Evidence map›Paper›PMID 31672491›Full record

ArticleCancer letters2020

Imatinib revives the therapeutic potential of metformin on ewing sarcoma by attenuating tumor hypoxic response and inhibiting convergent signaling pathways.

Xiang Nan, Jiang Wang, Hao Cheng, Zheng Yin, Jianting Sheng, Bensheng Qiu, Ching C Lau, Jason T Yustein, Hong Zhao, Stephen T C Wong

Open access · greenAbstract read
In one paragraph

Article in Cancer letters, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 17 citations in OpenAlex.

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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

10 authors at 7 institutions in 2 countries.

Xiang NanCenter for Biomedical Engineering, University of Science and Technology of China, Hefei, Anhui, PR China; Center for Modeling Cancer Development, Houston Methodist Cancer Center, Weill Cornell Medicine, Houston, TX, 77030, USA.
Jiang WangCenter for Modeling Cancer Development, Houston Methodist Cancer Center, Weill Cornell Medicine, Houston, TX, 77030, USA; Department of Orthopedics, Tongji Hospital, Wuhan, Hubei, PR China.
Hao ChengCenter for Modeling Cancer Development, Houston Methodist Cancer Center, Weill Cornell Medicine, Houston, TX, 77030, USA; Department of Orthopedics, Tongji Hospital, Wuhan, Hubei, PR China.
Zheng YinCenter for Modeling Cancer Development, Houston Methodist Cancer Center, Weill Cornell Medicine, Houston, TX, 77030, USA.
Jianting ShengCenter for Modeling Cancer Development, Houston Methodist Cancer Center, Weill Cornell Medicine, Houston, TX, 77030, USA.
Bensheng QiuCenter for Biomedical Engineering, University of Science and Technology of China, Hefei, Anhui, PR China.
Ching C LauConnecticut Children's Medical Center, University of Connecticut School of Medicine, Hartford, CT, 06106, USA; The Jackson Laboratory for Genomic Medicine, Farmington, CT, 06032, USA.
Jason T YusteinTexas Children's Cancer and Hematology Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX, 77030, USA.
Hong ZhaoCenter for Modeling Cancer Development, Houston Methodist Cancer Center, Weill Cornell Medicine, Houston, TX, 77030, USA. Electronic address: hzhao@houstonmethodist.org.
Stephen T C WongCenter for Modeling Cancer Development, Houston Methodist Cancer Center, Weill Cornell Medicine, Houston, TX, 77030, USA. Electronic address: stwong@houstonmethodist.org.
Houston Methodist · USWeill Cornell Medicine · USChildren's Cancer Center · USCornell University · USJackson Laboratory · USTongji Hospital · CNUniversity of Science and Technology of China · CN

Funding

The Core of the Computational BiologyU54CA149196 · NCI · METHODIST HOSPITAL RESEARCH INSTITUTE · PI WONG, STEPHEN TC · 2010 to 2015
$10.6M
Modeling tumor-stroma crosstalk in lung cancer to identify targets for therapyU01CA188388 · NCI · METHODIST HOSPITAL RESEARCH INSTITUTE · PI MITTAL, VIVEK, WONG, STEPHEN TC · 2015 to 2019
$2.5M
NCI NIH HHS U01 CA188388NCI NIH HHS U54 CA149196
6 · The paper itself

Abstract

Ewing sarcoma (EwS) is an aggressive pediatric tumor treated with intensive cytotoxic chemotherapies. Overall survival for metastatic or relapsed disease is only 20-30%. Metformin has long been an attractive therapeutic option for EwS, but hypoxia limits its efficacy. Through a systematic integration of drug combination screening, bioinformatics analyses, functional and in vivo studies, and correlation with clinical outcome, we identified another known drug, imatinib that could augment the in vivo anti-tumor capacity of metformin by attenuating tumor hypoxic response. This drug combination regimen widely suppressed multiple dominant mechanisms in EwS genesis, growth, and metastasis, including key EWS-FLI1 downstream targets that converge into the PI3K/AKT/mTOR signaling pathway. In addition, the combination significantly enhanced inhibition on tumor cell proliferation by standard EwS chemotherapy drugs, including cyclophosphamide and ifosfamide. This suggests a potential clinical benefit of the metformin/imatinib combination by allowing the reduction in dose intensity of standard chemotherapy without compromising survival outcome and represents a potential faster track application for EwS patients.

Indexed as

AnimalsAntineoplastic Combined Chemotherapy ProtocolsApoptosisBone NeoplasmsBreast NeoplasmsCell Cycle CheckpointsCell HypoxiaCell Line, TumorDrug SynergismFemaleGene Expression Regulation, NeoplasticGlioblastomaHumansImatinib MesylateMaleMetforminEWS-FLI fusion proteinImatinib MesylateMetforminMTOR protein, humanOncogene Proteins, FusionPhosphatidylinositol 3-KinasesProto-Oncogene Protein c-fli-1Proto-Oncogene Proteins c-aktRNA-Binding Protein EWSTOR Serine-Threonine KinasesDrug combinationsDrug repositioningEwing sarcomaImatinibMetformin

Identifiers

PMID31672491
PMCPMC6905085
OpenAlexW2981352821

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.