Evidence map›Paper›PMID 30504063›Full record

ArticleNeoplasia (New York, N.Y.)2019

Overcoming Resistance to AC0010, a Third Generation of EGFR Inhibitor, by Targeting c-MET and BCL-2.

Wanhong Xu, Wei Tang, Tingting Li, Xiaoying Zhang, Yi Sun

Abstract read
In one paragraph

Article in Neoplasia (New York, N.Y.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. A Novel Third-generation EGFR Tyrosine Kinase Inhibitor Abivertinib for EGFR T790M-mutant Non-Small Cell Lung Cancer: a Multicenter Phase I/II Study.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
    Trial
  2. Review
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  6. Novel Bis- and Mono-Pyrrolo[2,3-Molecules (Basel, Switzerland) · 2021
    Article
  7. Has programmed cell death ligand-1Translational lung cancer research · 2021
    Review
  8. Article
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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

5 authors.

Wanhong XuInstitute of Translational Medicine, and Cancer Institute, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310029, China.
Wei TangACEA Pharmaceutical Research, Hangzhou, Zhejiang, 310030, PR China.
Tingting LiACEA Pharmaceutical Research, Hangzhou, Zhejiang, 310030, PR China.
Xiaoying ZhangACEA Pharmaceutical Research, Hangzhou, Zhejiang, 310030, PR China.
Yi SunInstitute of Translational Medicine, and Cancer Institute, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310029, China; Department of Radiation Oncology, University of Michigan, 4424B MS-1, 1301 Catherine Street, Ann Abor, MI 48109, USA. Electronic address: yisun@zju.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AC0010 is a pyrrolopyrimidine-based irreversible inhibitor of epidermal growth factor receptor (EGFR), structurally distinct from previously reported pyrimidine-based irreversible EGFR inhibitors such as osimertinib and rociletinib. AC0010 selectively inhibits EGFR T790M mutation in both preclinical and clinical studies. However, AC0010 treatment eventually triggers drug resistance with unknown mechanism. To this end, we established two H1975 NSCLC-derived lines resistant to AC0010 after a series of drug exposure and selection in either nude-mice xenograft tumor (H1975-P) or cell culture (H1975-AVR) settings. Both lines obtained 100-fold resistance to AC0010 as compared to the parental lines. To elucidate underlying mechanism, we performed unbiased RNAseq-based profiling analysis and found that H1975-P cells had c-MET overexpression, whereas H1975-AVR cells had BCL-2 overexpression. AC0010 resistance was partially abrogated by targeting c-MET or BCL-2 using either pharmacological (small molecule inhibitors) and/or genetic (siRNA-based knockdown) approach, respectively. Our study shows that drug resistance to AC0010 can be developed via the different mechanism in a cell context-dependent manner and provides the proof-of-concept evidence for rational drug combinations to overcome resistance for maximal therapeutic efficacy.

Indexed as

Drug Resistance, NeoplasmAnimalsCell Line, TumorCell ProliferationCrizotinibDrug SynergismErbB ReceptorsHumansMiceMutationProtein Kinase InhibitorsProto-Oncogene Proteins c-bcl-2Proto-Oncogene Proteins c-metRNA, Small InterferingSequence Analysis, DNACrizotinibEGFR protein, humanErbB ReceptorsProtein Kinase InhibitorsProto-Oncogene Proteins c-bcl-2Proto-Oncogene Proteins c-metRNA, Small Interfering

Identifiers

PMID30504063
PMCPMC6310688

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.