Evidence map›Paper›PMID 30615146›Full record

ArticleNeuro-oncology2019

Preclinical assessment of MEK1/2 inhibitors for neurofibromatosis type 2-associated schwannomas reveals differences in efficacy and drug resistance development.

Marisa A Fuse, Christine T Dinh, Jeremie Vitte, Joanna Kirkpatrick, Thomas Mindos, Stephani Klingeman Plati, Juan I Young, Jie Huang, Annemarie Carlstedt, Maria Clara Franco and 15 more

Open access · bronzeAbstract read
In one paragraph

Article in Neuro-oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

25 citing papers in PubMed, 36 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

25 authors at 6 institutions in 2 countries.

Marisa A FuseBurnett School of Biomedical Sciences, College of Medicine, University of Central Florida (UCF), Orlando, Florida, USA.
Christine T DinhDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, USA.
Jeremie VitteDepartment of Head and Neck Surgery, David Geffen School of Medicine at UCLA and Jonsson Comprehensive Cancer Center, University of California at Los Angeles (UCLA), Los Angeles, California, USA.
Joanna KirkpatrickLeibniz Institute on Aging, Fritz Lipmann Institute, Jena, Germany.
Thomas MindosLeibniz Institute on Aging, Fritz Lipmann Institute, Jena, Germany.
Stephani Klingeman PlatiBurnett School of Biomedical Sciences, College of Medicine, University of Central Florida (UCF), Orlando, Florida, USA.
Juan I YoungDepartment of Human Genetics, University of Miami Miller School of Medicine, Miami, Florida, USA.
Jie HuangCenter for Childhood Cancer and Blood Diseases, Nationwide Children's Hospital.
Annemarie CarlstedtLeibniz Institute on Aging, Fritz Lipmann Institute, Jena, Germany.
Maria Clara FrancoBurnett School of Biomedical Sciences, College of Medicine, University of Central Florida (UCF), Orlando, Florida, USA.
Konstantin BrnjosBurnett School of Biomedical Sciences, College of Medicine, University of Central Florida (UCF), Orlando, Florida, USA.
Jackson NagamotoBurnett School of Biomedical Sciences, College of Medicine, University of Central Florida (UCF), Orlando, Florida, USA.
Alejandra M PetrilliBurnett School of Biomedical Sciences, College of Medicine, University of Central Florida (UCF), Orlando, Florida, USA.
Alicja J CopikBurnett School of Biomedical Sciences, College of Medicine, University of Central Florida (UCF), Orlando, Florida, USA.
Julia N SoulakovaBurnett School of Biomedical Sciences, College of Medicine, University of Central Florida (UCF), Orlando, Florida, USA.
Olena BrachoDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, USA.
Denise YanDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, USA.
Rahul MittalDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, USA.
Rulong ShenDepartment of Pathology, The Ohio State University, Columbus, Ohio, USA.
Fred F TelischiDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, USA.
Helen MorrisonLeibniz Institute on Aging, Fritz Lipmann Institute, Jena, Germany.
Marco GiovanniniDepartment of Head and Neck Surgery, David Geffen School of Medicine at UCLA and Jonsson Comprehensive Cancer Center, University of California at Los Angeles (UCLA), Los Angeles, California, USA.
Xue-Zhong LiuDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, USA.
Long-Sheng ChangCenter for Childhood Cancer and Blood Diseases, Nationwide Children's Hospital.
Cristina Fernandez-ValleBurnett School of Biomedical Sciences, College of Medicine, University of Central Florida (UCF), Orlando, Florida, USA.
University of Central Florida · USUniversity of Miami · USLeibniz Institute on Aging - Fritz Lipmann Institute (FLI) · DENationwide Children's Hospital · USUniversity of California, Los Angeles · USThe Ohio State University · US

Funding

UCLA SPORE in Brain CancerP50CA211015 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI David A. Nathanson · 2017 to 2026
$25.2M
Molecular Genetics on Non Syndromic Hearing Loss (NSHL)R01DC005575 · NIDCD · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI LIU, XUE Z · 2001 to 2024
$10.6M
Sensory disorders in COVID -19 as an early identifier and healthcare worker protectionR01DC012115 · NIDCD · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI LIU, XUE Z · 2013 to 2022
$7.2M
Redox Signaling in NeurofibromatosisR01NS102479 · NINDS · OREGON STATE UNIVERSITY · PI FRANCO, MARIA CLARA · 2019 to 2023
$1.7M
NCI NIH HHS P50 CA211015NIDCD NIH HHS R01 DC005575NIDCD NIH HHS R01 DC012115NINDS NIH HHS R01 NS102479
6 · The paper itself

Abstract

backgroundNeurofibromatosis type 2 (NF2) is a genetic tumor-predisposition disorder caused by NF2/merlin tumor suppressor gene inactivation. The hallmark of NF2 is formation of bilateral vestibular schwannomas (VS). Because merlin modulates activity of the Ras/Raf/mitogen-activated protein kinase kinase (MEK)/extracellular signal-regulated kinase (ERK) pathway, we investigated repurposing drugs targeting MEK1 and/or MEK2 as a treatment for NF2-associated schwannomas.

methodsMouse and human merlin-deficient Schwann cell lines (MD-MSC/HSC) were screened against 6 MEK1/2 inhibitors. Efficacious drugs were tested in orthotopic allograft and NF2 transgenic mouse models. Pathway and proteome analyses were conducted. Drug efficacy was examined in primary human VS cells with NF2 mutations and correlated with DNA methylation patterns.

resultsTrametinib, PD0325901, and cobimetinib were most effective in reducing MD-MSC/HSC viability. Each decreased phosphorylated pERK1/2 and cyclin D1, increased p27, and induced caspase-3 cleavage in MD-MSCs. Proteomic analysis confirmed cell cycle arrest and activation of pro-apoptotic pathways in trametinib-treated MD-MSCs. The 3 inhibitors slowed allograft growth; however, decreased pERK1/2, cyclin D1, and Ki-67 levels were observed only in PD0325901 and cobimetinib-treated grafts. Tumor burden and average tumor size were reduced in trametinib-treated NF2 transgenic mice; however, tumors did not exhibit reduced pERK1/2 levels. Trametinib and PD0325901 modestly reduced viability of several primary human VS cell cultures with NF2 mutations. DNA methylation analysis of PD0325901-resistant versus -susceptible VS identified genes that could contribute to drug resistance.

conclusionMEK inhibitors exhibited differences in antitumor efficacy resistance in schwannoma models with possible emergence of trametinib resistance. The results support further investigation of MEK inhibitors in combination with other targeted drugs for NF2 schwannomas.

Indexed as

Neuroma, AcousticAnimalsAntineoplastic AgentsAzetidinesCell ProliferationCell SurvivalDrug Resistance, NeoplasmHumansMAP Kinase Kinase 1MAP Kinase Kinase 2MiceNeurofibromatosis 2PiperidinesProtein Kinase InhibitorsPyridonesPyrimidinonesAntineoplastic AgentsAzetidinescobimetinibMAP Kinase Kinase 1MAP Kinase Kinase 2PiperidinesProtein Kinase InhibitorsPyridonesPyrimidinonestrametinibMEK inhibitorsmerlin tumor suppressormethylomeNF2 transgenic micepatient-derived vestibular schwannomas

Identifiers

PMID30615146
PMCPMC6422635
OpenAlexW2908359412

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Registered trials

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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.