Evidence map›Paper›PMID 31363754›Full record

ArticleNeuro-oncology2019

Efficacy of EGFR plus TNF inhibition in a preclinical model of temozolomide-resistant glioblastoma.

Gao Guo, Ke Gong, Vineshkumar Thidil Puliyappadamba, Nishah Panchani, Edward Pan, Bipasha Mukherjee, Ziba Damanwalla, Sabrina Bharia, Kimmo J Hatanpaa, David E Gerber and 6 more

Open access · greenAbstract read
In one paragraph

Article in Neuro-oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

23 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Auger electron-emitting EGFR-targeted and non-targeted [EJNMMI radiopharmacy and chemistry · 2025
    Article
  6. Review
  7. Cell death in glioblastoma and the central nervous system.Cellular oncology (Dordrecht, Netherlands) · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 1 country.

Gao GuoDepartment of Neurology and Neurotherapeutics, Division of Hematology-Oncology, Dallas, Texas.
Ke GongDepartment of Neurology and Neurotherapeutics, Division of Hematology-Oncology, Dallas, Texas.
Vineshkumar Thidil PuliyappadambaDepartment of Radiation Oncology, Division of Hematology-Oncology, Dallas, Texas.
Nishah PanchaniDepartment of Pathology, Division of Hematology-Oncology, Dallas, Texas.
Edward PanDepartment of Neurology and Neurotherapeutics, Division of Hematology-Oncology, Dallas, Texas.
Bipasha MukherjeeDepartment of Radiation Oncology, Division of Hematology-Oncology, Dallas, Texas.
Ziba DamanwallaDepartment of Neurology and Neurotherapeutics, Division of Hematology-Oncology, Dallas, Texas.
Sabrina BhariaDepartment of Neurology and Neurotherapeutics, Division of Hematology-Oncology, Dallas, Texas.
Kimmo J HatanpaaDepartment of Pathology, Division of Hematology-Oncology, Dallas, Texas.
David E GerberDepartment of Internal Medicine, Division of Hematology-Oncology, Dallas, Texas.
Bruce E MickeyDepartment of Neurosurgery, VA North Texas Health Care System, Dallas, Texas.
Toral R PatelDepartment of Neurosurgery, VA North Texas Health Care System, Dallas, Texas.
Jann N SarkariaDepartment of Radiation Oncology, Mayo Clinic, Rochester, Minnesota.
Dawen ZhaoDepartments of Biomedical Engineering and Cancer Biology, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Sandeep BurmaDepartment of Neurology and Neurotherapeutics, Division of Hematology-Oncology, Dallas, Texas.
Amyn A HabibDepartment of Neurology and Neurotherapeutics, Division of Hematology-Oncology, Dallas, Texas.
Texas Oncology · USVA North Texas Health Care System · USMayo Clinic · USThe University of Texas Southwestern Medical Center · USWake Forest University · US

Funding

Convertible MRI contrast signaling delivery and release of anti-glioma nano-drugR01CA194578 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ZHAO, DAWEN · 2015 to 2019
$1.8M
Radiation-induced senescence in the brain microenvironment: Implications for glioblastoma recurrence and therapyR01CA246807 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI BURMA, SANDEEP · 2021 to 2025
$1.8M
Mechanisms of EXO1 regulation in response to radiation-induced DNA damageR01CA197796 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI BURMA, SANDEEP · 2016 to 2020
$1.6M
Augmented homologous recombination as a mechanism of acquired temozolomide resistance in glioblastomaR21CA202403 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI BURMA, SANDEEP · 2016 to 2017
$388k
NCI NIH HHS R01 CA194578NCI NIH HHS R01 CA197796NCI NIH HHS R01 CA246807NCI NIH HHS R21 CA202403
6 · The paper itself

Abstract

backgroundGlioblastoma (GBM) is the most common primary malignant adult brain tumor. Temozolomide (TMZ) is the standard of care and is most effective in GBMs that lack the DNA repair protein O6-methylguanine-DNA methyltransferase (MGMT). Moreover, even initially responsive tumors develop a secondary resistance to TMZ and become untreatable. Since aberrant epidermal growth factor receptor (EGFR) signaling is widespread in GBM, EGFR inhibition has been tried in multiple clinical trials without success. We recently reported that inhibiting EGFR leads to increased secretion of tumor necrosis factor (TNF) and activation of a survival pathway in GBM. Here, we compare the efficacy of TMZ versus EGFR plus TNF inhibition in an orthotopic mouse model of GBM.

methodsWe use an orthotopic model to examine the efficacy of TMZ versus EGFR plus TNF inhibition in multiple subsets of GBMs, including MGMT methylated and unmethylated primary GBMs, recurrent GBMs, and GBMs rendered experimentally resistant to TMZ.

resultsThe efficacy of the 2 treatments was similar in MGMT methylated GBMs. However, in MGMT unmethylated GBMs, a combination of EGFR plus TNF inhibition was more effective. We demonstrate that the 2 treatment approaches target distinct and non-overlapping pathways. Thus, importantly, EGFR plus TNF inhibition remains effective in TMZ-resistant recurrent GBMs and in GBMs rendered experimentally resistant to TMZ.

conclusionEGFR inhibition combined with a blunting of the accompanying TNF-driven adaptive response could be a viable therapeutic approach in MGMT unmethylated and recurrent EGFR-expressing GBMs.

Indexed as

AfatinibAnimalsAntineoplastic Combined Chemotherapy ProtocolsApoptosisBrain NeoplasmsCell ProliferationDrug Resistance, NeoplasmErbB ReceptorsFemaleGene Expression Regulation, NeoplasticGlioblastomaHumansMiceMice, Inbred C57BLMice, NudeTemozolomideAfatinibEGFR protein, humanErbB ReceptorsTemozolomideThalidomideTumor Necrosis Factor-alphaadaptive responseEGFRglioblastomatemozolomideTNF

Identifiers

PMID31363754
PMCPMC6917414
OpenAlexW2966820070

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.