Evidence map›Paper›PMID 31269229›Full record

ArticleAllergy2019

Vemurafenib acts as an aryl hydrocarbon receptor antagonist: Implications for inflammatory cutaneous adverse events.

Heike C Hawerkamp, Andreas Kislat, Peter A Gerber, Marius Pollet, Katharina M Rolfes, Anatoly A Soshilov, Michael S Denison, Afaque A Momin, Stefan T Arold, Angeliki Datsi and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Allergy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

17 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
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  5. The role of the AHR in host-pathogen interactions.Nature reviews. Immunology · 2025
    Review
  6. Review
  7. Article
  8. Synthesis,Journal of enzyme inhibition and medicinal chemistry · 2023
    Article
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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

17 authors at 5 institutions in 4 countries.

Heike C HawerkampDepartment of Dermatology, Medical Faculty, Heinrich-Heine-University, Duesseldorf, Germany.ORCID 0000-0002-3990-8230
Andreas KislatDepartment of Dermatology, Medical Faculty, Heinrich-Heine-University, Duesseldorf, Germany.
Peter A GerberDepartment of Dermatology, Medical Faculty, Heinrich-Heine-University, Duesseldorf, Germany.
Marius PolletLeibniz-Research Institute for Environmental Medicine, Duesseldorf, Germany.
Katharina M RolfesLeibniz-Research Institute for Environmental Medicine, Duesseldorf, Germany.
Anatoly A SoshilovDepartment of Environmental Toxicology, University of California, Davis, CA, USA.
Michael S DenisonDepartment of Environmental Toxicology, University of California, Davis, CA, USA.
Afaque A MominKing Abdullah University of Science and Technology (KAUST), Computational Bioscience Research Center (CBRC), Division of Biological and Environmental Sciences and Engineering (BESE), Thuwal, Saudi Arabia.
Stefan T AroldKing Abdullah University of Science and Technology (KAUST), Computational Bioscience Research Center (CBRC), Division of Biological and Environmental Sciences and Engineering (BESE), Thuwal, Saudi Arabia.
Angeliki DatsiDepartment of Dermatology, Medical Faculty, Heinrich-Heine-University, Duesseldorf, Germany.
Stephan A BraunDepartment of Dermatology, Medical Faculty, Heinrich-Heine-University, Duesseldorf, Germany.
Péter OláhDepartment of Dermatology, Medical Faculty, Heinrich-Heine-University, Duesseldorf, Germany.
Mario E LacoutureDermatology Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Jean KrutmannLeibniz-Research Institute for Environmental Medicine, Duesseldorf, Germany.
Thomas Haarmann-StemmannLeibniz-Research Institute for Environmental Medicine, Duesseldorf, Germany.
Bernhard HomeyDepartment of Dermatology, Medical Faculty, Heinrich-Heine-University, Duesseldorf, Germany.
Stephan MellerDepartment of Dermatology, Medical Faculty, Heinrich-Heine-University, Duesseldorf, Germany.
Heinrich Heine University Düsseldorf · DELeibniz Institute of Environmental Medicine · DEKing Abdullah University of Science and Technology · SAUniversity of California, Davis · USMemorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Deutsche Forschungsgemeinschaft HA 7346/2-1Jürgen Manchot FoundationKing Abdullah University of Science and Technology (KAUST) FCC/1/1976-25NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundIn recent years, the BRAF inhibitor vemurafenib has been successfully established in the therapy of advanced melanoma. Despite its superior efficacy, the use of vemurafenib is limited by frequent inflammatory cutaneous adverse events that affect patients' quality of life and may lead to dose reduction or even cessation of anti-tumor therapy. To date, the molecular and cellular mechanisms of vemurafenib-induced rashes have remained largely elusive.

methodsIn this study, we deployed immunohistochemistry, RT-qPCR, flow cytometry, lymphocyte activation tests, and different cell-free protein-interaction assays.

resultsWe here demonstrate that vemurafenib inhibits the downstream signaling of the canonical pathway of aryl hydrocarbon receptor (AhR) in vitro, thereby inducing the expression of proinflammatory cytokines (eg, TNF) and chemokines (eg, CCL5). In line with these results, we observed an impaired expression of AhR-regulated genes (eg, CYP1A1) and an upregulation of the corresponding proinflammatory genes in vivo. Moreover, results of lymphocyte activation tests showed the absence of drug-specific T cells in respective patients.

conclusionTaken together, we obtained no hint of an underlying sensitization against vemurafenib but found evidence suggesting that vemurafenib enhances proinflammatory responses by inhibition of canonical AhR signaling. Our findings contribute to our understanding of the central role of the AhR in skin inflammation and may point toward a potential role for topical AhR agonists in supportive cancer care.

Indexed as

AgedAnimalsAntineoplastic AgentsBasic Helix-Loop-Helix ProteinsBiomarkersBiopsyCase-Control StudiesCytochrome P-450 CYP1A1DermatitisDisease Models, AnimalGuinea PigsHumansModels, MolecularProtein ConformationProtein Kinase InhibitorsReceptors, Aryl HydrocarbonAHR protein, humanAntineoplastic AgentsBasic Helix-Loop-Helix ProteinsBiomarkersCYP1A1 protein, humanCytochrome P-450 CYP1A1Protein Kinase InhibitorsReceptors, Aryl HydrocarbonVemurafenibaryl hydrocarbon receptordrug eruptionlymphocyte activation testmelanomavemurafenib

Identifiers

PMID31269229
PMCPMC6911016
OpenAlexW2953534081

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.