Evidence map›Paper›PMID 30718284›Full record

ReviewJournal of lipid research2019

Treating cancer with phosphatidylinositol-3-kinase inhibitors: increasing efficacy and overcoming resistance.

Marcia N Paddock, Seth J Field, Lewis C Cantley

Abstract readReview
In one paragraph

Review in Journal of lipid research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Structural insights into the interaction of three Y-shaped ligands with PI3Kα.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  5. Article
  6. Review
  7. Cryo-EM structures of cancer-specific helical and kinase domain mutations of PI3Kα.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  8. Nanobodies and chemical cross-links advance the structural and functional analysis of PI3Kα.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  9. The orchestrated signaling by PI3Kα and PTEN at the membrane interface.Computational and structural biotechnology journal · 2022
    Review
  10. Review
  11. PI3K inhibitors are finally coming of age.Nature reviews. Drug discovery · 2021
    Review
  12. Article
  13. Review
  14. 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

3 authors.

Marcia N PaddockMeyer Cancer Center Weill Cornell Medicine, New York, NY 10021; Department of Medicine, Division of Hematology and Oncology, Weill Cornell Medicine, New York, NY 10021.
Seth J FieldDepartment of Medicine, Division of Endocrinology and Metabolism, University of California, San Diego, La Jolla, CA 92093. Electronic address: sjfield@ucsd.edu.
Lewis C CantleyMeyer Cancer Center Weill Cornell Medicine, New York, NY 10021. Electronic address: lcantley@med.cornell.edu.

Funding

Role of Phosphoinositides and Protein Kinases in the control of Cancer MetabolismR35CA197588 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI LEWIS C. CANTLEY · 2016 to 2026
$10.2M
GOLPH3 Pathway Regulation of Golgi Structure and FunctionR01GM120055 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIELD, SETH J · 2016 to 2019
$1.3M
High Throughput Screen to Identify Inhibitors of the Golgi GOLPH3 PathwayR01CA201303 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIELD, SETH J · 2016 to 2018
$1.2M
NCI NIH HHS R01 CA201303NCI NIH HHS R35 CA197588NIGMS NIH HHS R01 GM120055
6 · The paper itself

Abstract

The discovery of the phosphatidylinositol-3-kinase (PI3K) pathway was a major advance in understanding growth factor signaling. The high frequency of PI3K pathway mutations in many cancers has encouraged a new field targeting cancer driver mutations. Although there have been many successes, targeting PI3K itself has proven challenging, in part because of its multiple isoforms with distinct roles. Despite promising preclinical results, development of PI3K inhibitors as pharmacologic anticancer agents has been limited by modest single-agent efficacy and significant adverse effects. If we could overcome these limitations, PI3K inhibitors would be a powerful cancer-fighting tool. Data from phase III clinical trials yields insight into some of the problems with PI3K inhibitors. Recent advances have shed light on the mechanisms of tumor resistance to PI3K inhibitors via feedback pathways that cause elevated insulin levels that then activate the same PI3K pathways that are the targets of inhibition. Improving our understanding of the complex regulatory feedback pathways that activate in response to PI3K inhibition will reveal ways to increase the efficacy of PI3K inhibitors and reduce adverse effects, increasing the usefulness of this class as a treatment option for multiple cancer types.

Indexed as

AnimalsAntineoplastic AgentsDrug Resistance, NeoplasmHumansNeoplasmsPhosphatidylinositol 3-KinasesProtein Kinase InhibitorsAntineoplastic AgentsPhosphatidylinositol 3-KinasesProtein Kinase Inhibitorsinsulin resistanceinsulin signalinglipid kinasesphosphoinositidephosphoinositidesreceptor tyrosine kinasessignal transductiontargeted therapies

Identifiers

PMID30718284
PMCPMC6446698

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.