Evidence map›Paper›PMID 30786932›Full record

ArticleJournal of experimental & clinical cancer research : CR2019

CCDC6 and USP7 expression levels suggest novel treatment options in high-grade urothelial bladder cancer.

Francesco Morra, Francesco Merolla, Daniela Criscuolo, Luigi Insabato, Riccardo Giannella, Gennaro Ilardi, Aniello Cerrato, Roberta Visconti, Stefania Staibano, Angela Celetti

Open access · goldAbstract read
In one paragraph

Article in Journal of experimental & clinical cancer research : CR, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
9.1field-weighted citation impact, top 2% 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

27 citing papers in PubMed, 52 citations in OpenAlex.

  1. Article
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  5. The KLF16/MYC feedback loop is a therapeutic target in bladder cancer.Journal of experimental & clinical cancer research : CR · 2024
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  12. RelB upregulates PD-L1 and exacerbates prostate cancer immune evasion.Journal of experimental & clinical cancer research : CR · 2022
    Article
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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

10 authors at 4 institutions in 1 country.

Francesco MorraInstitute for the Experimental Endocrinology and Oncology, Research National Council, CNR, Naples, Italy.
Francesco MerollaDepartment of Medicine and Health Sciences "V. Tiberio", University of Molise, Campobasso, Italy.
Daniela CriscuoloInstitute for the Experimental Endocrinology and Oncology, Research National Council, CNR, Naples, Italy.
Luigi InsabatoDepartment of Advanced Biomedical Sciences, University "Federico II", Naples, Italy.
Riccardo GiannellaUrology Surgery Unit, A.Cardarelli Hospital, Naples, Italy.
Gennaro IlardiDepartment of Advanced Biomedical Sciences, University "Federico II", Naples, Italy.
Aniello CerratoInstitute for the Experimental Endocrinology and Oncology, Research National Council, CNR, Naples, Italy.
Roberta ViscontiInstitute for the Experimental Endocrinology and Oncology, Research National Council, CNR, Naples, Italy.
Stefania StaibanoDepartment of Advanced Biomedical Sciences, University "Federico II", Naples, Italy.
Angela CelettiInstitute for the Experimental Endocrinology and Oncology, Research National Council, CNR, Naples, Italy. celetti@unina.it.ORCID http://orcid.org/0000-0001-5166-3507
Institute for Experimental Endocrinology and Oncology · ITFederico II University Hospital · ITFatebenefratelli Hospital · ITUniversity of Molise · IT

Funding

Associazione Italiana per la Ricerca sul Cancro 4592Ministero dell'Istruzione, dell'Università e della Ricerca PRIN 2009T5NKTB_002Regione Campania POR Campania FSE 2007/2013
6 · The paper itself

Abstract

backgroundThe muscle invasive form of urothelial bladder cancer (UBC) is a deadly disease. Currently, the therapeutic approach of UBC is mostly based on surgery and standard chemotherapy. Biomarkers to establish appropriate drugs usage are missing. Deficiency of the tumor suppressor CCDC6 determines PARP-inhibitor sensitivity. The CCDC6 levels are modulated by the deubiquitinase USP7. In this work we scored CCDC6 and USP7 expression levels in primary UBC and we evaluated the expression levels of CCDC6 in correlation with the effects of the PARP-inhibitors combined with the USP7 inhibitor, P5091, in vitro. Since PARP-inhibitors could be enhanced by conventional chemotherapy or DNA damage inducers, we tested the new agent RRx-001, able to induce DNA damage, to prove the benefit of combined treatments in bladder cancer cells.

methodsThe J82, T24, 5637 and KU-19-19 bladder cancer cells were exposed to USP7 inhibitor P5091 in presence of cycloheximide to analyse the CCDC6 stability. Upon the CCDC6 degradation induced by P5091, the cells sensitivity to PARP-inhibitor was evaluated by cell viability assays. The ability of the DNA damage inducer RRx-001 to modulate CCDC6 protein levels and H2AX phosphorylation was detected at immunoblot. The combination of USP7 inhibitor plus RRx-001 enhanced the PARP-inhibitor sensitivity, as evaluated by cell viability assays. The results of the scores and correlation of CCDC6 and USP7 expression levels obtained by UBC primary biopsies staining were used to cluster patients by a K-mean cluster analysis.

resultsP5091 determining CCDC6 degradation promoted bladder cancer cells sensitivity to PARP-inhibitor drugs. RRx-001, by inducing DNA damage, enhanced the effects of the combined treatment. The immunohistochemical staining of both CCDC6 and USP7 proteins allowed to cluster the high grade (G3) UBC patients, on the basis of CCDC6 expression levels.

conclusionsIn high grade UBC the identification of two clusters of patients based on CCDC6 and USP7 expession can possibly indicate the use of PARP-inhibitor drugs, in combination with USP7 inhibitor in addition to the DNA damage inducer RRx-001, that also acts as an immunomodulatory agent, offering novel therapeutic strategy for personalized medicine in bladder cancer patients.

Indexed as

Antineoplastic AgentsAzetidinesBiomarkers, TumorCell Line, TumorCytoskeletal ProteinsDNA DamageGenes, Tumor SuppressorHumansNitro CompoundsPoly(ADP-ribose) Polymerase InhibitorsThiophenesUbiquitin-Specific Peptidase 7Urinary Bladder NeoplasmsAntineoplastic AgentsAzetidinesBiomarkers, TumorCCDC6 protein, humanCytoskeletal ProteinsNitro CompoundsP5091Poly(ADP-ribose) Polymerase InhibitorsRRx-001ThiophenesUbiquitin-Specific Peptidase 7USP7 protein, humanBiomarkersDNA damageDNA repairEpigeneticImmunotherapyP5091PARP-inhibitorPrecision medicineRRx-001Viral mimicry

Identifiers

PMID30786932
PMCPMC6381716
OpenAlexW2922170727

What OpenQuestion holds

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LicenceCC BY
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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.