Evidence map›Paper›PMID 30626204›Full record

ArticleArteriosclerosis, thrombosis, and vascular biology2019

Ponatinib Combined With Rapamycin Causes Regression of Murine Venous Malformation.

Xian Li, Yuqi Cai, Jillian Goines, Patricia Pastura, Lars Brichta, Adam Lane, Timothy D Le Cras, Elisa Boscolo

Open access · hybridAbstract read
In one paragraph

Article in Arteriosclerosis, thrombosis, and vascular biology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 35 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Semaphorin 3A and 3F Promote Lumen Expansion in TIE2-Mutated Venous Malformation.Arteriosclerosis, thrombosis, and vascular biology · 2025
    Article
  7. EndothelialFrontiers in cell and developmental biology · 2025
    Article
  8. Review
  9. Article
  10. NRASPediatric blood & cancer · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. NRASAngiogenesis · 2022
    Article
  16. A Xenograft Model for Venous Malformation.Methods in molecular biology (Clifton, N.J.) · 2021
    Article
  17. Ponatinib and other CML Tyrosine Kinase Inhibitors in Thrombosis.International journal of molecular sciences · 2020
    Review
  18. Article
  19. A Patient-Derived Xenograft Model for Venous Malformation.Journal of visualized experiments : JoVE · 2020
    Article
  20. Venous Malformation of the Parotid Gland.The International journal of angiology : official publication of the International College of Angiology, Inc · 2019
    Article
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

8 authors at 1 institution in 1 country.

Xian LiFrom the Divisions of Experimental Hematology and Cancer Biology (X.L., Y.C., J.G., E.B.), Cincinnati Children's Hospital Medical Center, OH.
Yuqi CaiFrom the Divisions of Experimental Hematology and Cancer Biology (X.L., Y.C., J.G., E.B.), Cincinnati Children's Hospital Medical Center, OH.
Jillian GoinesFrom the Divisions of Experimental Hematology and Cancer Biology (X.L., Y.C., J.G., E.B.), Cincinnati Children's Hospital Medical Center, OH.
Patricia PasturaCancer and Blood Disease Institute and Division of Pulmonary Biology (P.P., T.D.L.C.), Cincinnati Children's Hospital Medical Center, OH.
Lars BrichtaChemistry Rx Compounding and Specialty Pharmacy, Philadelphia, PA (L.B.).
Adam LaneDivision of Bone Marrow Transplantation and Immune Deficiency (A.L.), Cincinnati Children's Hospital Medical Center, OH.
Timothy D Le CrasCancer and Blood Disease Institute and Division of Pulmonary Biology (P.P., T.D.L.C.), Cincinnati Children's Hospital Medical Center, OH.
Elisa BoscoloFrom the Divisions of Experimental Hematology and Cancer Biology (X.L., Y.C., J.G., E.B.), Cincinnati Children's Hospital Medical Center, OH.
Cincinnati Children's Hospital Medical Center · US

Funding

Venous Malformations (VM): A Murine Model to Identify Therapies to Target AberranR01HL117952 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI BOSCOLO, ELISA · 2013 to 2025
$4.9M
NHLBI NIH HHS R01 HL117952
6 · The paper itself

Abstract

Objective- Venous malformations (VMs) arise from developmental defects of the vasculature and are characterized by massively enlarged and tortuous venous channels. VMs grow commensurately leading to deformity, obstruction of vital structures, bleeding, and pain. Most VMs are associated with the activating mutation L914F in the endothelial cell (EC) tyrosine kinase receptor TIE2. Therapeutic options for VM are limited and ineffective while therapy with the mammalian target of rapamycin inhibitor rapamycin shows moderate efficacy. Here, we investigated novel therapeutic targets promoting VM regression. Approach and Results- We performed an unbiased screen of Food and Drug Administration-approved drugs in human umbilical vein ECs expressing the TIE2-L914F mutation (HUVEC-TIE2-L914F). Three ABL (Abelson) kinase inhibitors prevented cell proliferation of HUVEC-TIE2-L914F. Moreover, c-ABL, common target of these inhibitors, was highly phosphorylated in HUVEC-TIE2-L914F and VM patient-derived ECs with activating TIE2 mutations. Knockdown of c-ABL/ARG in HUVEC-TIE2-L914F reduced cell proliferation and vascularity of murine VM. Combination treatment with the ABL kinase inhibitor ponatinib and rapamycin caused VM regression in a xenograft model based on injection of HUVEC-TIE2-L914F. A reduced dose of this drug combination was effective in this VM murine model with minimal side effects. The drug combination was antiproliferative, enhanced cell apoptosis and vascular channel regression both in vivo and in a 3-dimensional fibrin gel assay. Conclusions- This is the first report of a combination therapy with ponatinib and rapamycin promoting regression of VM. Mechanistically, the drug combination enhanced AKT inhibition compared with single drug treatment and reduced PLCγ (phospholipase C) and ERK (extracellular signal-regulated kinase) activity.

Indexed as

AnimalsApoptosisCell DivisionCells, CulturedChemotaxisDrug Evaluation, PreclinicalDrug Therapy, CombinationHeterograftsHumansHuman Umbilical Vein Endothelial CellsImidazolesMaleMAP Kinase Signaling SystemMiceMice, NudeMutation, MissenseImidazolesPhospholipase C gammaponatinibProtein Kinase InhibitorsProto-Oncogene Proteins c-ablProto-Oncogene Proteins c-aktPyridazinesReceptor, TIE-2SirolimusTEK protein, humanapoptosiscell proliferationendothelial cellsmutationumbilical vein

Identifiers

PMID30626204
PMCPMC6392210
OpenAlexW2908797188

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.