Evidence map›Paper›PMID 32123859›Full record

ArticleFASEB bioAdvances2020

Lung cancer cells survive epidermal growth factor receptor tyrosine kinase inhibitor exposure through upregulation of cholesterol synthesis.

Mark C Howell, Ryan Green, Roukiah Khalil, Elspeth Foran, Waise Quarni, Rajesh Nair, Stanley Stevens, Aleksandr Grinchuk, Andrew Hanna, Shyam Mohapatra and 1 more

Open access · goldAbstract read
In one paragraph

Article in FASEB bioAdvances, 2020. 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
1.3field-weighted citation impact, top 23% 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, 25 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

11 authors at 2 institutions in 1 country.

Mark C HowellMolecular Medicine Department University of South Florida Tampa FL USA.
Ryan GreenMolecular Medicine Department University of South Florida Tampa FL USA.
Roukiah KhalilMolecular Medicine Department University of South Florida Tampa FL USA.
Elspeth ForanMolecular Medicine Department University of South Florida Tampa FL USA.
Waise QuarniMolecular Medicine Department University of South Florida Tampa FL USA.
Rajesh NairTransgenex Nanobiotech Inc Tampa FL USA.
Stanley StevensCell Biology, Microbiology, and Molecular Biology College of Arts and Sciences University of South Florida Tampa FL USA.
Aleksandr GrinchukMolecular Medicine Department University of South Florida Tampa FL USA.
Andrew HannaMolecular Medicine Department University of South Florida Tampa FL USA.
Shyam MohapatraCenter for Research & Education in Nanobioengineering University of South Florida Tampa FL USA.
Subhra MohapatraMolecular Medicine Department University of South Florida Tampa FL USA.
University of South Florida · USTransGenex Nanobiotech (United States) · US

Funding

An Integrated Nano-Cell Delivery Platform of Theranostics for Lung CancersR01CA152005 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI MOHAPATRA, SHYAM S, MOHAPATRA, SUBHRA · 2010 to 2014
$1.4M
Tumor targeted engineered stem cells for treatment of lung cancerI01BX003413 · VA · JAMES A. HALEY VA MEDICAL CENTER · PI MOHAPATRA, SHYAM S, MOHAPATRA, SUBHRA · 2018 to 2022
–
BLRD Research Career Scientist Award ApplicationIK6BX003778 · VA · JAMES A. HALEY VA MEDICAL CENTER · PI MOHAPATRA, SHYAM S · 2017 to 2021
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BLRD Research Career Scientist Award ApplicationIK6BX004212 · VA · JAMES A. HALEY VA MEDICAL CENTER · PI MOHAPATRA, SUBHRA · 2018 to 2025
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BLRD VA I01 BX003413BLRD VA IK6 BX003778BLRD VA IK6 BX004212NCI NIH HHS R01 CA152005
6 · The paper itself

Abstract

Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) provide clinical benefits over chemotherapy for lung cancer patients with EGFR activating mutations. Despite initial clinical responses, long-term efficacy is not possible because of acquired resistance to these therapies. We have developed EGFR TKI drug-tolerant (DT) human lung cancer cell lines as a model for de novo resistance. Mass spectroscopic analysis revealed that the cytochrome P450 protein, CYP51A1 (Lanosterol 14α-demethylase), which is directly involved with cholesterol synthesis, was significantly upregulated in the DT cells. Total cellular cholesterol, and more specifically, mitochondrial cholesterol, were found to be upregulated in DT cells. We then used the CYP51A1 inhibitor, ketoconazole, to downregulate cholesterol synthesis. In both parental and DT cells, ketoconazole and EGFR TKIs acted synergistically to induce apoptosis and overcome the development of EGFR tolerance. Lastly, this combination therapy was shown to shrink the growth of tumors in an in vivo mouse model of EGFR TKI resistance. Thus, our study demonstrates for the first time that ketoconazole treatment inhibits upregulation of mitochondrial cholesterol and thereby overcomes EGFR-TKI resistance in lung cancer cells.

Indexed as

cholesteroldrug toleranceEGFR TKIslung cancer

Identifiers

PMID32123859
PMCPMC7003654
OpenAlexW2989252767

What OpenQuestion holds

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LicenceCC BY
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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.