Evidence map›Paper›PMID 30631148›Full record

ArticleOncogene2019

Wnt5a and ROR1 activate non-canonical Wnt signaling via RhoA in TCF3-PBX1 acute lymphoblastic leukemia and highlight new treatment strategies via Bcl-2 co-targeting.

Hanna Karvonen, Robert Perttilä, Wilhelmiina Niininen, Veera Hautanen, Harlan Barker, Astrid Murumägi, Caroline A Heckman, Daniela Ungureanu

Abstract read
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In one paragraph

Article in Oncogene, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
7.1field-weighted citation impact, top 3% 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

32 citing papers in PubMed, 55 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

8 authors at 3 institutions in 1 country.

Hanna KarvonenBioMediTech Institute and Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.ORCID http://orcid.org/0000-0002-7815-0709
Robert PerttiläBioMediTech Institute and Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Wilhelmiina NiininenBioMediTech Institute and Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Veera HautanenBioMediTech Institute and Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Harlan BarkerBioMediTech Institute and Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Astrid MurumägiInstitute for Molecular Medicine Finland (FIMM), Helsinki Institute of Life Science, University of Helsinki, Helsinki, Finland.
Caroline A HeckmanInstitute for Molecular Medicine Finland (FIMM), Helsinki Institute of Life Science, University of Helsinki, Helsinki, Finland.
Daniela UngureanuBioMediTech Institute and Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland. daniela.ungureanu@tuni.fi.
Tampere University · FIUniversity of Helsinki · FITampere University of Applied Sciences · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

B-cell precursor acute lymphoblastic leukemia (BCP-ALL) with TCF3-PBX1 fusion gene expression has constitutively elevated levels of Wnt16b and ROR1 (receptor tyrosine kinase-like orphan receptor), a ligand and a receptor from the Wnt signaling pathway, respectively. Although survival rate is usually high after the initial chemotherapy, many TCF3-PBX1 BCP-ALL patients relapse and subsequently develop treatment resistance, resulting in poor prognosis. Here, we aimed to investigate the molecular signaling associated with Wnt16b and ROR1 overexpression in TCF3-PBX1 cell lines and primary samples, and to identify effective treatment options via ROR1 targeting. We detected higher ROR1 expression on TCF3-PBX1 leukemic cells even at a later stage of patient relapse, providing a strong rationale for the use of ROR1-targeted therapy. We found that Wnt5a-ROR1 signaling enhances proliferation of TCF3-PBX1 cells via RhoA/Rac1 GTPases activation and STAT3 upregulation. Wnt16b also activated the RhoA/Rac1 signaling cascade suggesting the activation of a non-canonical Wnt pathway in TCF3-PBX1 cells. Wnt16 could interact with ROR1 but not in TCF3-PBX1 cells, suggesting that Wnt5a is the ligand signaling via ROR1 in TCF3-PBX1 cells. By high throughput drug-sensitivity testing of TCF3-PBX1 cells before and after ROR1 knockdown we found that targeting ROR1 significantly improves the therapeutic efficacy of Bcl-2 family inhibitors venetoclax and navitoclax, and this synergism was confirmed ex vivo using a drug-resistant primary sample from a relapsed TCF3-PBX1 patient. Our work underlines a new type of targeted combination therapy that could be clinically advantageous for patients with TCF3-PBX1 BCP-ALL.

Indexed as

Aniline CompoundsAntineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicCell Line, TumorCell ProliferationDrug Resistance, NeoplasmHumansOncogene Proteins, FusionPrecursor B-Cell Lymphoblastic Leukemia-LymphomaPrecursor Cell Lymphoblastic Leukemia-LymphomaProto-Oncogene Proteins c-bcl-2Receptor Tyrosine Kinase-like Orphan ReceptorsrhoA GTP-Binding ProteinSulfonamidesSurvival RateTranslocation, GeneticAniline CompoundsAntineoplastic AgentsBCL2 protein, humanBridged Bicyclo Compounds, HeterocyclicnavitoclaxOncogene Proteins, FusionProto-Oncogene Proteins c-bcl-2Receptor Tyrosine Kinase-like Orphan ReceptorsrhoA GTP-Binding ProteinRHOA protein, humanROR1 protein, humanSulfonamidesTCF3-PBX1 fusion protein, humanvenetoclaxWnt-5a ProteinWNT5A protein, human

Identifiers

PMID30631148
OpenAlexW2910211820

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.