Evidence map›Paper›PMID 30830863›Full record

ArticleJCI insight2019

Secreted cellular prion protein binds doxorubicin and correlates with anthracycline resistance in breast cancer.

Adrian P Wiegmans, Jodi M Saunus, Sunyoung Ham, Richard Lobb, Jamie R Kutasovic, Andrew J Dalley, Mariska Miranda, Caroline Atkinson, Simote T Foliaki, Kaltin Ferguson and 7 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

22 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Integrated multi-omics elucidatesFrontiers in immunology · 2025
    Article
  5. Article
  6. Article
  7. The Humanization and Maturation of an Anti-PrPc Antibody.Bioengineering (Basel, Switzerland) · 2024
    Article
  8. Article
  9. Review
  10. Article
  11. Review
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  13. Review
  14. Article
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  18. Article
  19. Article
  20. Clinicopathologic significance of nuclear HER4 and phospho-YAP(STherapeutic advances in medical oncology · 2020
    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

17 authors at 5 institutions in 1 country.

Adrian P WiegmansTumor Microenvironment Laboratory, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia.
Jodi M SaunusCentre for Clinical Research, Faculty of Medicine, The University of Queensland, Herston, Queensland, Australia.
Sunyoung HamTumor Microenvironment Laboratory, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia.
Richard LobbTumor Microenvironment Laboratory, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia.
Jamie R KutasovicCentre for Clinical Research, Faculty of Medicine, The University of Queensland, Herston, Queensland, Australia.
Andrew J DalleyCentre for Clinical Research, Faculty of Medicine, The University of Queensland, Herston, Queensland, Australia.
Mariska MirandaPersonalized Medicine Laboratory, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia.
Caroline AtkinsonChildren's Cancer Institute Australia, Lowy Cancer Research Centre, University of New South Wales, Sydney, New South Wales, Australia.
Simote T FoliakiDepartment of Medicine (Royal Melbourne Hospital), The University of Melbourne, Parkville, Victoria, Australia.
Kaltin FergusonCentre for Clinical Research, Faculty of Medicine, The University of Queensland, Herston, Queensland, Australia.
Colleen NilandCentre for Clinical Research, Faculty of Medicine, The University of Queensland, Herston, Queensland, Australia.
Cameron N JohnstoneCancer and Inflammation Laboratory, Olivia Newton-John Cancer Research Institute, Heidelberg, Victoria, Australia.
Victoria LewisDepartment of Medicine (Royal Melbourne Hospital), The University of Melbourne, Parkville, Victoria, Australia.
Steven J CollinsDepartment of Medicine (Royal Melbourne Hospital), The University of Melbourne, Parkville, Victoria, Australia.
Sunil R LakhaniCentre for Clinical Research, Faculty of Medicine, The University of Queensland, Herston, Queensland, Australia.
Fares Al-EjehPersonalized Medicine Laboratory, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia.
Andreas MöllerTumor Microenvironment Laboratory, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia.
QIMR Berghofer Medical Research Institute · AUThe University of Queensland · AUThe Royal Melbourne Hospital · AUOlivia Newton-John Cancer Wellness & Research Centre · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anthracyclines are amongst the most effective chemotherapeutics ever developed, but they produce grueling side-effects, serious adverse events and resistance often develops over time. We found that these compounds can be sequestered by secreted cellular Prion protein (PrPC), blocking their cytotoxic activity. This effect was dose-dependent using either cell line-conditioned medium or human serum as a source of PrPC. Genetic depletion of PrPC or inhibition of binding via chelation of ionic copper prevented the interaction and restored cytotoxic activity. This was more pronounced for doxorubicin than its epimer, epirubicin. Investigating the relevance to breast cancer management, we found that the levels of PRNP transcript in pre-treatment tumor biopsies stratified relapse-free survival after neoadjuvant treatment with anthracyclines, particularly amongst doxorubicin-treated patients with residual disease at surgery (p=2.8E-08). These data suggest that local sequestration could mediate treatment resistance. Consistent with this, tumor cell expression of PrPC protein correlated with poorer response to doxorubicin but not epirubicin in an independent cohort analyzed by immunohistochemistry, particularly soluble isoforms released into the extracellular environment by shedding (p=0.015). These findings have important potential clinical implications for frontline regimen decision-making. We suggest there is warranted utility for prognostic PrPC/PRNP assays to guide chemo-sensitization strategies that exploit an understanding of PrPC-anthracycline-copper ion complexes.

Indexed as

AdultAnthracyclinesAntibiotics, AntineoplasticBiomarkers, TumorBreast NeoplasmsCell Line, TumorCulture Media, ConditionedDatasets as TopicDisease-Free SurvivalDoxorubicinDrug Resistance, NeoplasmEpirubicinFemaleFollow-Up StudiesGene Expression Regulation, NeoplasticGene Knockdown TechniquesAnthracyclinesAntibiotics, AntineoplasticBiomarkers, TumorCulture Media, ConditionedDoxorubicinEpirubicinPrion ProteinsPRNP protein, humanProtein IsoformsRNA, Small InterferingCell BiologyOncologyPrions

Identifiers

PMID30830863
PMCPMC6483007
OpenAlexW2915716398

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.