Evidence map›Paper›PMID 33436496›Full record

ArticleGut2022

PI3K-driven HER2 expression is a potential therapeutic target in colorectal cancer stem cells.

Laura Rosa Mangiapane, Annalisa Nicotra, Alice Turdo, Miriam Gaggianesi, Paola Bianca, Simone Di Franco, Davide Stefano Sardina, Veronica Veschi, Michele Signore, Sven Beyes and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Gut, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
6.5field-weighted citation impact, top 2% 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

68 citing papers in PubMed, 97 citations in OpenAlex.

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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 5 institutions in 2 countries.

Laura Rosa Mangiapane *Department of Surgical, Oncological and Stomatological Sciences, Università degli Studi di Palermo, Palermo, Italy.
Annalisa Nicotra *Department of Surgical, Oncological and Stomatological Sciences, Università degli Studi di Palermo, Palermo, Italy.
Alice TurdoDepartment of Health Promotion Sciences, Internal Medicine and Medical Specialties, Università degli Studi di Palermo, Palermo, Italy.ORCID 0000-0002-6152-4903
Miriam GaggianesiDepartment of Surgical, Oncological and Stomatological Sciences, Università degli Studi di Palermo, Palermo, Italy.
Paola BiancaDepartment of Surgical, Oncological and Stomatological Sciences, Università degli Studi di Palermo, Palermo, Italy.
Simone Di FrancoDepartment of Surgical, Oncological and Stomatological Sciences, Università degli Studi di Palermo, Palermo, Italy.
Davide Stefano SardinaDepartment of Surgical, Oncological and Stomatological Sciences, Università degli Studi di Palermo, Palermo, Italy.
Veronica VeschiDepartment of Surgical, Oncological and Stomatological Sciences, Università degli Studi di Palermo, Palermo, Italy.
Michele SignoreCore Facilities, Istituto Superiore di Sanità, Roma, Italy.ORCID 0000-0002-0262-842X
Sven BeyesDepartment of Cellular, Computational, and Integrative Biology (CIBIO), University of Trento, Trento, Italy.
Luca FagnocchiDepartment of Cellular, Computational, and Integrative Biology (CIBIO), University of Trento, Trento, Italy.ORCID 0000-0002-9551-5474
Micol Eleonora FioriDepartment of Oncology and Molecular Medicine, Istituto Superiore di Sanita, Roma, Italy.ORCID 0000-0002-1813-7035
Maria Rita BongiornoDepartment of Health Promotion Sciences, Internal Medicine and Medical Specialties, Università degli Studi di Palermo, Palermo, Italy.
Melania Lo IaconoDepartment of Surgical, Oncological and Stomatological Sciences, Università degli Studi di Palermo, Palermo, Italy.
Irene PillitteriDepartment of Surgical, Oncological and Stomatological Sciences, Università degli Studi di Palermo, Palermo, Italy.
Gloria GanduscioDepartment of Surgical, Oncological and Stomatological Sciences, Università degli Studi di Palermo, Palermo, Italy.
Gaspare GulottaDepartment of Surgical, Oncological and Stomatological Sciences, Università degli Studi di Palermo, Palermo, Italy.
Jan Paul MedemaLaboratory for Experimental Oncology and Radiobiology, Center for Experimental and Molecular Medicine, University of Amsterdam, Amsterdam, Noord-Holland, The Netherlands.
Alessio ZippoDepartment of Cellular, Computational, and Integrative Biology (CIBIO), University of Trento, Trento, Italy.
Matilde TodaroDepartment of Health Promotion Sciences, Internal Medicine and Medical Specialties, Università degli Studi di Palermo, Palermo, Italy.
Ruggero De MariaInstitute of General Pathology, Universita Cattolica del Sacro Cuore Facolta di Medicina e Chirurgia, Roma, Italy giorgio.stassi@unipa.it ruggero.demaria@unicatt.it.
Giorgio StassiDepartment of Surgical, Oncological and Stomatological Sciences, Università degli Studi di Palermo, Palermo, Italy giorgio.stassi@unipa.it ruggero.demaria@unicatt.it.ORCID 0000-0002-1016-9059
University of Palermo · ITUniversity of Trento · ITIstituto Superiore di Sanità · ITOncode Institute · NLUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCancer stem cells are responsible for tumour spreading and relapse. Human epidermal growth factor receptor 2 (HER2) expression is a negative prognostic factor in colorectal cancer (CRC) and a potential target in tumours carrying the gene amplification. Our aim was to define the expression of HER2 in colorectal cancer stem cells (CR-CSCs) and its possible role as therapeutic target in CRC resistant to anti- epidermal growth factor receptor (EGFR) therapy.

designA collection of primary sphere cell cultures obtained from 60 CRC specimens was used to generate CR-CSC mouse avatars to preclinically validate therapeutic options. We also made use of the ChIP-seq analysis for transcriptional evaluation of HER2 activation and global RNA-seq to identify the mechanisms underlying therapy resistance.

resultsHere we show that in CD44v6-positive CR-CSCs, high HER2 expression levels are associated with an activation of the phosphatidylinositol 3-kinase (PI3K)/AKT pathway, which promotes the acetylation at the regulatory elements of the Erbb2 gene. HER2 targeting in combination with phosphatidylinositol 3-kinase (PI3K) and mitogen-activated protein kinase kinase (MEK) inhibitors induces CR-CSC death and regression of tumour xenografts, including those carrying

conclusionsWhile PI3K targeting kills liver-colonising CR-CSCs, the concomitant inhibition of PI3K, HER2 and MEK is required to induce regression of tumours resistant to anti-EGFR therapies. These data may provide a rationale for designing clinical trials in the adjuvant and metastatic setting.

Indexed as

AnimalsAntineoplastic Agents, ImmunologicalCetuximabColorectal NeoplasmsDrug Resistance, NeoplasmErb-b2 Receptor Tyrosine KinasesHumansMitogen-Activated Protein Kinase KinasesNeoplastic Stem CellsPhosphatidylinositol 3-KinasePhosphoinositide-3 Kinase InhibitorsTrastuzumabTumor Cells, CulturedAntineoplastic Agents, ImmunologicalCetuximabERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesMitogen-Activated Protein Kinase KinasesPhosphatidylinositol 3-KinasePhosphoinositide-3 Kinase InhibitorsTrastuzumabantibody targeted therapycolorectal cancerdrug resistancestem cells

Identifiers

PMID33436496
PMCPMC8666826
OpenAlexW3119060529

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.