Evidence map›Paper›PMID 32686360›Full record

ArticleEMBO molecular medicine2020

Metronomic chemotherapy offsets HIFα induction upon maximum-tolerated dose in metastatic cancers.

Luana Schito, Sergio Rey, Ping Xu, Shan Man, William Cruz-Muñoz, Robert S Kerbel

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 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

17 citing papers in PubMed, 28 citations in OpenAlex.

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  12. Metronomic Chemotherapy in Prostate Cancer.Journal of clinical medicine · 2022
    Review
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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

6 authors at 2 institutions in 2 countries.

Luana Schito *UCD School of Medicine, University College Dublin, Dublin 4, Ireland.ORCID 0000-0002-9517-1018
Sergio Rey *UCD School of Medicine, University College Dublin, Dublin 4, Ireland.
Ping XuBiological Sciences Platform, Sunnybrook Research Institute, Toronto, ON, Canada.
Shan ManBiological Sciences Platform, Sunnybrook Research Institute, Toronto, ON, Canada.
William Cruz-MuñozBiological Sciences Platform, Sunnybrook Research Institute, Toronto, ON, Canada.
Robert S KerbelBiological Sciences Platform, Sunnybrook Research Institute, Toronto, ON, Canada.ORCID 0000-0002-6015-2570
Sunnybrook Health Science Centre · CAUniversity College Dublin · IE

Funding

Canadian Breast Cancer FoundationCIHRGouvernement du Canada|Canadian Institutes of Health Research (CIHR) PJT 364411UCD Ad Astra Fellows Programme
6 · The paper itself

Abstract

Conventional maximum-tolerated dose (MTD) chemotherapy relies on periodic, massive cancer cell ablation events followed by treatment-free intermissions, stereotypically resulting in resistance, relapse, and mortality. Furthermore, MTD chemotherapy can promote metastatic dissemination via activation of a transcriptional program dependent on hypoxia-inducible factor (HIF)-1α and (HIF)-2α (hereafter referred to as HIFα). Instead, frequent low-dose metronomic (LDM) chemotherapy displays less adverse effects while preserving significant pre-clinical anticancer activity. Consequently, we hereby compared the effect of MTD or LDM chemotherapy upon HIFα in models of advanced, metastatic colon and breast cancer. Our results revealed that LDM chemotherapy could offset paralog-specific, MTD-dependent HIFα induction in colon cancers disseminating to the liver and lungs, while limiting HIFα and hypoxia in breast cancer lung metastases. Moreover, we assessed the translational significance of HIFα activity in colorectal and breast TCGA/microarray data, by developing two compact, 11-gene transcriptomic signatures allowing the stratification/identification of patients likely to benefit from LDM and/or HIFα-targeting therapies. Altogether, these results suggest LDM chemotherapy as a potential maintenance strategy to stave off HIFα induction within the intra-metastatic tumor microenvironment.

Indexed as

Breast NeoplasmsLung NeoplasmsFemaleHumansMaximum Tolerated DoseNeoplasm Recurrence, LocalTumor Microenvironmentbreast cancercolon cancerHIF-1hypoxialow-dose metronomic

Identifiers

PMID32686360
PMCPMC7507002
OpenAlexW3042238380

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.