Evidence map›Paper›PMID 30683135›Full record

ArticleJournal of hematology & oncology2019

Identifying and targeting cancer stem cells in leiomyosarcoma: prognostic impact and role to overcome secondary resistance to PI3K/mTOR inhibition.

Benjamin Fourneaux, Aurélien Bourdon, Bérengère Dadone, Carlo Lucchesi, Scott R Daigle, Elodie Richard, Audrey Laroche-Clary, François Le Loarer, Antoine Italiano

RetractedOpen access · goldAbstract read
In one paragraph

Article in Journal of hematology & oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Conjunctival leiomyosarcoma.American journal of ophthalmology case reports · 2022
    Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Targeting mTOR for cancer therapy.Journal of hematology & oncology · 2019
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Benjamin FourneauxUniversité de Bordeaux, Bordeaux, France.
Aurélien BourdonInstitut National de la Santé et de la Recherche Medicale (INSERM) U1218, Institut Bergonié, 229 Cours de l'Argonne, 33000, Bordeaux, France.
Bérengère DadoneDepartment of Pathology, Nice University Hospital, Nice, France.
Carlo LucchesiInstitut National de la Santé et de la Recherche Medicale (INSERM) U1218, Institut Bergonié, 229 Cours de l'Argonne, 33000, Bordeaux, France.
Scott R DaigleEpizyme, Inc., Cambridge, MA, USA.
Elodie RichardUniversité de Bordeaux, Bordeaux, France.
Audrey Laroche-ClaryUniversité de Bordeaux, Bordeaux, France.
François Le LoarerDepartment of Medical Oncology, Institut Bergonié, Bordeaux, France.
Antoine ItalianoInstitut National de la Santé et de la Recherche Medicale (INSERM) U1218, Institut Bergonié, 229 Cours de l'Argonne, 33000, Bordeaux, France. a.italiano@bordeaux.unicancer.fr.
Inserm · FRInstitut Bergonié · FRUniversité de Bordeaux · FRCentre Hospitalier Universitaire de Nice · FREpizyme (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeiomyosarcoma (LMS) is one of the most frequent soft tissue sarcoma subtypes and is characterized by a consistent deregulation of the PI3K/mTOR pathway. Cancer stem cells (CSCs) have been poorly studied in soft tissue sarcomas. In this study, we aimed to evaluate the association between CSCs, the outcome of LMS patients, and the resistance to PI3K/mTOR pathway inhibition.

methodsWe investigated the relationships between aldehyde dehydrogenase 1 (ALDH1) expression, a cancer stem cell marker, and the outcome of LMS patients in two independent cohorts. We assessed the impact of CSCs in resistance to PI3K/mTOR pathway inhibition using LMS cell lines, a xenograft mouse model, and human tumor samples.

resultsWe found that enhanced ALDH1 activity is a hallmark of LMS stem cells and is an independent prognostic factor. We also identified that secondary resistance to PI3K/mTOR pathway inhibition was associated with the expansion of LMS CSCs. Interestingly, we found that EZH2 inhibition, a catalytic component of polycomb repressive complex which plays a critical role in stem cell maintenance, restored sensitivity to PI3K/mTOR pathway inhibition. Importantly, we confirmed the clinical relevance of our findings by analyzing tumor samples from patients who showed secondary resistance after treatment with a PI3Kα inhibitor.

conclusionsAltogether, our findings suggest that CSCs have a strong impact on the outcome of patients with LMS and that combining PI3K/mTOR and EZH2 inhibitors may represent a promising strategy in this setting.

Indexed as

Drug Resistance, NeoplasmAdultAgedAldehyde Dehydrogenase 1 FamilyAnimalsCell Line, TumorCohort StudiesEnhancer of Zeste Homolog 2 ProteinFemaleHumansImidazolesLeiomyosarcomaMaleMiceMice, Inbred NODMice, KnockoutAldehyde Dehydrogenase 1 FamilydactolisibEnhancer of Zeste Homolog 2 ProteinEZH2 protein, humanImidazolesMTOR protein, humanPhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsProtein Kinase InhibitorsQuinolinesTOR Serine-Threonine KinasesALDH1BEZ235Cancer stem cellEZH2Leiomyosarcoma

Identifiers

PMID30683135
PMCPMC6347793
OpenAlexW2919520579

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.