Evidence map›Paper›PMID 31204100›Full record

ArticleCell2019

Patterns of Early p21 Dynamics Determine Proliferation-Senescence Cell Fate after Chemotherapy.

Chien-Hsiang Hsu, Steven J Altschuler, Lani F Wu

Abstract read
In one paragraph

Article in Cell, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 117 papers.

0numbers the graph read from it
0cells of the map it votes in
117citing 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

117 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Prostate Cancer: Etiology, Diagnosis, and Treatment.Serican journal of medicine · 2026
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Chien-Hsiang HsuSimmons Cancer Center, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA; Department of Pharmaceutical Chemistry, University of California, San Francisco, San Francisco, CA 94158, USA.
Steven J AltschulerDepartment of Pharmaceutical Chemistry, University of California, San Francisco, San Francisco, CA 94158, USA. Electronic address: steven.altschuler@ucsf.edu.
Lani F WuDepartment of Pharmaceutical Chemistry, University of California, San Francisco, San Francisco, CA 94158, USA. Electronic address: lani.wu@ucsf.edu.

Funding

Maximizing the predictive power of high-throughput, microscopy-based phenotypic screensR01CA184984 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WU, LANI F · 2014 to 2025
$4.7M
The design principles underlying cell polarity in yeastR01GM071794 · NIGMS · UT SOUTHWESTERN MEDICAL CENTER · PI ALTSCHULER, STEVEN J · 2004 to 2012
$2.3M
Reverse-engineering mechanisms of neural circuit wiring in the fly visual systemR01EY028205 · NEI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ALTSCHULER, STEVEN J · 2017 to 2020
$1.3M
(PQD1) An Iterative Approach for Overcoming Evolving Targeted Therapy ResistanceR01CA185404 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WU, LANI F · 2014 to 2017
$1.3M
Systems-level role of GSK3 in colonic epithelium homeostasis and drug resistanceR01GM112690 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ALTSCHULER, STEVEN J · 2015 to 2018
$1.3M
NCI NIH HHS R01 CA184984NCI NIH HHS R01 CA185404NEI NIH HHS R01 EY028205NIGMS NIH HHS R01 GM071794NIGMS NIH HHS R01 GM112690
6 · The paper itself

Abstract

Chemotherapy is designed to induce cell death. However, at non-lethal doses, cancer cells can choose to remain proliferative or become senescent. The slow development of senescence makes studying this decision challenging. Here, by analyzing single-cell p21 dynamics before, during, and days after drug treatment, we link three distinct patterns of early p21 dynamics to final cell fate. Surprisingly, while high p21 expression is classically associated with senescence, we find the opposite at early times during drug treatment: most senescence-fated cells express much lower p21 levels than proliferation-fated cells. We demonstrate that these dynamics lead to a p21 "Goldilocks zone" for proliferation, in which modest increases of p21 expression can lead to an undesirable increase of cancer cell proliferation. Our study identifies a counter-intuitive role for early p21 dynamics in the cell-fate decision and pinpoints a source of proliferative cancer cells that can emerge after exposure to non-lethal doses of chemotherapy.

Indexed as

Cell Cycle CheckpointsCell Line, TumorCell ProliferationCellular SenescenceCheckpoint Kinase 1Cyclin-Dependent Kinase Inhibitor p21DNA DamageDoxorubicinHumansModels, BiologicalRNA InterferenceRNA, Small InterferingTumor Suppressor Protein p53Checkpoint Kinase 1Cyclin-Dependent Kinase Inhibitor p21DoxorubicinRNA, Small InterferingTumor Suppressor Protein p53cell-fate decisioncell trackingp21senescence

Identifiers

PMID31204100
PMCPMC6688629

What OpenQuestion holds

Textmetadata
LicenceTDM
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.