Evidence map›Paper›PMID 32962733›Full record

ArticleJournal of experimental & clinical cancer research : CR2020

Autophagic flux inhibition enhances cytotoxicity of the receptor tyrosine kinase inhibitor ponatinib.

Diana Corallo, Fabio Pastorino, Marcella Pantile, Elena Mariotto, Federico Caicci, Giampietro Viola, Mirco Ponzoni, Gian Paolo Tonini, Sanja Aveic

Open access · goldAbstract read
In one paragraph

Article in Journal of experimental & clinical cancer research : CR, 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
2.0field-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, 18 citations in OpenAlex.

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  11. Sunitinib induced hepatotoxicity in L02 cellsFrontiers in pharmacology · 2022
    Article
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  15. Cell surface Nucleolin represents a novel cellular target for neuroblastoma therapy.Journal of experimental & clinical cancer research : CR · 2021
    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

9 authors at 4 institutions in 2 countries.

Diana CoralloNeuroblastoma Laboratory, Fondazione Istituto di Ricerca Pediatrica Città della Speranza, Corso Stati Uniti 4, 35121, Padova, Italy. d.corallo@irpcds.org.ORCID http://orcid.org/0000-0001-7075-1414
Fabio PastorinoLaboratory of Experimental Therapies in Oncology, IRCCS Istituto G Gaslini, Genoa, Italy.
Marcella PantileNeuroblastoma Laboratory, Fondazione Istituto di Ricerca Pediatrica Città della Speranza, Corso Stati Uniti 4, 35121, Padova, Italy.
Elena MariottoDepartment of Woman's and Child's Health, University of Padova, Padova, Italy.
Federico CaicciDepartment of Biology, University of Padova, Padova, Italy.
Giampietro ViolaDepartment of Woman's and Child's Health, University of Padova, Padova, Italy.
Mirco PonzoniLaboratory of Experimental Therapies in Oncology, IRCCS Istituto G Gaslini, Genoa, Italy.
Gian Paolo ToniniNeuroblastoma Laboratory, Fondazione Istituto di Ricerca Pediatrica Città della Speranza, Corso Stati Uniti 4, 35121, Padova, Italy.
Sanja AveicNeuroblastoma Laboratory, Fondazione Istituto di Ricerca Pediatrica Città della Speranza, Corso Stati Uniti 4, 35121, Padova, Italy. s.aveic@irpcds.org.
Città della Speranza Foundation · ITUniversity of Padua · ITIstituto Giannina Gaslini · ITUniversitätsklinikum Aachen · DE

Funding

Fondazione Italiana per la Lotta al Neuroblastoma 19_20FNBL
6 · The paper itself

Abstract

backgroundDespite reported advances, acquired resistance to tyrosine kinase inhibitors still represents a serious problem in successful cancer treatment. Among this class of drugs, ponatinib (PON) has been shown to have notable long-term efficacy, although its cytotoxicity might be hampered by autophagy. In this study, we examined the likelihood of PON resistance evolution in neuroblastoma and assessed the extent to which autophagy might provide survival advantages to tumor cells.

methodsThe effects of PON in inducing autophagy were determined both in vitro, using SK-N-BE(2), SH-SY5Y, and IMR-32 human neuroblastoma cell lines, and in vivo, using zebrafish and mouse models. Single and combined treatments with chloroquine (CQ)-a blocking agent of lysosomal metabolism and autophagic flux-and PON were conducted, and the effects on cell viability were determined using metabolic and immunohistochemical assays. The activation of the autophagic flux was analyzed through immunoblot and protein arrays, immunofluorescence, and transmission electron microscopy. Combination therapy with PON and CQ was tested in a clinically relevant neuroblastoma mouse model.

resultsOur results confirm that, in neuroblastoma cells and wild-type zebrafish embryos, PON induces the accumulation of autophagy vesicles-a sign of autophagy activation. Inhibition of autophagic flux by CQ restores the cytotoxic potential of PON, thus attributing to autophagy a cytoprotective nature. In mice, the use of CQ as adjuvant therapy significantly improves the anti-tumor effects obtained by PON, leading to ulterior reduction of tumor masses.

conclusionsTogether, these findings support the importance of autophagy monitoring in the treatment protocols that foresee PON administration, as this may predict drug resistance acquisition. The findings also establish the potential for combined use of CQ and PON, paving the way for their consideration in upcoming treatment protocols against neuroblastoma.

Indexed as

AnimalsApoptosisAutophagyCell Line, TumorCell ProliferationCell SurvivalChloroquineDrug Resistance, NeoplasmGene Expression Regulation, NeoplasticHumansImidazolesLysosomesMiceNeuroblastomaProtein Kinase InhibitorsPyridazinesChloroquineImidazolesponatinibProtein Kinase InhibitorsPyridazinesReceptor Protein-Tyrosine KinasesAutophagyChloroquineDrug resistanceNeuroblastomaTyrosine kinase inhibitors

Identifiers

PMID32962733
PMCPMC7507635
OpenAlexW3089327513

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.