Evidence map›Paper›PMID 31570693›Full record

ArticleCell death & disease2019

Stromal cells downregulate miR-23a-5p to activate protective autophagy in acute myeloid leukemia.

Saravanan Ganesan, Hamenth Kumar Palani, Vairavan Lakshmanan, Nithya Balasundaram, Ansu Abu Alex, Sachin David, Arvind Venkatraman, Anu Korula, Biju George, Poonkuzhali Balasubramanian and 3 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 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

29 citing papers in PubMed, 43 citations in OpenAlex.

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  5. Irradiation alters extracellular vesicle microRNA load in the serum of patients with leukaemia.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
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  15. The dual role of autophagy in acute myeloid leukemia.Journal of hematology & oncology · 2022
    Review
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  17. 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

13 authors at 3 institutions in 1 country.

Saravanan GanesanDepartment of Haematology, Christian Medical College, Vellore, India.
Hamenth Kumar PalaniDepartment of Haematology, Christian Medical College, Vellore, India.
Vairavan LakshmananInstitute for Stem Cell Biology and Regenerative Medicine (InStem), Bengaluru, India.
Nithya BalasundaramDepartment of Haematology, Christian Medical College, Vellore, India.
Ansu Abu AlexDepartment of Haematology, Christian Medical College, Vellore, India.
Sachin DavidDepartment of Haematology, Christian Medical College, Vellore, India.
Arvind VenkatramanDepartment of Haematology, Christian Medical College, Vellore, India.
Anu KorulaDepartment of Haematology, Christian Medical College, Vellore, India.
Biju GeorgeDepartment of Haematology, Christian Medical College, Vellore, India.
Poonkuzhali BalasubramanianDepartment of Haematology, Christian Medical College, Vellore, India.
Dasaradhi PalakodetiInstitute for Stem Cell Biology and Regenerative Medicine (InStem), Bengaluru, India.
Neha VyasMolecular Medicine Department, St. John's Research Institute, St. John's National Academy of Health Sciences, Bengaluru, India. neha.v@sjri.res.in.ORCID http://orcid.org/0000-0002-8873-5751
Vikram MathewsDepartment of Haematology, Christian Medical College, Vellore, India. vikram@cmcvellore.ac.in.
Christian Medical College, Vellore · INInstitute for Stem Cell Biology and Regenerative Medicine · INSt. John's National Academy of Health Sciences · IN

Funding

DBT-Wellcome Trust India Alliance IA/S/15/1/501842Wellcome Trust
6 · The paper itself

Abstract

Complex molecular cross talk between stromal cells and the leukemic cells in bone marrow is known to contribute significantly towards drug-resistance. Here, we have identified the molecular events that lead to stromal cells mediated therapy-resistance in acute myeloid leukemia (AML). Our work demonstrates that stromal cells downregulate miR-23a-5p levels in leukemic cells to protect them from the chemotherapy induced apoptosis. Downregulation of miR-23a-5p in leukemic cells leads to upregulation of protective autophagy by targeting TLR2 expression. Further, autophagy inhibitors when used as adjuvants along with conventional drugs can improve drug sensitivity in vitro as well in vivo in a mouse model of leukemia. Our work also demonstrates that this mechanism of bone marrow stromal cell mediated regulation of miR-23a-5p levels and subsequent molecular events are relevant predominantly in myeloid leukemia. Our results illustrate the critical and dynamic role of the bone marrow microenvironment in modulating miRNA expression in leukemic cells which could contribute significantly to drug resistance and subsequent relapse, possibly through persistence of minimal residual disease in this environment.

Indexed as

AnimalsApoptosisAutophagyBone Marrow CellsDaunorubicinFemaleGene Expression Regulation, NeoplasticHumansLeukemia, Myeloid, AcuteMaleMiceMicroRNAsNeoplasm, ResidualStromal CellsToll-Like Receptor 2Tumor MicroenvironmentDaunorubicinMicroRNAsMIRN23a microRNA, humanTLR2 protein, humanToll-Like Receptor 2

Identifiers

PMID31570693
PMCPMC6769009
OpenAlexW2977159846

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.