Evidence map›Paper›PMID 33037411›Full record

ArticleOncogene2020

S6K1 blockade overcomes acquired resistance to EGFR-TKIs in non-small cell lung cancer.

Hua Shen, Gao-Chan Wang, Xiang Li, Xin Ge, Meng Wang, Zhu-Mei Shi, Vikas Bhardwaj, Zi-Xuan Wang, Ralph G Zinner, Stephen C Peiper and 3 more

Open access · greenAbstract read
In one paragraph

Article in Oncogene, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 55 citations in OpenAlex.

  1. Article
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  4. A NovelInternational journal of surgical pathology · 2025
    Article
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  15. Roles of NExperimental hematology & oncology · 2022
    Review
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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

13 authors at 4 institutions in 2 countries.

Hua ShenDepartment of Oncology, Sir Run Run Hospital, Nanjing Medical University, Nanjing, China.
Gao-Chan WangDepartment of Pathology, Anatomy & Cell Biology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Xiang LiDepartment of Pathology, Anatomy & Cell Biology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Xin GeDepartment of Pathology, State Key lab of Reproductive Medicine, Nanjing Medical University, Nanjing, China.
Meng WangDepartment of Pathology, Anatomy & Cell Biology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Zhu-Mei ShiDepartment of Pathology, State Key lab of Reproductive Medicine, Nanjing Medical University, Nanjing, China.
Vikas BhardwajCollege of Pharmacy, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Zi-Xuan WangDepartment of Pathology, Anatomy & Cell Biology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Ralph G ZinnerDepartment of Medical Oncology, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Stephen C PeiperDepartment of Pathology, Anatomy & Cell Biology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Andrew E AplinDepartment of Cancer Biology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Bing-Hua JiangDepartment of Pathology, Carver College of Medicine, University of Iowa, Iowa City, IW 52242, USA.
Jun HeDepartment of Pathology, Anatomy & Cell Biology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USA. Jun.he@jefferson.edu.ORCID http://orcid.org/0000-0002-5162-6041
Thomas Jefferson University · USNanjing Medical University · CNJiangsu Province Hospital · CNUniversity of Iowa · US

Funding

X-Ray Crystallography and Macromolecular CharacterizationP30CA056036 · NCI · THOMAS JEFFERSON UNIVERSITY · PI DANIEL P SILVER · 1995 to 2026
$94.8M
Request for Supplemental Funds aligned to CA160495R01CA160495 · NCI · THOMAS JEFFERSON UNIVERSITY · PI APLIN, ANDREW ERIC · 2012 to 2022
$3.6M
Mechanism of lung cancer resistance to tyrosine kinase inhibitor and radiation treatmentsR01CA232587 · NCI · UNIVERSITY OF IOWA · PI SIMONE, NICOLE L · 2018 to 2022
$2.9M
New mechanisms of acquired resistance to EGFR-TKIs in Non-small-cell lung cancerR00CA215316 · NCI · THOMAS JEFFERSON UNIVERSITY · PI HE, JUN · 2020 to 2022
$747k
NCI NIH HHS P30 CA056036NCI NIH HHS R00 CA215316NCI NIH HHS R01 CA160495NCI NIH HHS R01 CA232587
6 · The paper itself

Abstract

The development of resistance to EGFR Tyrosine kinase inhibitors (TKIs) in NSCLC with activating EGFR mutations is a critical limitation of this therapy. In addition to genetic alterations such as EGFR secondary mutation causing EGFR-TKI resistance, compensatory activation of signaling pathways without interruption of genome integrity remains to be defined. In this study, we identified S6K1/MDM2 signaling axis as a novel bypass mechanism for the development of EGFR-TKI resistance. The observation of S6K1 as a candidate mechanism for resistance to EGFR TKI therapy was investigated by interrogation of public databases and a clinical cohort to establish S6K1 expression as a prognostic/predictive biomarker. The role of S6K1 in TKI resistance was determined in in vitro gain-and-loss of function studies and confirmed in subcutaneous and orthotopic mouse lung cancer models. Blockade of S6K1 by a specific inhibitor PF-4708671 synergistically enhanced the efficacy of TKI without showing toxicity. The mechanistic study showed the inhibition of EGFR caused nuclear translocation of S6K1 for binding with MDM2 in resistant cells. MDM2 is a downstream effector of S6K1-mediated TKI resistance. Taken together, we present evidence for the reversal of resistance to EGFR TKI by the addition of small molecule S6K1/MDM2 antagonists that could have clinical benefit.

Indexed as

AdultAnimalsCarcinoma, Non-Small-Cell LungCell Line, TumorCell Transformation, NeoplasticDrug Resistance, NeoplasmErbB ReceptorsHumansLung NeoplasmsMaleMiceMutationPrognosisProtein Kinase InhibitorsProto-Oncogene Proteins c-mdm2Ribosomal Protein S6 Kinases, 70-kDaEGFR protein, humanErbB ReceptorsProtein Kinase InhibitorsProto-Oncogene Proteins c-mdm2ribosomal protein S6 kinase, 70kD, polypeptide 1Ribosomal Protein S6 Kinases, 70-kDa

Identifiers

PMID33037411
PMCPMC7718330
OpenAlexW3092031210

What OpenQuestion holds

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Registered trials

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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.