Evidence map›Paper›PMID 32231273›Full record

ArticleOncogene2020

Therapeutically actionable PAK4 is amplified, overexpressed, and involved in bladder cancer progression.

Darshan S Chandrashekar, Balabhadrapatruni V S K Chakravarthi, Alyncia D Robinson, Joshua C Anderson, Sumit Agarwal, Sai Akshaya Hodigere Balasubramanya, Marie-Lisa Eich, Akhilesh Kumar Bajpai, Sravanthi Davuluri, Maya S Guru and 16 more

Abstract read
PubMed Publisher
In one paragraph

Article in Oncogene, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 28 citations in OpenAlex.

  1. Novel Functionalized Pyrrolopyridines to Target Brk.Molecules (Basel, Switzerland) · 2026
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  6. The Role of the p21-Activated Kinase Family in Tumor Immunity.International journal of molecular sciences · 2025
    Review
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  12. LncRNA IGFL2-AS1 as a ceRNA Promotes HCT116 Cell Malignant Proliferation via the miR-433-3p/PAK4 Axis.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023
    Article
  13. The role of p21-activated kinase 4 in the progression of oral squamous cell carcinoma by targeting PI3K-AKT signaling pathway.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 5 institutions in 2 countries.

Darshan S Chandrashekar *Department of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA.
Balabhadrapatruni V S K Chakravarthi *Department of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA.
Alyncia D RobinsonDepartment of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA.
Joshua C AndersonDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0002-6977-9054
Sumit AgarwalDepartment of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA.
Sai Akshaya Hodigere BalasubramanyaDepartment of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA.
Marie-Lisa EichDepartment of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA.
Akhilesh Kumar BajpaiShodhaka Life Sciences Private Limited, Bengaluru, India.
Sravanthi DavuluriShodhaka Life Sciences Private Limited, Bengaluru, India.
Maya S GuruDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Arjun S GuruDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Gurudatta NaikDivision of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.
Deborah L Della MannaDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.
Kshitish K AcharyaShodhaka Life Sciences Private Limited, Bengaluru, India.
Shannon CarskadonVattikuti Urology Institute, Department of Urology, Henry Ford Health System, Detroit, MI, 48202, USA.
Upender ManneDepartment of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA.
David K CrossmanDepartment of Genetics, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID http://orcid.org/0000-0002-0981-169X
James E FergusonDepartment of Urology, University of Alabama at Birmingham, Birmingham, AL, USA.
William E GrizzleDepartment of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA.
Nallasivam PalanisamyVattikuti Urology Institute, Department of Urology, Henry Ford Health System, Detroit, MI, 48202, USA.
Christopher D WilleyDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.
Michael R CrowleyDepartment of Genetics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
George J NettoDepartment of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0003-3915-9134
Eddy S YangDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.
Sooryanarayana VaramballyDepartment of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA. svarambally@uabmc.edu.
Guru SonpavdeDepartment of Medicine, Dana-Farber Cancer Institute, Boston, MA, USA. GuruP_Sonpavde@DFCI.HARVARD.EDU.
University of Alabama at Birmingham · USHenry Ford Health System · USDana-Farber Cancer Institute · USInstitute of Bioinformatics and Applied Biotechnology · INUniversity of Alabama at Birmingham Hospital · US

Funding

XRAY CRYSTALLOGRAPHYP30CA013148 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Omer Jamy · 1985 to 2026
$165.9M
NCI NIH HHS P30 CA013148
6 · The paper itself

Abstract

Muscle-invasive bladder carcinomas (MIBCs) are aggressive genitourinary malignancies. Metastatic urothelial carcinoma of the bladder is generally incurable by current chemotherapy and leads to early mortality. Recent studies have identified molecular subtypes of MIBCs with different sensitivities to frontline therapy, suggesting tumor heterogeneity. We have performed multi-omic profiling of the kinome in bladder cancer patients with the goal of identify therapeutic targets. Our analyses revealed amplification, overexpression, and elevated kinase activity of P21 (RAC1) activated kinase 4 (PAK4) in a subset of Bladder cancer (BLCA). Using bladder cancer cells, we confirmed the role of PAK4 in BLCA cell proliferation and invasion. Furthermore, we observed that a PAK4 inhibitor was effective in curtailing growth of BLCA cells. Transcriptomic analyses identified elevated expression of another kinase, protein tyrosine kinase 6 (PTK6), upon treatment with a PAK4 inhibitor and RNA interference of PAK4. Treatment with a combination of kinase inhibitors (vandetanib and dasatinib) showed enhanced sensitivity compared with either drug alone. Thus, PAK4 may be therapeutically actionable for a subset of MIBC patients with amplified and/or overexpressed PAK4 in their tumors. Our results also indicate that combined inhibition of PAK4 and PTK6 may overcome resistance to PAK4. These observations warrant clinical investigations with selected BLCA patients.

Indexed as

Gene AmplificationGene Expression Regulation, EnzymologicGene Expression Regulation, NeoplasticCell Line, TumorFemaleHumansMaleNeoplasm Proteinsp21-Activated KinasesProtein-Tyrosine KinasesUrinary Bladder NeoplasmsNeoplasm Proteinsp21-Activated KinasesPAK4 protein, humanProtein-Tyrosine KinasesPTK6 protein, human

Identifiers

PMID32231273
OpenAlexW3013599325

What OpenQuestion holds

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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.