Evidence map›Paper›PMID 32629802›Full record

ArticleCancers2020

CXCR4 Inhibition Enhances Efficacy of FLT3 Inhibitors in FLT3-Mutated AML Augmented by Suppressed TGF-b Signaling.

Bo-Reum Kim, Seung-Hyun Jung, A-Reum Han, Gyeongsin Park, Hee-Je Kim, Bin Yuan, Venkata Lokesh Battula, Michael Andreeff, Marina Konopleva, Yeun-Jun Chung and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

11 citing papers in PubMed, 14 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 3 institutions in 2 countries.

Bo-Reum KimLeukemia Research Institute, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
Seung-Hyun JungDepartment of Biochemistry, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
A-Reum HanLeukemia Research Institute, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
Gyeongsin ParkDepartment of Pathology, College of Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
Hee-Je KimLeukemia Research Institute, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.ORCID 0000-0003-4098-3366
Bin YuanSection of Molecular Hematology and Therapy, Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Venkata Lokesh BattulaSection of Molecular Hematology and Therapy, Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Michael AndreeffSection of Molecular Hematology and Therapy, Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Marina KonoplevaDepartment of Leukemia, the University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Yeun-Jun ChungDepartment of Cancer Evolution Research Center, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.ORCID 0000-0002-6943-5948
Byung-Sik ChoLeukemia Research Institute, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
Catholic University of Korea · KRThe University of Texas MD Anderson Cancer Center · USThe Catholic University of Korea Seoul St. Mary's Hospital · KR

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
Cancer Prevention and Research Institute of Texas RP121010National Research Foundation of Korea NRF-2015R1C1A1A01052764National Research Foundation of Korea NRF-2017R1E1A1A01074913National Research Foundation of Korea NRF-2019R1A5A2027588NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Given the proven importance of the CXCL12/CXCR4 axis in the stroma-acute myeloid leukemia (AML) interactions and the rapid emergence of resistance to FLT3 inhibitors, we investigated the efficacy and safety of a novel CXCR4 inhibitor, LY2510924, in combination with FLT3 inhibitors in preclinical models of AML with FLT3-ITD mutations (FLT3-ITD-AML). Quizartinib, a potent FLT3 inhibitor, induced apoptosis in FLT3-ITD-AML, while LY2510924 blocked surface CXCR4 without inducing apoptosis. LY2510924 significantly reversed stroma-mediated resistance against quizartinib mainly through the MAPK pathway. In mice with established FLT3-ITD-AML, LY2510924 induced durable mobilization and differentiation of leukemia cells, resulting in enhanced anti-leukemia effects when combined with quizartinib, whereas transient effects were seen on non-leukemic blood cells in immune-competent mice. Sequencing of the transcriptome of the leukemic cells surviving in vivo treatment with quizartinib and LY2510924 revealed that genes related to TGF-b signaling may confer resistance against the drug combination. In co-culture experiments of FLT3-ITD-AML and stromal cells, both silencing of TGF-b in stromal cells or TGF-b-receptor kinase inhibitor enhanced apoptosis by combined treatment. Disruption of the CXCL12/CXCR4 axis in FLT3-ITD-AML by LY2510924 and its negligible effects on normal immunocytes could safely enhance the potency of quizartinib, which may be further improved by blockade of TGF-b signaling.

Indexed as

acute myeloid leukemiaCXCR4FLT3-ITDLY2510924quizartinib

Identifiers

PMID32629802
PMCPMC7407511
OpenAlexW3039748643

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.