Evidence map›Paper›PMID 33025461›Full record

ArticleInternational journal of hematology2021

The BCRP inhibitor febuxostat enhances the effect of nilotinib by regulation of intracellular concentration.

Fumiko Ito, Masatomo Miura, Yuki Fujioka, Maiko Abumiya, Takahiro Kobayashi, Saori Takahashi, Tomoko Yoshioka, Yoshihiro Kameoka, Naoto Takahashi

Abstract read
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In one paragraph

Article in International journal of hematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. 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.

Fumiko ItoDepartment of Hematology, Nephrology and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
Masatomo MiuraDepartment of Pharmacy, Akita University Hospital, Akita, Japan.
Yuki FujiokaDepartment of Hematology, Nephrology and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
Maiko AbumiyaDepartment of Pharmacy, Akita University Hospital, Akita, Japan.
Takahiro KobayashiDepartment of Hematology, Nephrology and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
Saori TakahashiClinical Research Promotion and Support Center, Akita University Hospital, Akita, Japan.
Tomoko YoshiokaDepartment of Hematology, Nephrology and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
Yoshihiro KameokaDepartment of Hematology, Nephrology and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
Naoto TakahashiDepartment of Hematology, Nephrology and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan. naotot@doc.med.akita-u.ac.jp.ORCID http://orcid.org/0000-0002-6758-3787
Akita University · JPAkita University Hospital · JP

Funding

JSPS KAKENHI 20K0715
6 · The paper itself

Abstract

Nilotinib is a substrate of the breast cancer resistance protein (BCRP), which is a drug efflux transporter encoded by ABCG2 and regulates the pharmacokinetics of its substrates. We investigated the interaction between nilotinib and BCRP in chronic myeloid leukemia (CML) cells. An imatinib-resistant K562 cell line (K562/IM-R) treated with nilotinib was analyzed for BCRP expression, proliferation, apoptosis, and intracellular nilotinib concentration. K562/IM-R cells cultured with tyrosine kinase inhibitors (TKIs) showed an increased cell count and retained viability, whereas the growth of parental K562 cells was severely inhibited, suggesting that BCRP is involved in developing resistance to TKIs. Nilotinib-treated K562/IM-R cells showed a reduction in apoptosis; however, febuxostat pretreatment resulted in increased apoptosis. The intracellular concentration of nilotinib in K562/IM-R cells was significantly reduced compared to that in parental K562 cells, and febuxostat-pretreated K562/IM-R cells showed an increased intracellular nilotinib level compared to cells without pretreatment. The reduction in nilotinib levels caused by BCRP in CML cells might play a crucial role in resistance to TKIs. Moreover, febuxostat, as a BCRP inhibitor, could enhance nilotinib sensitivity, and combination therapy with nilotinib and febuxostat may represent a promising strategy for treatment of CML.

Indexed as

ApoptosisATP Binding Cassette Transporter, Subfamily G, Member 2Cell ProliferationCell SurvivalDrug Therapy, CombinationFebuxostatGene ExpressionHumansK562 CellsLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMolecular Targeted TherapyNeoplasm ProteinsProtein Kinase InhibitorsProtein-Tyrosine KinasesPyrimidinesABCG2 protein, humanATP Binding Cassette Transporter, Subfamily G, Member 2FebuxostatNeoplasm ProteinsnilotinibProtein Kinase InhibitorsProtein-Tyrosine KinasesPyrimidinesBreast cancer resistant protein (BCRP)Chronic myeloid leukemiaFebuxostatNilotinibTyrosine kinase inhibitor (TKI)

Identifiers

PMID33025461
OpenAlexW3091996780

What OpenQuestion holds

Textmetadata
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.