion holds

Textmetadata
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.