Evidence map›Paper›PMID 30824833›Full record

ArticleScientific reports2019

Activation of the PERK-ATF4 pathway promotes chemo-resistance in colon cancer cells.

Zhong Shi, Xiaofu Yu, Meiqin Yuan, Wangxia Lv, Tingting Feng, Rui Bai, Haijun Zhong

Abstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing 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

50 citing papers in PubMed.

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  14. Acquired resistance to molecularly targeted therapies for cancer.Cancer drug resistance (Alhambra, Calif.) · 2025
    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.

Zhong ShiDepartment of Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, 310022, China.
Xiaofu YuDepartment of Radiotherapy, Zhejiang Cancer Hospital, Hangzhou, 310022, China.
Meiqin YuanDepartment of Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, 310022, China.
Wangxia LvDepartment of Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, 310022, China.
Tingting FengDepartment of Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, 310022, China.
Rui BaiDepartment of Medical Oncology, Hangzhou Cancer Hospital, Hangzhou, 310000, China.
Haijun ZhongDepartment of Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, 310022, China. zhonghj@zjcc.org.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Colon cancer is a major health problem worldwide. While chemotherapy remains a main approach for treating late-stage colon cancer patients, most, if not all, of them will develop drug resistance and die of uncontrollable disease progression eventually. Therefore, identification of mechanism of drug resistance and development of overcoming strategy hold great significance in management of colon cancer. In this study, we discovered that activation of the PERK branch of the unfolded protein response (UPR) pathways is required for colon cancer cells to survive treatment of 5-Fluorouracil (5-FU), one of the first-line chemotherapeutics for late-stage colon cancer patients. Genetic and pharmacological inhibition of PERK or its downstream factors greatly sensitize colon cancer cells to 5-FU. Most importantly, in vivo use of PERK inhibitor synergizes with 5-FU in suppressing the growth of colon cancer cells in mouse models. In summary, our findings established a promising way to overcome resistance to chemotherapy in colon cancer.

Indexed as

Drug Resistance, NeoplasmSignal TransductionActivating Transcription Factor 4AnimalsCell Line, TumorCell SurvivalColonic NeoplasmsDrug SynergismeIF-2 KinaseFemaleFluorouracilHumansMice, Inbred NODMice, SCIDProtein Kinase InhibitorsUnfolded Protein ResponseActivating Transcription Factor 4eIF-2 KinaseFluorouracilProtein Kinase Inhibitors

Identifiers

PMID30824833
PMCPMC6397152

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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.