Evidence map›Paper›PMID 32741974›Full record

ArticleBritish journal of cancer2020

Complete loss of ATM function augments replication catastrophe induced by ATR inhibition and gemcitabine in pancreatic cancer models.

Charles R Dunlop, Yann Wallez, Timothy Isaac Johnson, Sandra Bernaldo de Quirós Fernández, Stephen T Durant, Elaine B Cadogan, Alan Lau, Frances M Richards, Duncan I Jodrell

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
3.3field-weighted citation impact, top 6% 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

48 citing papers in PubMed, 58 citations in OpenAlex.

  1. Article
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  4. ATR kinase inhibitors induce mitochondrial fission in CD8bioRxiv : the preprint server for biology · 2026
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  17. Targeting ATR in patients with cancer.Nature reviews. Clinical oncology · 2024
    Review
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  20. Review
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 2 institutions in 1 country.

Charles R DunlopCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK. Charles.Dunlop@cruk.cam.ac.uk.ORCID http://orcid.org/0000-0002-8194-2598
Yann WallezCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK.
Timothy Isaac JohnsonCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK.
Sandra Bernaldo de Quirós FernándezCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK.
Stephen T DurantBioscience, Early Oncology R&D, AstraZeneca, Cambridge, UK.
Elaine B CadoganBioscience, Early Oncology R&D, AstraZeneca, Cambridge, UK.
Alan LauBioscience, Early Oncology R&D, AstraZeneca, Cambridge, UK.
Frances M RichardsCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK.
Duncan I JodrellCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK. dij21@cam.ac.uk.ORCID http://orcid.org/0000-0001-9360-1670
University of Cambridge · GBAstraZeneca (United Kingdom) · GB

Funding

Cancer Research UK 15678Cancer Research UK 27338Wellcome Trust
6 · The paper itself

Abstract

backgroundPersonalised medicine strategies may improve outcomes in pancreatic ductal adenocarcinoma (PDAC), but validation of predictive biomarkers is required. Having developed a clinical trial to assess the ATR inhibitor, AZD6738, in combination with gemcitabine (ATRi/gem), we investigated ATM loss as a predictive biomarker of response to ATRi/gem in PDAC.

methodsThrough kinase inhibition, siRNA depletion and CRISPR knockout of ATM, we assessed how ATM targeting affected the sensitivity of PDAC cells to ATRi/gem. Using flow cytometry, immunofluorescence and immunoblotting, we investigated how ATRi/gem synergise in ATM-proficient and ATM-deficient cells, before assessing the impact of ATM loss on ATRi/gem sensitivity in vivo.

resultsComplete loss of ATM function (through pharmacological inhibition or CRISPR knockout), but not siRNA depletion, sensitised to ATRi/gem. In ATM-deficient cells, ATRi/gem-induced replication catastrophe was augmented, while phospho-Chk2-T68 and phospho-KAP1-S824 persisted via DNA-PK activity. ATRi/gem caused growth delay in ATM-WT xenografts in NSG mice and induced regression in ATM-KO xenografts.

conclusionsATM loss augments replication catastrophe-mediated cell death induced by ATRi/gem and may predict clinical responsiveness to this combination. ATM status should be carefully assessed in tumours from patients with PDAC, since distinction between ATM-low and ATM-null could be critical in maximising the success of clinical trials using ATM expression as a predictive biomarker.

Indexed as

AnimalsAntineoplastic Combined Chemotherapy ProtocolsAtaxia Telangiectasia Mutated ProteinsCarcinoma, Pancreatic DuctalCell Line, TumorCell ProliferationDeoxycytidineDrug SynergismFemaleGemcitabineGene Knockout TechniquesHumansIndolesMiceMice, 129 StrainMice, Inbred C57BLAtaxia Telangiectasia Mutated ProteinsATM protein, humanATR protein, humanAZD0156ceralasertibDeoxycytidineGemcitabineIndolesMorpholinesPyridinesPyrimidinesQuinolinesRNA, Small InterferingSulfonamidesSulfoxides

Identifiers

PMID32741974
PMCPMC7591912
OpenAlexW3046588107

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.