Evidence map›Paper›PMID 32989221›Full record

ArticleCell death & disease2020

Glucocorticoids induce differentiation and chemoresistance in ovarian cancer by promoting ROR1-mediated stemness.

Hanna Karvonen, Mariliina Arjama, Laura Kaleva, Wilhelmiina Niininen, Harlan Barker, Riitta Koivisto-Korander, Johanna Tapper, Päivi Pakarinen, Heini Lassus, Mikko Loukovaara and 4 more

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 5% 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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Effects of anesthetics on development of gynecological cancer.Frontiers in cell and developmental biology · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  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

14 authors at 2 institutions in 2 countries.

Hanna KarvonenFaculty of Medicine and Health Technology, Tampere University, 33014, Tampere, Finland.ORCID http://orcid.org/0000-0002-7815-0709
Mariliina ArjamaInstitute for Molecular Medicine Finland, FIMM, University of Helsinki, 00290, Helsinki, Finland.
Laura KalevaFaculty of Medicine and Health Technology, Tampere University, 33014, Tampere, Finland.
Wilhelmiina NiininenFaculty of Medicine and Health Technology, Tampere University, 33014, Tampere, Finland.
Harlan BarkerFaculty of Medicine and Health Technology, Tampere University, 33014, Tampere, Finland.ORCID http://orcid.org/0000-0003-4125-2522
Riitta Koivisto-KoranderDepartment of Obstetrics and Gynecology, University of Helsinki, Helsinki University Hospital, Helsinki, Finland.
Johanna TapperDepartment of Obstetrics and Gynecology, University of Helsinki, Helsinki University Hospital, Helsinki, Finland.
Päivi PakarinenDepartment of Obstetrics and Gynecology, University of Helsinki, Helsinki University Hospital, Helsinki, Finland.
Heini LassusDepartment of Obstetrics and Gynecology, University of Helsinki, Helsinki University Hospital, Helsinki, Finland.
Mikko LoukovaaraDepartment of Obstetrics and Gynecology, University of Helsinki, Helsinki University Hospital, Helsinki, Finland.
Ralf BützowDepartment of Pathology, University of Helsinki and HUSLAB, Helsinki University Hospital, PO Box 400, 00290, Helsinki, Finland.
Olli KallioniemiInstitute for Molecular Medicine Finland, FIMM, University of Helsinki, 00290, Helsinki, Finland.
Astrid MurumägiInstitute for Molecular Medicine Finland, FIMM, University of Helsinki, 00290, Helsinki, Finland.
Daniela UngureanuFaculty of Medicine and Health Technology, Tampere University, 33014, Tampere, Finland. daniela.ungureanu@helsinki.fi.
University of Helsinki · FITampere University · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glucocorticoids are routinely used in the clinic as anti-inflammatory and immunosuppressive agents as well as adjuvants during cancer treatment to mitigate the undesirable side effects of chemotherapy. However, recent studies have indicated that glucocorticoids may negatively impact the efficacy of chemotherapy by promoting tumor cell survival, heterogeneity, and metastasis. Here, we show that dexamethasone induces upregulation of ROR1 expression in ovarian cancer (OC), including platinum-resistant OC. Increased ROR1 expression resulted in elevated RhoA, YAP/TAZ, and BMI-1 levels in a panel of OC cell lines as well as primary ovarian cancer patient-derived cells, underlining the translational relevance of our studies. Importantly, dexamethasone induced differentiation of OC patient-derived cells ex vivo according to their molecular subtype and the phenotypic expression of cell differentiation markers. High-throughput drug testing with 528 emerging and clinical oncology compounds of OC cell lines and patient-derived cells revealed that dexamethasone treatment increased the sensitivity to several AKT/PI3K targeted kinase inhibitors, while significantly decreasing the efficacy of chemotherapeutics such as taxanes, as well as anti-apoptotic compounds such as SMAC mimetics. On the other hand, targeting ROR1 expression increased the efficacy of taxane drugs and SMAC mimetics, suggesting new combinatorial targeted treatments for patients with OC.

Indexed as

Carcinoma, Ovarian EpithelialCell DifferentiationCell Line, TumorDrug Resistance, NeoplasmFemaleGene Expression Regulation, NeoplasticGlucocorticoidsHumansNeoplastic Stem CellsOvarian NeoplasmsReceptor Tyrosine Kinase-like Orphan ReceptorsGlucocorticoidsReceptor Tyrosine Kinase-like Orphan ReceptorsROR1 protein, human

Identifiers

PMID32989221
PMCPMC7522257
OpenAlexW3090073253

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.