Evidence map›Paper›PMID 30301560›Full record

ArticleGynecologic oncology2018

Evaluating class III antiarrhythmic agents as novel MYC targeting drugs in ovarian cancer.

Anil Belur Nagaraj, Peronne Joseph, Olga Kovalenko, QuanQiu Wang, Rong Xu, Analisa DiFeo

Abstract read
In one paragraph

Article in Gynecologic oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

8 citing papers in PubMed, 14 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

6 authors at 5 institutions in 1 country.

Anil Belur NagarajCase Comprehensive Cancer Center, Cleveland, OH, USA; Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55904, USA.
Peronne JosephCase Comprehensive Cancer Center, Cleveland, OH, USA.
Olga KovalenkoCase Western Reserve University School of Medicine, Cleveland, OH, USA.
QuanQiu WangDept. of Population and Quantitative Health Sciences, Case Western Reserve University, USA.
Rong XuDept. of Population and Quantitative Health Sciences, Case Western Reserve University, USA.
Analisa DiFeoCase Comprehensive Cancer Center, Cleveland, OH, USA; Department of Pathology and Department of Obstetrics and Gynecology, University of Michigan, USA. Electronic address: adifeo@med.umich.edu.
Case Western Reserve University · USCase Comprehensive Cancer CenterMayo Clinic in Arizona · USUniversity of Michigan · USUniversity School · US

Funding

TUMOR METABOLISM PROGRAMP30CA043703 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI MARK R CHANCE · 1987 to 2026
$142.3M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Examining the role of the miR-181a:Wnt/B-catenin axis in ovarian cancerR01CA197780 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Analisa Virginia DiFeo · 2016 to 2026
$3.3M
An Integrated Reverse Engineering Approach Toward Rapid drug Re positioning for Alzheimer's DiseaseR01AG057557 · NIA · CASE WESTERN RESERVE UNIVERSITY · PI XU, RONG · 2017 to 2021
$2.8M
Rapid reverse translational drug repositioningDP2HD084068 · NICHD · CASE WESTERN RESERVE UNIVERSITY · PI XU, RONG · 2014 to 2014
$2.4M
NCATS NIH HHS UL1 TR002548NCI NIH HHS P30 CA043703NCI NIH HHS R01 CA197780NIA NIH HHS R01 AG057557NICHD NIH HHS DP2 HD084068
6 · The paper itself

Abstract

objectiveTo evaluate the utility of amiodarone and its derivative dronedarone as novel drug repositioning candidates in EOC and to determine the potential pathways targeted by these drugs.

methodsDrug-predict bioinformatics platform was used to assess the utility of amiodarone as a novel drug-repurposing candidate in EOC. EOC cells were treated with amiodarone and dronedarone. Cell death was assessed by Annexin V staining. Cell viability and cell survival were assessed by MTT and clonogenics assays respectively. c-MYC and mTOR/Akt axis were evaluated as potential targets. Effect on autophagy was determined by autophagy flux flow cytometry.

results"DrugPredict" bioinformatics platform ranked Class III antiarrhythmic drug amiodarone within the top 3.9% of potential EOC drug repositioning candidates which was comparable to carboplatin ranking in the top 3.7%. Amiodarone and dronedarone were the only Class III antiarrhythmic drugs that decreased the cellular survival of both cisplatin-sensitive and cisplatin-resistant primary EOC cells. Interestingly, both drugs induced degradation of c-MYC protein and decreased the expression of known transcriptional targets of c-MYC. Furthermore, stable overexpression of non-degradable c-MYC partially rescued the effects of amiodarone and dronedarone induced cell death. Dronedarone induced higher autophagy flux in EOC cells as compared to amiodarone with decreased phospho-AKT and phospho-4EBP1 protein expression, suggesting autophagy induction due to inhibition of AKT/mTOR axis with these drugs. Lastly, both drugs also inhibited the survival of EOC tumor-initiating cells (TICs).

conclusionsWe provide the first evidence of class III antiarrhythmic agents as novel c-MYC targeting drugs and autophagy inducers in EOC. Since c-MYC is amplified in >40% ovarian tumors, our results provide the basis for repositioning amiodarone and dronedarone as novel c-MYC targeting drugs in EOC with potential extension to other cancers.

Indexed as

AmiodaroneAnti-Arrhythmia AgentsDronedaroneFemaleHumansNeoplastic Stem CellsOvarian NeoplasmsAmiodaroneAnti-Arrhythmia AgentsDronedaroneAmiodaroneClass III antiarrhythmicsC-MYCDronaderoneDrug repositioningEpithelial ovarian cancer (EOC)Tumor initiating cells (TICs)

Identifiers

PMID30301560
PMCPMC6526024
OpenAlexW2895259285

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.