Evidence map›Paper›PMID 33133645›Full record

ArticleCell death discovery2020

The anti-malarial drug atovaquone potentiates platinum-mediated cancer cell death by increasing oxidative stress.

James T T Coates, Gonzalo Rodriguez-Berriguete, Rathi Puliyadi, Thomas Ashton, Remko Prevo, Archie Wing, Giovanna Granata, Giacomo Pirovano, Gillies W McKenna, Geoff S Higgins

Open access · goldAbstract read
In one paragraph

Article in Cell death discovery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

11 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Apigeninidin chloride disruptsFrontiers in cellular and infection microbiology · 2024
    Article
  8. Review
  9. Article
  10. Article
  11. 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

10 authors at 1 institution in 1 country.

James T T CoatesDepartment of Oncology, University of Oxford, Oxford, UK.
Gonzalo Rodriguez-BerrigueteDepartment of Oncology, University of Oxford, Oxford, UK.
Rathi PuliyadiDepartment of Oncology, University of Oxford, Oxford, UK.
Thomas AshtonDepartment of Oncology, University of Oxford, Oxford, UK.
Remko PrevoDepartment of Oncology, University of Oxford, Oxford, UK.
Archie WingDepartment of Oncology, University of Oxford, Oxford, UK.
Giovanna GranataDepartment of Oncology, University of Oxford, Oxford, UK.
Giacomo PirovanoDepartment of Oncology, University of Oxford, Oxford, UK.
Gillies W McKennaDepartment of Oncology, University of Oxford, Oxford, UK.
Geoff S HigginsDepartment of Oncology, University of Oxford, Oxford, UK.
University of Oxford · GB

Funding

Cancer Research UK 19590Cancer Research UK 28736
6 · The paper itself

Abstract

Platinum chemotherapies are highly effective cytotoxic agents but often induce resistance when used as monotherapies. Combinatorial strategies limit this risk and provide effective treatment options for many cancers. Here, we repurpose atovaquone (ATQ), a well-tolerated & FDA-approved anti-malarial agent by demonstrating that it potentiates cancer cell death of a subset of platinums. We show that ATQ in combination with carboplatin or cisplatin induces striking and repeatable concentration- and time-dependent cell death sensitization in vitro across a variety of cancer cell lines. ATQ induces mitochondrial reactive oxygen species (mROS), depleting intracellular glutathione (GSH) pools in a concentration-dependent manner. The superoxide dismutase mimetic MnTBAP rescues ATQ-induced mROS production and pre-loading cells with the GSH prodrug N-acetyl cysteine (NAC) abrogates the sensitization. Together, these findings implicate ATQ-induced oxidative stress as key mediator of the sensitizing effect. At physiologically achievable concentrations, ATQ and carboplatin furthermore synergistically delay the growth of three-dimensional avascular spheroids. Clinically, ATQ is a safe and specific inhibitor of the electron transport chain (ETC) and is concurrently being repurposed as a candidate tumor hypoxia modifier. Together, these findings suggest that ATQ is deserving of further study as a candidate platinum sensitizing agent.

Indexed as

ChemotherapyPreclinical research

Identifiers

PMID33133645
PMCPMC7591508
OpenAlexW3093562174

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.