Evidence map›Paper›PMID 30198908›Full record

ArticleThe Journal of clinical investigation2018

Inhibition of the aryl hydrocarbon receptor/polyamine biosynthesis axis suppresses multiple myeloma.

Anna Bianchi-Smiraglia, Archis Bagati, Emily E Fink, Hayley C Affronti, Brittany C Lipchick, Sudha Moparthy, Mark D Long, Spencer R Rosario, Shivana M Lightman, Kalyana Moparthy and 14 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

39 citing papers in PubMed, 53 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Review
  6. Why are long-lived plasma cells long-lived?Frontiers in immunology · 2026
    Review
  7. Article
  8. Article
  9. Polyamine metabolism and anti-tumor immunity.Frontiers in immunology · 2025
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 3 institutions in 1 country.

Anna Bianchi-SmiragliaDepartment of Cell Stress Biology.
Archis BagatiDepartment of Cell Stress Biology.
Emily E FinkDepartment of Cell Stress Biology.
Hayley C AffrontiDepartment of Cancer Genetics, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
Brittany C LipchickDepartment of Cell Stress Biology.
Sudha MoparthyDepartment of Cell Stress Biology.
Mark D LongDepartment of Cancer Genetics, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
Spencer R RosarioDepartment of Cancer Genetics, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
Shivana M LightmanDepartment of Immunology, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
Kalyana MoparthyDepartment of Cell Stress Biology.
David W WolffDepartment of Cell Stress Biology.
Dong Hyun YunDepartment of Cell Stress Biology.
Zhannan HanDepartment of Cell Stress Biology.
Anthony PolechettiDepartment of Cell Stress Biology.
Matthew V RollDepartment of Cell Stress Biology.
Ilya I GitlinDepartment of Cell Stress Biology.
Katerina I LeonovaDepartment of Cell Stress Biology.
Aryn M RowsamDepartment of Cancer Genetics, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
Eugene S KandelDepartment of Cell Stress Biology.
Andrei V GudkovDepartment of Cell Stress Biology.
P Leif BergsagelComprehensive Cancer Center, Mayo Clinic, Scottsdale, Arizona, USA.
Kelvin P LeeDepartment of Immunology, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
Dominic J SmiragliaDepartment of Cancer Genetics, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
Mikhail A NikiforovDepartment of Cell Stress Biology.
Roswell Park Comprehensive Cancer Center · USWake Forest University · USMayo Clinic in Arizona · US

Funding

Two-Spirit Films in Indigenous Cancer HealthP30CA016056 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI Dean G. Tang · 1985 to 2026
$116.6M
Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Peter Leif Bergsagel · 2015 to 2026
$25.5M
Project 3 - Modeling Proteasome Inhibitor Response and Resistance in Cell Lines and Patient Samples with Single Cell Analysis of SubpopulationsU54CA224018 · NCI · MAYO CLINIC ARIZONA · PI BERGSAGEL, PETER LEIF · 2017 to 2021
$6.0M
CD28-mediated Regulation of Multiple Myeloma Cell Proliferation and SurvivalR01CA121044 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI LEE, KELVIN P. · 2007 to 2023
$4.8M
Enabling Access to Cutting-Edge Biomedical and Behavioral ScienceR25GM095459 · NIGMS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI DUBOCOVICH, MARGARITA L · 2012 to 2021
$4.4M
MULTIDISCIPLINARY APPROACHES TUMOR IMMUNOLOGYT32CA085183 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI Scott I. Abrams · 2001 to 2026
$3.1M
Leveraging the methionine salvage pathway as a novel therapy for prostate cancer.R01CA197996 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI SMIRAGLIA, DOMINIC JAMES · 2016 to 2020
$2.1M
Durable humoral immunity regulated by intrinsic CD28 function in plasma cellsR01AI100157 · NIAID · ROSWELL PARK CANCER INSTITUTE CORP · PI LEE, KELVIN P. · 2013 to 2016
$2.0M
KLF9-TXNRD2 axis in melanoma progression and metastasisR01CA190533 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI NIKIFOROV, MIKHAIL · 2015 to 2019
$2.0M
GMPS-GMPR Axis Melanoma Progression and TherapyR01CA224434 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI NIKIFOROV, MIKHAIL · 2018 to 2022
$2.0M
KLF9-dependent pathways in multiple myeloma drug resistanceR01CA193981 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI NIKIFOROV, MIKHAIL · 2016 to 2020
$1.9M
Inhibition of MYC interactions with chromatin-remodeling factors as a novel anti-melanoma strategyR21CA220096 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI NIKIFOROV, MIKHAIL · 2017 to 2019
$402k
NCI NIH HHS F32 CA189622NCI NIH HHS F99 CA212455NCI NIH HHS K00 CA212455NCI NIH HHS P30 CA016056NCI NIH HHS P50 CA186781NCI NIH HHS R01 CA121044NCI NIH HHS R01 CA190533NCI NIH HHS R01 CA193981NCI NIH HHS R01 CA197996NCI NIH HHS R01 CA224434NCI NIH HHS R21 CA220096NCI NIH HHS T32 CA085183NIAID NIH HHS R01 AI100157NIGMS NIH HHS R25 GM095459
6 · The paper itself

Abstract

Polyamine inhibition for cancer therapy is, conceptually, an attractive approach but has yet to meet success in the clinical setting. The aryl hydrocarbon receptor (AHR) is the central transcriptional regulator of the xenobiotic response. Our study revealed that AHR also positively regulates intracellular polyamine production via direct transcriptional activation of 2 genes, ODC1 and AZIN1, which are involved in polyamine biosynthesis and control, respectively. In patients with multiple myeloma (MM), AHR levels were inversely correlated with survival, suggesting that AHR inhibition may be beneficial for the treatment of this disease. We identified clofazimine (CLF), an FDA-approved anti-leprosy drug, as a potent AHR antagonist and a suppressor of polyamine biosynthesis. Experiments in a transgenic model of MM (Vk*Myc mice) and in immunocompromised mice bearing MM cell xenografts revealed high efficacy of CLF comparable to that of bortezomib, a first-in-class proteasome inhibitor used for the treatment of MM. This study identifies a previously unrecognized regulatory axis between AHR and polyamine metabolism and reveals CLF as an inhibitor of AHR and a potentially clinically relevant anti-MM agent.

Indexed as

Multiple MyelomaNeoplasm ProteinsNeoplasms, ExperimentalAnimalsBiogenic PolyaminesCell Line, TumorClofazimineHEK293 CellsHumansMiceReceptors, Aryl HydrocarbonBiogenic PolyaminesClofazimineNeoplasm ProteinsReceptors, Aryl HydrocarbonCancerCell BiologyOncologyPolyamines

Identifiers

PMID30198908
PMCPMC6159960
OpenAlexW2890354644

What OpenQuestion holds

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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.