Evidence map›Paper›PMID 32945574›Full record

ArticleThe EMBO journal2020

Reprogrammed mRNA translation drives resistance to therapeutic targeting of ribosome biogenesis.

Eric P Kusnadi, Anna S Trigos, Carleen Cullinane, David L Goode, Ola Larsson, Jennifer R Devlin, Keefe T Chan, David P De Souza, Malcolm J McConville, Grant A McArthur and 7 more

Open access · hybridAbstract read
In one paragraph

Article in The EMBO journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

20 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Ribosome-directed cancer therapies: the tip of the iceberg?Trends in pharmacological sciences · 2025
    Review
  7. Molecular Mechanisms of Drug Resistance inPathogens (Basel, Switzerland) · 2024
    Review
  8. Review
  9. Article
  10. Targeting the ribosome to treat multiple myeloma.Molecular therapy. Oncology · 2024
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Anota2seq Analysis for Transcriptome-Wide Studies of mRNA Translation.Methods in molecular biology (Clifton, N.J.) · 2022
    Article
  16. Article
  17. G-quadruplex DNA: a novel target for drug design.Cellular and molecular life sciences : CMLS · 2021
    Review
  18. Review
  19. Review
  20. 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

17 authors at 4 institutions in 3 countries.

Eric P KusnadiPeter MacCallum Cancer Centre, Melbourne, Vic, Australia.ORCID 0000-0002-6278-1864
Anna S TrigosPeter MacCallum Cancer Centre, Melbourne, Vic, Australia.ORCID 0000-0002-5915-2952
Carleen CullinanePeter MacCallum Cancer Centre, Melbourne, Vic, Australia.ORCID 0000-0001-5833-6605
David L GoodePeter MacCallum Cancer Centre, Melbourne, Vic, Australia.
Ola LarssonDepartment of Oncology-Pathology, Science for Life Laboratory, Karolinska Institutet, Solna, Sweden.ORCID 0000-0003-1412-1308
Jennifer R DevlinPeter MacCallum Cancer Centre, Melbourne, Vic, Australia.
Keefe T ChanPeter MacCallum Cancer Centre, Melbourne, Vic, Australia.ORCID 0000-0001-6114-3724
David P De SouzaMetabolomics Australia, Bio21 Molecular Science and Biotechnology Institute, Parkville, Vic, Australia.
Malcolm J McConvilleMetabolomics Australia, Bio21 Molecular Science and Biotechnology Institute, Parkville, Vic, Australia.ORCID 0000-0002-7107-7887
Grant A McArthurPeter MacCallum Cancer Centre, Melbourne, Vic, Australia.
George ThomasMetabolism and Cancer Group, Molecular Mechanisms and Experimental Therapy In Oncology Program, Bellvitge Biomedical Research Institute, IDIBELL, Barcelona, Spain.ORCID 0000-0002-1236-1714
Elaine SanijPeter MacCallum Cancer Centre, Melbourne, Vic, Australia.ORCID 0000-0002-2063-7813
Gretchen PoortingaPeter MacCallum Cancer Centre, Melbourne, Vic, Australia.
Ross D HannanPeter MacCallum Cancer Centre, Melbourne, Vic, Australia.
Katherine M Hannan *Department of Biochemistry and Molecular Biology, The University of Melbourne, Parkville, Vic, Australia.
Jian Kang *Peter MacCallum Cancer Centre, Melbourne, Vic, Australia.ORCID 0000-0001-9998-4975
Richard B Pearson *Peter MacCallum Cancer Centre, Melbourne, Vic, Australia.ORCID 0000-0001-5919-5090
The University of Melbourne · AUInstitut d'Investigació Biomédica de Bellvitge · ESScience for Life Laboratory · SEThe University of Queensland · AU

Funding

Department of Health | National Health and Medical Research Council (NHMRC) 1053792Department of Health | National Health and Medical Research Council (NHMRC) 1058586Department of Health | National Health and Medical Research Council (NHMRC) 1102609Department of Health | National Health and Medical Research Council (NHMRC) 1106576Department of Health | National Health and Medical Research Council (NHMRC) 1116999Department of Health | National Health and Medical Research Council (NHMRC) 1154540Department of Health | National Health and Medical Research Council (NHMRC) 1158732Victorian Cancer Agency (VCA) MCRF19007
6 · The paper itself

Abstract

Elevated ribosome biogenesis in oncogene-driven cancers is commonly targeted by DNA-damaging cytotoxic drugs. Our previous first-in-human trial of CX-5461, a novel, less genotoxic agent that specifically inhibits ribosome biogenesis via suppression of RNA polymerase I (Pol I) transcription, revealed single-agent efficacy in refractory blood cancers. Despite this clinical response, patients were not cured. In parallel, we demonstrated a marked improvement in the in vivo efficacy of CX-5461 in combination with PI3K/AKT/mTORC1 pathway inhibitors. Here, we reveal the molecular basis for this improved efficacy observed in vivo, which is associated with specific suppression of translation of mRNAs encoding regulators of cellular metabolism. Importantly, acquired resistance to this cotreatment is driven by translational rewiring that results in dysregulated cellular metabolism and induction of a cAMP-dependent pathway critical for the survival of blood cancers including lymphoma and acute myeloid leukemia. Our studies thus identify key molecular mechanisms underpinning the response of blood cancers to selective inhibition of ribosome biogenesis and define metabolic vulnerabilities that will facilitate the rational design of more effective regimens for Pol I-directed therapies.

Indexed as

AnimalsAntineoplastic AgentsBenzothiazolesCell Line, TumorDrug Resistance, NeoplasmGuanine Nucleotide Exchange FactorsHumansMaleMechanistic Target of Rapamycin Complex 1MiceMice, Inbred C57BLNaphthyridinesNeoplasmsPhosphatidylinositol 3-KinasesProtein BiosynthesisProtein Kinase InhibitorsAntineoplastic AgentsBenzothiazolesCX 5461Guanine Nucleotide Exchange FactorsMechanistic Target of Rapamycin Complex 1NaphthyridinesPhosphatidylinositol 3-KinasesProtein Kinase InhibitorsRAPGEF3 protein, humanRAPGEF4 protein, humanRNA, MessengerRNA Polymerase IRNA, RibosomalcAMP-EPAC1/2 pathwayhematological cancersmetforminribosome biogenesis and functionRNA Polymerase I inhibitor

Identifiers

PMID32945574
PMCPMC7604608
OpenAlexW3087744717

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.