Evidence map›Paper›PMID 30830869›Full record

ArticleJCI insight2019

Direct activation of PP2A for the treatment of tyrosine kinase inhibitor-resistant lung adenocarcinoma.

Rita Tohmé, Sudeh Izadmehr, Sai Gandhe, Giancarlo Tabaro, Sanjay Vallabhaneni, Ava Thomas, Neal Vasireddi, Neil S Dhawan, Avi Ma'ayan, Neelesh Sharma and 4 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 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
6.5field-weighted citation impact, top 3% 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. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. 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

14 authors at 6 institutions in 2 countries.

Rita TohméDepartment of Molecular Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Sudeh IzadmehrDivision of Hematology and Medical Oncology, Tisch Cancer Institute.
Sai GandheCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio, USA.
Giancarlo TabaroCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio, USA.
Sanjay VallabhaneniCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio, USA.
Ava ThomasCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio, USA.
Neal VasireddiCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio, USA.
Neil S DhawanDepartment of Genetics and Genomic Sciences and.
Avi Ma'ayanDepartment of Pharmacological Sciences, Icahn School of Medicine at Mount Sinai, New York, USA.
Neelesh SharmaUniversity Hospitals Seidman Cancer Center, Case Western Reserve University, Cleveland, Ohio, USA.
Matthew D GalskyDepartment of Medicine and.
Michael OhlmeyerDepartment of Structural and Chemical Biology, Icahn School of Medicine at Mount Sinai, New York, USA.
Jaya SangodkarDivision of Genetic Medicine, Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Goutham NarlaDivision of Genetic Medicine, Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Case Western Reserve University · USIcahn School of Medicine at Mount Sinai · USUniversity of Michigan · USCancer Institute (WIA) · INCleveland Clinic · USUniversity Hospitals Seidman Cancer Center · US

Funding

TUMOR METABOLISM PROGRAMP30CA043703 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI Amar Desai · 1987 to 2026
$142.3M
THE TISCH CANCER INSTITUTE - CANCER CENTER SUPPORT GRANTP30CA196521 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Ramon E Parsons · 2015 to 2026
$35.4M
Structural and molecular determinants of protein phosphatase 2A in Alzheimer's DiseaseR01CA240993 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NARLA, GOUTHAM, TAYLOR, DEREK JAMES · 2019 to 2023
$3.4M
Small Molecule Activators of PP2A (SMAPs) for Prostate Cancer TherapyR01CA181654 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NARLA, GOUTHAM · 2015 to 2019
$1.9M
NCI NIH HHS P30 CA043703NCI NIH HHS P30 CA196521NCI NIH HHS R01 CA181654NCI NIH HHS R01 CA240993
6 · The paper itself

Abstract

Although tyrosine kinase inhibitors (TKIs) have demonstrated significant efficacy in advanced lung adenocarcinoma (LUAD) patients with pathogenic alterations in EGFR, most patients develop acquired resistance to these agents via mechanisms enabling the sustained activation of the PI3K and MAPK oncogenic pathways downstream of EGFR. The tumor suppressor protein phosphatase 2A (PP2A) acts as a negative regulator of these pathways. We hypothesize that activation of PP2A simultaneously inhibits the PI3K and MAPK pathways and represents a promising therapeutic strategy for the treatment of TKI-resistant LUAD. After establishing the efficacy of small molecule activators of PP2A (SMAPs) in a transgenic EGFRL858R model and TKI-sensitive cell lines, we evaluated their therapeutic potential in vitro and in vivo in TKI-resistant models. PP2A activation resulted in apoptosis, significant tumor growth inhibition, and downregulation of PI3K and MAPK pathways. Combination of SMAPs and TKI afatinib resulted in an enhanced effect on the downregulation of the PI3K pathway via degradation of the PP2A endogenous inhibitor CIP2A. An improved effect on tumor growth inhibition was observed in a TKI-resistant xenograft mouse model treated with a combination of both agents. These collective data support the development of PP2A activators for the treatment of TKI-resistant LUAD.

Indexed as

Adenocarcinoma of LungAnimalsAntineoplastic Combined Chemotherapy ProtocolsApoptosisCell Line, TumorCell ProliferationDrug Resistance, NeoplasmEnzyme ActivatorsErbB ReceptorsFemaleGene Expression Regulation, NeoplasticHumansLung NeoplasmsMaleMAP Kinase Signaling SystemMiceEGFR protein, humanEGFR protein, mouseEnzyme ActivatorsErbB ReceptorsPhosphatidylinositol 3-KinasePhosphoprotein PhosphatasesProtein Kinase InhibitorsPTPA protein, humanLung cancerOncologyPhosphoprotein phosphatasesTherapeuticsTumor suppressors

Identifiers

PMID30830869
PMCPMC6478418
OpenAlexW2917542977

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.