Evidence map›Paper›PMID 32651543›Full record

ArticleLeukemia2020

Pan-RAF inhibition induces apoptosis in acute myeloid leukemia cells and synergizes with BCL2 inhibition.

Mahesh Tambe, Ella Karjalainen, Markus Vähä-Koskela, Daria Bulanova, Bjørn T Gjertsen, Mika Kontro, Kimmo Porkka, Caroline A Heckman, Krister Wennerberg

Abstract read
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In one paragraph

Article in Leukemia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 31 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

9 authors at 3 institutions in 3 countries.

Mahesh TambeInstitute for Molecular Medicine Finland, Helsinki Institute of Life Science, University of Helsinki, Helsinki, Finland.
Ella KarjalainenInstitute for Molecular Medicine Finland, Helsinki Institute of Life Science, University of Helsinki, Helsinki, Finland.
Markus Vähä-KoskelaInstitute for Molecular Medicine Finland, Helsinki Institute of Life Science, University of Helsinki, Helsinki, Finland.
Daria BulanovaInstitute for Molecular Medicine Finland, Helsinki Institute of Life Science, University of Helsinki, Helsinki, Finland.
Bjørn T GjertsenDepartment of Clinical Science, Centre for Cancer Biomarkers, University of Bergen, Bergen, Norway.ORCID http://orcid.org/0000-0001-9358-9704
Mika KontroDepartment of Hematology, Hematology Research Unit Helsinki, University of Helsinki and Helsinki University Central Hospital Comprehensive Cancer Center, Helsinki, Finland.
Kimmo PorkkaDepartment of Hematology, Hematology Research Unit Helsinki, University of Helsinki and Helsinki University Central Hospital Comprehensive Cancer Center, Helsinki, Finland.
Caroline A HeckmanInstitute for Molecular Medicine Finland, Helsinki Institute of Life Science, University of Helsinki, Helsinki, Finland.
Krister WennerbergInstitute for Molecular Medicine Finland, Helsinki Institute of Life Science, University of Helsinki, Helsinki, Finland. krister.wennerberg@bric.ku.dk.ORCID http://orcid.org/0000-0002-1352-4220
University of Helsinki · FIUniversity of Copenhagen · DKHaukeland University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pan-RAF inhibitors have shown promise as antitumor agents in RAS and RAF mutated solid cancers. However, the efficacy of pan-RAF inhibitors in acute myeloid leukemia (AML) has not previously been explored. In AML, the RAS-RAF-MEK-ERK (MAPK) pathway is one of the most aberrantly activated oncogenic pathways, but previous targeting of this pathway by MEK inhibitors has not proven effective in clinical trials. Here we show that pan-RAF inhibition, but not MEK inhibition, induced cell death in 29% of AML samples while being nontoxic toward healthy bone marrow cells. Mechanistically, pan-RAF inhibition downregulated MCL1 protein synthesis and induced apoptosis in cells dependent on MCL1 for their survival. Furthermore, the combination of a pan-RAF and a BCL2 inhibitor overcame resistance to either compound alone in AML cell lines, as well as synergized and induced long-term responses ex vivo in AML patient samples relapsed or refractory to azacitidine + venetoclax treatment. Together, our results indicate that pan-RAF inhibition, alone or in combination with BCL2 inhibition, is a promising treatment strategy for AML.

Indexed as

Antineoplastic AgentsApoptosisCell Line, TumorDown-RegulationDrug Resistance, NeoplasmHL-60 CellsHumansLeukemia, Myeloid, AcuteMAP Kinase Signaling SystemMyeloid Cell Leukemia Sequence 1 ProteinProtein Kinase InhibitorsProto-Oncogene Proteins c-bcl-2raf KinasesAntineoplastic AgentsMyeloid Cell Leukemia Sequence 1 ProteinProtein Kinase InhibitorsProto-Oncogene Proteins c-bcl-2raf Kinases

Identifiers

PMID32651543
OpenAlexW3041783451

What OpenQuestion holds

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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.