Evidence map›Paper›PMID 31363002›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2019

The Role of Lineage Plasticity in Prostate Cancer Therapy Resistance.

Himisha Beltran, Andrew Hruszkewycz, Howard I Scher, Jeffrey Hildesheim, Jennifer Isaacs, Evan Y Yu, Kathleen Kelly, Daniel Lin, Adam Dicker, Julia Arnold and 22 more

Open access · greenAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 286 papers.

0numbers the graph read from it
0cells of the map it votes in
286citing papers in PubMed
27.0field-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

286 citing papers in PubMed, 375 citations in OpenAlex.

  1. Radiographic Progression With and Without Prostate-Specific Antigen Rise in Patients With Advanced Prostate Cancer Treated With Enzalutamide.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
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226 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

32 authors at 17 institutions in 3 countries.

Himisha BeltranDana Farber Cancer Institute, Boston, Massachusetts. himisha_beltran@dfci.harvard.edu.
Andrew HruszkewyczNational Cancer Institute, Bethesda, Maryland.
Howard I ScherMemorial Sloan Kettering, New York, New York.
Jeffrey HildesheimNational Cancer Institute, Bethesda, Maryland.
Jennifer IsaacsNational Cancer Institute, Bethesda, Maryland.
Evan Y YuUniversity of Washington, Fred Hutchinson Cancer Center, Seattle, Washington.
Kathleen KellyNational Cancer Institute, Bethesda, Maryland.
Daniel LinUniversity of Washington, Fred Hutchinson Cancer Center, Seattle, Washington.
Adam DickerThomas Jefferson University, Philadelphia, Pennsylvania.
Julia ArnoldNational Cancer Institute, Bethesda, Maryland.ORCID 0000-0003-1517-6087
Toby HechtNational Cancer Institute, Bethesda, Maryland.
Max WichaUniversity of Michigan, Ann Arbor, Michigan.
Rosalie SearsOregon Health and Science University, Portland, Oregon.
David RowleyBaylor College of Medicine, Houston, Texas.
Richard WhiteMemorial Sloan Kettering, New York, New York.ORCID 0000-0001-9099-9169
James L GulleyNational Cancer Institute, Bethesda, Maryland.ORCID 0000-0002-6569-2912
John LeeUniversity of Washington, Fred Hutchinson Cancer Center, Seattle, Washington.
Maria Diaz MecoSanford Burnham, La Jolla, California.
Eric J SmallUniversity of California San Francisco, San Francisco, California.
Michael ShenColumbia University Irving Medical Center, New York, New York.ORCID 0000-0002-4042-1657
Karen KnudsenThomas Jefferson University, Philadelphia, Pennsylvania.
David W GoodrichRoswell Park Cancer Center, Buffalo, New York.ORCID 0000-0002-1021-1827
Tamara LotanJohns Hopkins University, Baltimore, Maryland.
Amina ZoubeidiUniversity of British Columbia, Vancouver, British Columbia, Canada.
Charles L SawyersMemorial Sloan Kettering, New York, New York.ORCID 0000-0001-5204-3465
Charles M RudinMemorial Sloan Kettering, New York, New York.ORCID 0000-0001-5204-3465
Massimo LodaWeill Cornell Medicine, New York, New York.
Timothy ThompsonMD Anderson, Houston, Texas.
Mark A RubinUniversity of Bern, Bern, Switzerland.ORCID 0000-0002-8321-9950
Abdul Tawab-AmiriNational Cancer Institute, Bethesda, Maryland.
William DahutNational Cancer Institute, Bethesda, Maryland.
Peter S NelsonUniversity of Washington, Fred Hutchinson Cancer Center, Seattle, Washington.
National Cancer Institute · USFred Hutch Cancer Center · USKettering University · USThomas Jefferson University · USBaylor College of Medicine · USColumbia University Irving Medical Center · USCornell University · USDana-Farber Cancer Institute · USJohns Hopkins University · USOregon Health & Science University · USRoswell Park Comprehensive Cancer Center · USSanford Burnham Prebys Medical Discovery Institute · USThe University of Texas MD Anderson Cancer Center · USUniversity of Bern · CHUniversity of British Columbia · CAUniversity of California, San Francisco · USUniversity of Michigan · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
SPORE In Prostate CancerP50CA092629 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI JAMES A EASTHAM · 2001 to 2026
$63.0M
Tumor and Circulating Markers as Links Between Obesity and Lethal Prostate CanceP50CA090381 · NCI · DANA-FARBER CANCER INSTITUTE · PI KANTOFF, PHILIP W · 2002 to 2017
$36.2M
Targeting Tumor Microenvironment-Induced Therapy Resistance in Prostate Cancer Bone MetastasisP50CA140388 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI THOMPSON, TIMOTHY CHARLES · 2009 to 2022
$23.4M
The MSKCC-UW/Fred Hutch Prostate Cancer Drug Resistance and Sensitivity CenterU54CA224079 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI SAWYERS, CHARLES L. · 2017 to 2021
$6.8M
Role of ETS factors in specifying prostate luminal cell identity and androgen receptor dependenceR01CA193837 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI SAWYERS, CHARLES L. · 2015 to 2025
$4.7M
Hutchinson Center as Lead Academic Participating Site (UG1)UG1CA233328 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Evan Yu · 2019 to 2026
$4.3M
Hydroxylation regulation of c-MycR01CA186241 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Mu-Shui Dai, ROSALIE C SEARS · 2015 to 2026
$4.2M
Understanding Resistance to Next Generation AntiandrogensR01CA155169 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI SAWYERS, CHARLES L. · 2012 to 2022
$3.8M
NOTCH signaling controls transformation to androgen independent neuroendocrine prostate cancerR01CA234162 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI GOODRICH, DAVID W. · 2019 to 2024
$3.0M
Exploiting RB1 deficiency for the treatment of lethal neuroendocrine prostate cancerR01CA207757 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI ELLIS, LEIGH, GOODRICH, DAVID W. · 2016 to 2020
$2.8M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA090381NCI NIH HHS P50 CA092629NCI NIH HHS P50 CA140388NCI NIH HHS R01 CA155169NCI NIH HHS R01 CA186241NCI NIH HHS R01 CA193837NCI NIH HHS R01 CA207757NCI NIH HHS R01 CA217329NCI NIH HHS R01 CA234162NCI NIH HHS R01 CA238005NCI NIH HHS U54 CA224079NCI NIH HHS UG1 CA233328
6 · The paper itself

Abstract

Lineage plasticity has emerged as an important mechanism of treatment resistance in prostate cancer. Treatment-refractory prostate cancers are increasingly associated with loss of luminal prostate markers, and in many cases induction of developmental programs, stem cell-like phenotypes, and neuroendocrine/neuronal features. Clinically, lineage plasticity may manifest as low PSA progression, resistance to androgen receptor (AR) pathway inhibitors, and sometimes small cell/neuroendocrine pathologic features observed on metastatic biopsy. This mechanism is not restricted to prostate cancer as other malignancies also demonstrate lineage plasticity during resistance to targeted therapies. At present, there is no established therapeutic approach for patients with advanced prostate cancer developing lineage plasticity or small cell neuroendocrine prostate cancer (NEPC) due to knowledge gaps in the underlying biology. Few clinical trials address questions in this space, and the outlook for patients remains poor. To move forward, urgently needed are: (i) a fundamental understanding of how lineage plasticity occurs and how it can best be defined; (ii) the temporal contribution and cooperation of emerging drivers; (iii) preclinical models that recapitulate biology of the disease and the recognized phenotypes; (iv) identification of therapeutic targets; and (v) novel trial designs dedicated to the entity as it is defined. This Perspective represents a consensus arising from the NCI Workshop on Lineage Plasticity and Androgen Receptor-Independent Prostate Cancer. We focus on the critical questions underlying lineage plasticity and AR-independent prostate cancer, outline knowledge and resource gaps, and identify strategies to facilitate future collaborative clinical translational and basic studies in this space.

Indexed as

Cell LineageCell PlasticityDrug Resistance, NeoplasmAndrogen Receptor AntagonistsCarcinoma, Small CellHumansMaleProstatic NeoplasmsReceptors, AndrogenAndrogen Receptor AntagonistsReceptors, Androgen

Identifiers

PMID31363002
PMCPMC6891154
OpenAlexW2964673115

What OpenQuestion holds

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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.