Evidence map›Paper›PMID 31019203›Full record

ArticleCell death & disease2019

BCL-XL and MCL-1 are the key BCL-2 family proteins in melanoma cell survival.

Erinna F Lee, Tiffany J Harris, Sharon Tran, Marco Evangelista, Surein Arulananda, Thomas John, Celeste Ramnac, Chloe Hobbs, Haoran Zhu, Gency Gunasingh and 10 more

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed
10.1field-weighted citation impact, top 1% 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

94 citing papers in PubMed, 181 citations in OpenAlex.

  1. Targeting protein-protein interactions in the BCL-2 family: opportunities for precision oncology.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. NovelCancer drug resistance (Alhambra, Calif.) · 2026
    Article
  6. Review
  7. Article
  8. Review
  9. A new era in cancer therapy: targeting the Proteasome-Bcl-2 axis.Journal of experimental & clinical cancer research : CR · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Doramectin Induces Apoptosis in B16 Melanoma Cells.Anti-cancer agents in medicinal chemistry · 2025
    Article
  14. Article
  15. Targeted Drug Nanodelivery and Immunotherapy for Combating Tumor Resistance.Combinatorial chemistry & high throughput screening · 2025
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review

34 more citing papers are in PubMed but not listed here.

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

20 authors at 5 institutions in 2 countries.

Erinna F LeeLa Trobe Institute for Molecular Science, La Trobe University, Melbourne, VIC, 3086, Australia. Erinna.Lee@latrobe.edu.au.
Tiffany J HarrisOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.
Sharon TranOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.
Marco EvangelistaOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.
Surein ArulanandaOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.
Thomas JohnOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.
Celeste RamnacOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.
Chloe HobbsOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.
Haoran ZhuThe Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, 3052, Australia.
Gency GunasinghThe University of Queensland, The University of Queensland Diamantina Institute, Translational Research Institute, Woolloongabba, Brisbane, QLD, 4102, Australia.
David SegalThe Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, 3052, Australia.
Andreas BehrenOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.ORCID http://orcid.org/0000-0001-5329-280X
Jonathan CebonOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.
Alexander DobrovicOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.
John M MariadasonOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.
Andreas StrasserThe Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, 3052, Australia.
Leona RohrbeckThe Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, 3052, Australia.
Nikolas K HaassThe University of Queensland, The University of Queensland Diamantina Institute, Translational Research Institute, Woolloongabba, Brisbane, QLD, 4102, Australia.ORCID http://orcid.org/0000-0002-3928-5360
Marco J HeroldThe Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, 3052, Australia.
W Douglas FairlieLa Trobe Institute for Molecular Science, La Trobe University, Melbourne, VIC, 3086, Australia. doug.fairlie@onjcri.org.au.
La Trobe University · AUWalter and Eliza Hall Institute of Medical Research · AUOlivia Newton-John Cancer Wellness & Research Centre · AUThe University of Melbourne · AUTranslational Research Institute · AU

Funding

Worldwide Cancer Research 15-0025
6 · The paper itself

Abstract

Malignant melanoma is one of the most difficult cancers to treat due to its resistance to chemotherapy. Despite recent successes with BRAF inhibitors and immune checkpoint inhibitors, many patients do not respond or become resistant to these drugs. Hence, alternative treatments are still required. Due to the importance of the BCL-2-regulated apoptosis pathway in cancer development and drug resistance, it is of interest to establish which proteins are most important for melanoma cell survival, though the outcomes of previous studies have been conflicting. To conclusively address this question, we tested a panel of established and early passage patient-derived cell lines against several BH3-mimetic drugs designed to target individual or subsets of pro-survival BCL-2 proteins, alone and in combination, in both 2D and 3D cell cultures. None of the drugs demonstrated significant activity as single agents, though combinations targeting MCL-1 plus BCL-XL, and to a lesser extent BCL-2, showed considerable synergistic killing activity that was elicited via both BAX and BAK. Genetic deletion of BFL-1 in cell lines that express it at relatively high levels only had minor impact on BH3-mimetic drug sensitivity, suggesting it is not a critical pro-survival protein in melanoma. Combinations of MCL-1 inhibitors with BRAF inhibitors also caused only minimal additional melanoma cell killing over each drug alone, whilst combinations with the proteasome inhibitor bortezomib was more effective in multiple cell lines. Our data show for the first time that therapies targeting specific combinations of BCL-2 pro-survival proteins, namely MCL-1 plus BCL-XL and MCL-1 plus BCL-2, could have significant benefit for the treatment of melanoma.

Indexed as

Aniline CompoundsAntineoplastic AgentsApoptosisbcl-X ProteinBortezomibCell Line, TumorCell SurvivalHumansMelanomaMyeloid Cell Leukemia Sequence 1 ProteinPyrimidinesSulfonamidesThiophenesAniline CompoundsAntineoplastic Agentsbcl-X ProteinBortezomibMyeloid Cell Leukemia Sequence 1 ProteinnavitoclaxPyrimidinesS63845SulfonamidesThiophenes

Identifiers

PMID31019203
PMCPMC6482196
OpenAlexW2942007182

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.