Evidence map›Paper›PMID 30810874›Full record

ArticleClinical & experimental metastasis2019

The role of heterogeneous environment and docetaxel gradient in the emergence of polyploid, mesenchymal and resistant prostate cancer cells.

Ke-Chih Lin, Gonzalo Torga, Yusha Sun, Robert Axelrod, Kenneth J Pienta, James C Sturm, Robert H Austin

Abstract read
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Article in Clinical & experimental metastasis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

43 citing papers in PubMed, 68 citations in OpenAlex.

  1. RHAMM drives formation of polyploid cancer cells and confers resistance to ER-targeted therapy in breast cancer.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  9. Phosphorescence-basediScience · 2025
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  15. Cell Fusion and Syncytia Formation in Cancer.Results and problems in cell differentiation · 2024
    Review
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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

7 authors at 2 institutions in 1 country.

Ke-Chih LinPrinceton University, Princeton, NJ, USA. kechihl@princeton.edu.ORCID 0000-0003-2756-4503
Gonzalo TorgaJohns Hopkins Medical Institute, Baltimore, MD, USA.
Yusha SunPrinceton University, Princeton, NJ, USA.
Robert AxelrodUniversity of Michigan, Ann Arbor, MI, USA.
Kenneth J PientaJohns Hopkins Medical Institute, Baltimore, MD, USA.
James C SturmPrinceton University, Princeton, NJ, USA.
Robert H AustinPrinceton University, Princeton, NJ, USA.
Princeton University · USUniversity of Michigan · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ability of a population of PC3 prostate epithelial cancer cells to become resistant to docetaxel therapy and progress to a mesenchymal state remains a fundamental problem. The progression towards resistance is difficult to directly study in heterogeneous ecological environments such as tumors. In this work, we use a micro-fabricated "evolution accelerator" environment to create a complex heterogeneous yet controllable in-vitro environment with a spatially-varying drug concentration. With such a structure we observe the rapid emergence of a surprisingly large number of polyploid giant cancer cells (PGCCs) in regions of very high drug concentration, which does not occur in conventional cell culture of uniform concentration. This emergence of PGCCs in a high drug environment is due to migration of diploid epithelial cells from regions of low drug concentration, where they proliferate, to regions of high drug concentration, where they rapidly convert to PGCCs. Such a mechanism can only occur in spatially-varying rather than homogeneous environments. Further, PGCCs exhibit increased expression of the mesenchymal marker ZEB1 in the same high-drug regions where they are formed, suggesting the possible induction of an epithelial to mesenchymal transition (EMT) in these cells. This is consistent with prior work suggesting the PGCC cells are mediators of resistance in response to chemotherapeutic stress. Taken together, this work shows the key role of spatial heterogeneity and the migration of proliferative diploid cells to form PGCCs as a survival strategy for the cancer population, with implications for new therapies.

Indexed as

Antineoplastic AgentsCell Culture TechniquesDocetaxelDrug Resistance, NeoplasmEpithelial-Mesenchymal TransitionHumansMaleNeoplastic Stem CellsPC-3 CellsProstatic NeoplasmsTumor MicroenvironmentAntineoplastic AgentsDocetaxelCancer-on-a-chipCell migrationChemotherapy gradientMetastasisPolyploid giant cancer cellsTumor microenvironment

Identifiers

PMID30810874
OpenAlexW2916958683

What OpenQuestion holds

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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.