Evidence map›Paper›PMID 32558295›Full record

ArticleEMBO molecular medicine2020

Vulnerability of drug-resistant EML4-ALK rearranged lung cancer to transcriptional inhibition.

Athanasios R Paliouras, Marta Buzzetti, Lei Shi, Ian J Donaldson, Peter Magee, Sudhakar Sahoo, Hui-Sun Leong, Matteo Fassan, Matthew Carter, Gianpiero Di Leva and 4 more

Open access · goldAbstract read
In one paragraph

Article in EMBO molecular medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

12 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. A NovelOncoTargets and therapy · 2022
    Article
  12. Article
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

14 authors at 5 institutions in 3 countries.

Athanasios R Paliouras *Transcriptional Networks in Lung Cancer Group, Cancer Research UK Manchester Institute, University of Manchester, Manchester, UK.
Marta Buzzetti *Transcriptional Networks in Lung Cancer Group, Cancer Research UK Manchester Institute, University of Manchester, Manchester, UK.
Lei Shi *Transcriptional Networks in Lung Cancer Group, Cancer Research UK Manchester Institute, University of Manchester, Manchester, UK.
Ian J DonaldsonBioinformatics Core Facility, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Peter MageeTranscriptional Networks in Lung Cancer Group, Cancer Research UK Manchester Institute, University of Manchester, Manchester, UK.
Sudhakar SahooComputational Biology Support, Cancer Research UK Manchester Institute, University of Manchester, Manchester, UK.
Hui-Sun LeongComputational Biology Support, Cancer Research UK Manchester Institute, University of Manchester, Manchester, UK.
Matteo FassanDepartment of Medicine, Surgical Pathology & Cytopathology Unit, University of Padua, Padua, Italy.
Matthew CarterCancer Research UK Lung Cancer Centre of Excellence, Manchester and University College London, London, UK.
Gianpiero Di LevaSchool of Pharmacy and Bioengineering, Guy Hilton Research Institute, Keele University, Keele, UK.
Matthew G KrebsCancer Research UK Lung Cancer Centre of Excellence, Manchester and University College London, London, UK.
Fiona BlackhallCancer Research UK Lung Cancer Centre of Excellence, Manchester and University College London, London, UK.
Christine M LovlyVanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN, USA.
Michela GarofaloTranscriptional Networks in Lung Cancer Group, Cancer Research UK Manchester Institute, University of Manchester, Manchester, UK.ORCID 0000-0002-1741-0415
Cancer Research UK · GBUniversity of Manchester · GBKeele University · GBUniversity of Padua · ITVanderbilt University Medical Center · US

Funding

Cancer Research UK 29420
6 · The paper itself

Abstract

A subset of lung adenocarcinomas is driven by the EML4-ALK translocation. Even though ALK inhibitors in the clinic lead to excellent initial responses, acquired resistance to these inhibitors due to on-target mutations or parallel pathway alterations is a major clinical challenge. Exploring these mechanisms of resistance, we found that EML4-ALK cells parental or resistant to crizotinib, ceritinib or alectinib are remarkably sensitive to inhibition of CDK7/12 with THZ1 and CDK9 with alvocidib or dinaciclib. These compounds robustly induce apoptosis through transcriptional inhibition and downregulation of anti-apoptotic genes. Importantly, alvocidib reduced tumour progression in xenograft mouse models. In summary, our study takes advantage of the transcriptional addiction hypothesis to propose a new treatment strategy for a subset of patients with acquired resistance to first-, second- and third-generation ALK inhibitors.

Indexed as

AnimalsCarcinoma, Non-Small-Cell LungDrug Resistance, NeoplasmFemaleHumansLung NeoplasmsMiceOncogene Proteins, FusionProtein Kinase InhibitorsTranscription, GeneticEML4-ALK fusion protein, humanOncogene Proteins, FusionProtein Kinase InhibitorsALK/EML4 translocationALKiCDKidrug resistanceNSCLC

Identifiers

PMID32558295
PMCPMC7338803
OpenAlexW3035918595

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.