Evidence map›Paper›PMID 32397857›Full record

ArticleAutophagy2021

The anti-cancer drug ABTL0812 induces ER stress-mediated cytotoxic autophagy by increasing dihydroceramide levels in cancer cells.

Pau Muñoz-Guardiola, Josefina Casas, Elisabet Megías-Roda, Sònia Solé, Héctor Perez-Montoyo, Marc Yeste-Velasco, Tatiana Erazo, Nora Diéguez-Martínez, Sergio Espinosa-Gil, Cristina Muñoz-Pinedo and 12 more

3 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Autophagy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 64 papers.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed
8.3field-weighted citation impact, top 1% 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.

NCT03366480 phase1 / phase2completednot on this map

A Phase I/II, Open Label Study to Assess the Efficacy and Safety of ABTL0812 in Combination With Paclitaxel and Carboplatin in Patients With Advanced Endometrial Cancer or Squamous NSCLC

TypeinterventionalSponsorAbility Pharmaceuticals SLRan2016 to 2020Enrolled103ConditionsEndometrial Cancer, Squamous Non-Small Cell Lung CancerArmsABTL0812 in combination with paclitaxel and carboplatin
NCT03417921 phase1 / phase2suspendednot on this map

A Randomized Phase I/II Open Label Study to Assess the Efficacy and Safety of ABTL0812 in Combination With Gemcitabine and Nab-paclitaxel in Patients With Advanced Metastatic Pancreatic Cancer at First Line Therapy

TypeinterventionalSponsorAbility Pharmaceuticals SLRan2021 to 2025Enrolled60ConditionsPancreatic CancerArmsABTL0812, Gemcitabine and nab-paclitaxel
NCT04431258 phase1 / phase2completednot on this map

A Phase I Open Label Followed by a Phase II Randomized, Controlled Study to Assess the Efficacy and Safety of ABTL0812 in Combination With FOLFIRINOX for First-line Treatment of Metastatic Pancreatic

TypeinterventionalSponsorAbility Pharmaceuticals SLRan2021 to 2024Enrolled150ConditionsPancreatic CancerArmsABTL0812, Folfirinox, Placebo
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 109 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. FASEB bioAdvances · 2026
    Article
  5. Autophagy modulation in cancer.Nature reviews. Drug discovery · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. MAPK ERK5 is a novel regulator of MHC-I in cancer cells.Cell communication and signaling : CCS · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Autophagy in cholangiocarcinoma: a comprehensive review about roles and regulatory mechanisms.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  16. Review
  17. Review
  18. Endoplasmic reticulum stress in non-small cell lung cancer.American journal of cancer research · 2025
    Review
  19. Review
  20. Article

4 more citing papers are in PubMed but not listed here.

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

22 authors at 8 institutions in 1 country.

Pau Muñoz-GuardiolaProtein Kinases and Signal Transduction Laboratory, Departament De Bioquímica I Biologia Molecular and Institut De Neurociències, Universitat Autònoma De Barcelona (UAB), Barcelona, Spain.ORCID 0000-0002-0741-4463
Josefina CasasResearch Unit on BioActive Molecules (RUBAM), Department of Biological Chemistry, Institute for Advanced Chemistry of Catalonia (IQAC-CSIC), Jordi Girona, Barcelona, Spain; Liver and Digestive Diseases Networking Biomedical Research Centre (CIBEREHD) ISCII, Madrid, Spain.ORCID 0000-0002-7926-5209
Elisabet Megías-RodaProtein Kinases and Signal Transduction Laboratory, Departament De Bioquímica I Biologia Molecular and Institut De Neurociències, Universitat Autònoma De Barcelona (UAB), Barcelona, Spain.
Sònia SoléAbility Pharmaceuticals, SL, Cerdanyola Del Vallès, Barcelona, Spain.
Héctor Perez-MontoyoAbility Pharmaceuticals, SL, Cerdanyola Del Vallès, Barcelona, Spain.
Marc Yeste-VelascoAbility Pharmaceuticals, SL, Cerdanyola Del Vallès, Barcelona, Spain.ORCID 0000-0001-7788-0913
Tatiana ErazoProtein Kinases and Signal Transduction Laboratory, Departament De Bioquímica I Biologia Molecular and Institut De Neurociències, Universitat Autònoma De Barcelona (UAB), Barcelona, Spain.ORCID 0000-0003-2355-0999
Nora Diéguez-MartínezProtein Kinases and Signal Transduction Laboratory, Departament De Bioquímica I Biologia Molecular and Institut De Neurociències, Universitat Autònoma De Barcelona (UAB), Barcelona, Spain.ORCID 0000-0002-5366-4543
Sergio Espinosa-GilProtein Kinases and Signal Transduction Laboratory, Departament De Bioquímica I Biologia Molecular and Institut De Neurociències, Universitat Autònoma De Barcelona (UAB), Barcelona, Spain.ORCID 0000-0002-2873-8475
Cristina Muñoz-PinedoCell Death and Metabolism Group, Oncobell Program, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain.ORCID 0000-0002-9120-664X
Guillermo YoldiProtein Kinases and Signal Transduction Laboratory, Departament De Bioquímica I Biologia Molecular and Institut De Neurociències, Universitat Autònoma De Barcelona (UAB), Barcelona, Spain.ORCID 0000-0001-6144-4543
Jose L AbadResearch Unit on BioActive Molecules (RUBAM), Department of Biological Chemistry, Institute for Advanced Chemistry of Catalonia (IQAC-CSIC), Jordi Girona, Barcelona, Spain; Liver and Digestive Diseases Networking Biomedical Research Centre (CIBEREHD) ISCII, Madrid, Spain.ORCID 0000-0002-8343-9611
Miguel F SeguraGroup of Translational Research in Child and Adolescent Cancer, Vall d'Hebron Research Institute (VHIR), Universitat Autònoma De Barcelona (UAB), Barcelona, Spain.ORCID 0000-0003-0916-3618
Teresa MoranMedical Oncology Department, Catalan Institute of Oncology, Hospital Germans Trias I Pujol, Universitat Autònoma de Barcelona, Applied Research Group in Oncology (B-ARGO), Badalona, Spain.
Margarita RomeoMedical Oncology Department, Catalan Institute of Oncology, Hospital Germans Trias I Pujol, Universitat Autònoma de Barcelona, Applied Research Group in Oncology (B-ARGO), Badalona, Spain.
Joaquim Bosch-BarreraDepartment of Medical Oncology, Catalan Institute of Oncology (ICO), Dr. Josep Trueta University Hospital and Girona Biomedical Research Institute (IDIBGI), Girona, Spain.ORCID 0000-0002-0893-7821
Ana OakninMedical Oncology Department, Vall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.ORCID 0000-0002-3592-7194
Jose AlfónAbility Pharmaceuticals, SL, Cerdanyola Del Vallès, Barcelona, Spain.
Carles DomènechAbility Pharmaceuticals, SL, Cerdanyola Del Vallès, Barcelona, Spain.
Gemma FabriàsResearch Unit on BioActive Molecules (RUBAM), Department of Biological Chemistry, Institute for Advanced Chemistry of Catalonia (IQAC-CSIC), Jordi Girona, Barcelona, Spain; Liver and Digestive Diseases Networking Biomedical Research Centre (CIBEREHD) ISCII, Madrid, Spain.ORCID 0000-0001-7162-3772
Guillermo VelascoDepartment of Biochemistry and Molecular Biology, School of Biology, Complutense University; Instituto de Investigaciones Sanitarias San Carlos (IdISSC), Madrid, Spain.ORCID 0000-0002-1994-2386
Jose M LizcanoProtein Kinases and Signal Transduction Laboratory, Departament De Bioquímica I Biologia Molecular and Institut De Neurociències, Universitat Autònoma De Barcelona (UAB), Barcelona, Spain.ORCID 0000-0002-3154-5383
Universitat Autònoma de Barcelona · ESAbility Pharmaceuticals (Spain) · ESCentre for Biomedical Network Research on Rare Diseases · ESInstitut Català d'Oncologia · ESInstitut d'Investigació Biomédica de Bellvitge · ESUniversidad Complutense de Madrid · ESVall d'Hebron Hospital Universitari · ESVall d'Hebron Institut de Recerca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ABTL0812 is a first-in-class small molecule with anti-cancer activity, which is currently in clinical evaluation in a phase 2 trial in patients with advanced endometrial and squamous non-small cell lung carcinoma (NCT03366480). Previously, we showed that ABTL0812 induces TRIB3 pseudokinase expression, resulting in the inhibition of the AKT-MTORC1 axis and macroautophagy/autophagy-mediated cancer cell death. However, the precise molecular determinants involved in the cytotoxic autophagy caused by ABTL0812 remained unclear. Using a wide range of biochemical and lipidomic analyses, we demonstrated that ABTL0812 increases cellular long-chain dihydroceramides by impairing DEGS1 (delta 4-desaturase, sphingolipid 1) activity, which resulted in sustained ER stress and activated unfolded protein response (UPR) via ATF4-DDIT3-TRIB3 that ultimately promotes cytotoxic autophagy in cancer cells. Accordingly, pharmacological manipulation to increase cellular dihydroceramides or incubation with exogenous dihydroceramides resulted in ER stress, UPR and autophagy-mediated cancer cell death. Importantly, we have optimized a method to quantify mRNAs in blood samples from patients enrolled in the ongoing clinical trial, who showed significant increased

Indexed as

Antineoplastic AgentsAutophagyCarcinoma, Non-Small-Cell LungCell Cycle ProteinsCeramidesFibroblastsHumansLinoleic AcidsLung NeoplasmsABTL0812Antineoplastic AgentsCell Cycle ProteinsCeramidesdihydroceramideLinoleic AcidsAutophagycancerclinical trialdihydroceramideER stressUPR

Identifiers

PMID32397857
PMCPMC8204958
OpenAlexW3024853202

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.