Evidence map›Paper›PMID 33209885›Full record

ArticleAnnals of translational medicine2020

Blocking MAPK/ERK pathway sensitizes hepatocellular carcinoma cells to temozolomide via downregulating MGMT expression.

Qiang Li, Bingjie Ren, Qi Gui, Jing Zhao, Mengyao Wu, Meng Shen, Dapeng Li, Daoming Li, Kai Chen, Min Tao and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of translational medicine, 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
2.2field-weighted citation impact, top 11% 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, 22 citations in OpenAlex.

  1. Effects of Fractionated Low Dose Ionizing Radiation on Cellular Senescence in Mouse Lung Tissue.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  2. The Role of miRNA-21 in the Metastasis of Hepatocellular Carcinoma as a Therapeutic Target.International journal of hematology-oncology and stem cell research · 2026
    Review
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  11. Clinical Significance of TUBGCP4 Expression in Hepatocellular Carcinoma.Analytical cellular pathology (Amsterdam) · 2022
    Article
  12. Review
  13. Article
  14. CDC6 is a possible biomarker for hepatocellular carcinoma.International journal of clinical and experimental pathology · 2021
    Article
  15. m6A Modification-MediatedFrontiers in cell and developmental biology · 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

11 authors at 3 institutions in 2 countries.

Qiang LiDepartment of Oncology, the First Affiliated Hospital of Soochow University, Suzhou, China.
Bingjie RenDepartment of Oncology, the First Affiliated Hospital of Soochow University, Suzhou, China.
Qi GuiDepartment of Oncology, the First Affiliated Hospital of Soochow University, Suzhou, China.
Jing ZhaoDepartment of Radiation Oncology, the First Affiliated Hospital of Soochow University, Suzhou, China.
Mengyao WuDepartment of Oncology, the First Affiliated Hospital of Soochow University, Suzhou, China.
Meng ShenDepartment of Oncology, the First Affiliated Hospital of Soochow University, Suzhou, China.
Dapeng LiDepartment of Oncology, the First Affiliated Hospital of Soochow University, Suzhou, China.
Daoming LiDepartment of Oncology, the First Affiliated Hospital of Soochow University, Suzhou, China.
Kai ChenDepartment of Oncology, the First Affiliated Hospital of Soochow University, Suzhou, China.
Min TaoDepartment of Oncology, the First Affiliated Hospital of Soochow University, Suzhou, China.
Rongrui LiangDepartment of Oncology, the First Affiliated Hospital of Soochow University, Suzhou, China.
Soochow University · CNFirst Affiliated Hospital of Soochow University · CNBeckman Research Institute

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatocellular carcinoma (HCC) is the fourth most common malignant tumor in China. Temozolomide (TMZ) is a common chemotherapy drug which can effectively kill HCC cells in vitro. However, it is possible that HCC cells possess intrinsic resistance to TMZ. A key mechanism of TMZ resistance is the overexpression of O6-methylguanine-DNA methyltransferase (MGMT). Studies have shown that MAPK may be related to MGMT expression, U0126 is a highly selective inhibitor of MEK1 and MEK2, which were crucial molecule in cascade of mitogen-activated protein kinase/extracellular signal regulated kinase (MAPK/ERK) pathway. Sorafenib was another widely applicated target drug in HCC which could inhibit multiple kinases including MAPK/ERK. This research was aimed to investigate the efficacy of MAPK/ERK inhibitor U0126 and sorafenib combine with TMZ in the treatment of HCC.

methodsIn HCC cells, MAPK/ERK signaling pathway was blocked by U0126 and sorafenib. The effect of blocking MAPK/ERK signaling pathway on TMZ-induced cytotoxicity was evaluated by MTT assay, flow cytometry and TUNEL assay. DNA damage protein and the expression of MGMT were detected by Western-blot. After the downregulation of MAPK/ERK signaling pathway, MGMT mRNA expression and the protein expression of MGMT were quantified by quantitative real-time polymerase chain reaction (RT-qPCR) and immunofluorescence assay, respectively. HepG2 cells were transfected with an MGMT over expression plasmid. After transfection, the effect of U0126 on TMZ-induced cytotoxicity was evaluated by MTT and Western-Blot in MGMT OE cells. The influence of Sorafenib on TMZ-induced cytotoxicity to HCC cells was also detected by MTT assay.

resultsU0126 can enhance the chemosensitivity of HCC cells to TMZ. At the same time, we also found that U0126 increases the damage to DNA caused by TMZ in HepG2 cells. Moreover, the results from RT-qPCR and Western blot showed that U0126 downregulated MGMT mRNA and MGMT protein expression via blocking MAPK/ERK pathway. Furthermore, after transfection with an MGMT expression plasmid, overexpression of MGMT restored U0126-induced chemosensitivity to TMZ in HCC cells. Sorafenib can also increase the chemosensitivity of HCC cells to TMZ.

conclusionsOur studies suggest great clinical potential for the utilization of combined U0126 and TMZ in patients with advanced HCC.

Indexed as

chemosensitivityHepatocellular carcinoma (HCC)methylguanine-DNA methyltransferase (MGMT)mitogen-activated protein kinase/extracellular signal regulated kinase pathway (MAPK/ERK pathway)sorafenibtemozolomide (TMZ)

Identifiers

PMID33209885
PMCPMC7661899
OpenAlexW3095007492

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.