Evidence map›Paper›PMID 30298385›Full record

ArticleJournal of molecular medicine (Berlin, Germany)2018

The combination of everolimus and terameprocol exerts synergistic antiproliferative effects in endometrial cancer: molecular role of insulin-like growth factor binding protein 2.

Angel Chao, Chiao-Yun Lin, Ren-Chin Wu, Yun-Shien Lee, Li-Yu Lee, Chia-Lung Tsai, Lan-Yan Yang, Hsuan Liu, Shu-Jen Chen, Tzu-Hao Wang and 1 more

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In one paragraph

Article in Journal of molecular medicine (Berlin, Germany), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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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

11 authors at 5 institutions in 1 country.

Angel ChaoDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Branch, and Chang Gung University College of Medicine, Taoyuan, Taiwan.
Chiao-Yun LinGynecologic Cancer Research Center, Chang Gung Memorial Hospital Linkou Medical Center, Taoyuan, Taiwan.
Ren-Chin WuDepartment of Pathology, College of Medicine, Chang Gung Memorial Hospital Linkou Medical Center and Chang Gung University, Taoyuan, Taiwan.
Yun-Shien LeeDepartment of Biotechnology, Ming Chuan University, Taoyuan, Taiwan.
Li-Yu LeeDepartment of Pathology, College of Medicine, Chang Gung Memorial Hospital Linkou Medical Center and Chang Gung University, Taoyuan, Taiwan.
Chia-Lung TsaiGenomic Medicine Research Core Laboratory, Chang Gung Memorial Hospital Linkou Medical Center, Taoyuan, Taiwan.
Lan-Yan YangBiostatistics Unit, Clinical Trial Center, Chang Gung Memorial Hospital Linkou Medical Center, Taipei, Taiwan.
Hsuan LiuChang Gung Molecular Medicine Research Center, Chang Gung University, Taoyuan, Taiwan.
Shu-Jen ChenACT Genomics, Co. Ltd., Taipei City, Taiwan.
Tzu-Hao WangDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Branch, and Chang Gung University College of Medicine, Taoyuan, Taiwan. knoxtn@cgmh.org.tw.
Chyong-Huey LaiDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Branch, and Chang Gung University College of Medicine, Taoyuan, Taiwan. sh46erry@ms6.hinet.net.
Chang Gung Memorial Hospital · TWChang Gung University · TWGenomics Research Center, Academia Sinica · TWLinkou Chang Gung Memorial Hospital · TWMing Chuan University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oncogenic PIK3CA mutations are common in endometrial cancers, and the PI3K/AKT/mTOR pathway is targetable by drugs. We sought to investigate whether the combination of an mTOR inhibitor, everolimus (RAD001), and an AKT inhibitor, terameprocol (M4N), exerts better antiproliferative effects in endometrial cancer. The molecular mechanisms underlying their pharmacological action were also examined. The combination of RAD001 and M4N exerted in vitro synergistic effects on cell viability, apoptosis, and expression of IGFBP2 in endometrial cancer cells. Mechanistically, the Sp1 site on the IGFBP2 promoter was required for RAD001- and M4N-induced downregulation. IGFBP2 protein expression was higher in endometrial cancer than in the normal endometrium (P < 0.001). Furthermore, elevated IGFBP2 histoscores were significantly associated with a lower overall survival (P = 0.021). In conclusion, our in vitro results demonstrate that RAD001 and M4N exert synergistic antiproliferative effects against endometrial cancer cells, which appeared to be mediated by the inhibition of IGFBP2, a key anti-apoptotic regulator. Further clinical studies of this drug combination in patients with endometrial cancer may be warranted, especially in the presence of PIK3CA and IGFBP2 aberrations. KEY MESSAGES: RAD001 and M4N synergistically suppress endometrial cancer growth. IGFBP2 is overexpressed in endometrial cancer. The combination of RAD001 and M4N significantly reduces IGFBP2 overexpression. Sp1 binding site on the IGFBP2 promoter is required for RAD001- and M4N-induced downregulation. High IGFBP2 histoscore in endometrial cancer portends a poor prognosis.

Indexed as

AnimalsAntineoplastic AgentsCell Line, TumorCell ProliferationCell SurvivalClass I Phosphatidylinositol 3-KinasesDrug SynergismEndometrial NeoplasmsEverolimusFemaleHumansImmunosuppressive AgentsInsulin-Like Growth Factor Binding Protein 2MasoprocolMice, Inbred BALB CMice, NudeAntineoplastic AgentsClass I Phosphatidylinositol 3-KinasesEverolimusImmunosuppressive AgentsInsulin-Like Growth Factor Binding Protein 2MasoprocolPIK3CA protein, humanPTEN PhosphohydrolaseterameprocolEndometrial cancerEverolimusInsulin-like growth factor binding protein 2Terameprocol

Identifiers

PMID30298385
OpenAlexW2895123610

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.