Evidence map›Paper›PMID 33529322›Full record

ArticleBlood2021

Targeting of canonical WNT signaling ameliorates experimental sclerodermatous chronic graft-versus-host disease.

Yun Zhang, Lichong Shen, Katja Dreißigacker, Honglin Zhu, Thuong Trinh-Minh, Xianyi Meng, Cuong Tran-Manh, Clara Dees, Alexandru-Emil Matei, Chih-Wei Chen and 12 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Blood, 2021. 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
1.1field-weighted citation impact, top 23% 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, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 6 institutions in 3 countries.

Yun ZhangDepartment of Internal Medicine III-Rheumatology and Immunology, University of Erlangen-Nuremberg, Erlangen, Germany.
Lichong ShenDepartment of Internal Medicine III-Rheumatology and Immunology, University of Erlangen-Nuremberg, Erlangen, Germany.
Katja DreißigackerDepartment of Internal Medicine III-Rheumatology and Immunology, University of Erlangen-Nuremberg, Erlangen, Germany.
Honglin ZhuDepartment of Internal Medicine III-Rheumatology and Immunology, University of Erlangen-Nuremberg, Erlangen, Germany.
Thuong Trinh-MinhDepartment of Internal Medicine III-Rheumatology and Immunology, University of Erlangen-Nuremberg, Erlangen, Germany.
Xianyi MengDepartment of Internal Medicine III-Rheumatology and Immunology, University of Erlangen-Nuremberg, Erlangen, Germany.
Cuong Tran-ManhDepartment of Internal Medicine III-Rheumatology and Immunology, University of Erlangen-Nuremberg, Erlangen, Germany.
Clara DeesDepartment of Internal Medicine III-Rheumatology and Immunology, University of Erlangen-Nuremberg, Erlangen, Germany.
Alexandru-Emil MateiDepartment of Internal Medicine III-Rheumatology and Immunology, University of Erlangen-Nuremberg, Erlangen, Germany.
Chih-Wei ChenDepartment of Internal Medicine III-Rheumatology and Immunology, University of Erlangen-Nuremberg, Erlangen, Germany.
Markus DitschkowskiDepartment of Bone Marrow Transplantation, University Hospital Essen, Essen, Germany.
Stefan KraussFaculty of Medicine, University of Oslo, Oslo, Norway.
Julia WinklerDepartment of Internal Medicine V-Hematology and Oncology, University of Erlangen-Nuremberg, Erlangen, Germany.
Daniel WolffDepartment of Internal Medicine III, Hematology, and Internal Oncology, University Hospital Regensburg, Regensburg, Germany.
Mirjana ZiemerDepartment of Dermatology, Venerology, and Allergology, University Medical Center Leipzig, Leipzig, Germany.
Andreas BeilhackDepartment of Medicine II, University Hospital Würzburg, Wurzburg, Germany; and.
Sigrid KarrerDepartment of Dermatology, University Hospital Regensburg, Regensburg, Germany.
Wolfgang HerrDepartment of Internal Medicine III, Hematology, and Internal Oncology, University Hospital Regensburg, Regensburg, Germany.
Andreas MackensenDepartment of Internal Medicine V-Hematology and Oncology, University of Erlangen-Nuremberg, Erlangen, Germany.
Georg SchettDepartment of Internal Medicine III-Rheumatology and Immunology, University of Erlangen-Nuremberg, Erlangen, Germany.
Bernd M SpriewaldDepartment of Internal Medicine V-Hematology and Oncology, University of Erlangen-Nuremberg, Erlangen, Germany.
Jörg H W DistlerDepartment of Internal Medicine III-Rheumatology and Immunology, University of Erlangen-Nuremberg, Erlangen, Germany.
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEUniversity Hospital Regensburg · DECentral South University · CNEssen University Hospital · DEUniversitätsklinikum Würzburg · DEUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic graft-versus-host disease (cGVHD) is a major life-threatening complication of allogeneic hematopoietic stem cell transplantation. The molecular mechanisms underlying cGVHD remain poorly understood, and targeted therapies for clinical use are not well established. Here, we examined the role of the canonical WNT pathway in sclerodermatous cGVHD (sclGVHD). WNT signaling was activated in human sclGVHD with increased nuclear accumulation of the transcription factor β-catenin and a WNT-biased gene expression signature in lesional skin. Treatment with the highly selective tankryase inhibitor G007-LK, the CK1α agonist pyrvinium, or the LRP6 inhibitor salinomycin abrogated the activation of WNT signaling and protected against experimental cGVHD, without a significant impact on graft-versus-leukemia effect (GVL). Treatment with G007-LK, pyrvinium, or salinomycin almost completely prevented the development of clinical and histological features in the B10.D2 (H-2d) → BALB/c (H-2d) and LP/J (H-2b) → C57BL/6 (H-2b) models of sclGVHD. Inhibition of canonical WNT signaling reduced the release of extracellular matrix from fibroblasts and reduced leukocyte influx, suggesting that WNT signaling stimulates fibrotic tissue remodeling by direct effects on fibroblasts and by indirect inflammation-dependent effects in sclGVHD. Our findings may have direct translational potential, because pyrvinium is in clinical use, and tankyrase inhibitors are in clinical trials for other indications.

Indexed as

AnimalsAnti-Bacterial AgentsFemaleFibroblastsGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansMaleMiceMice, Inbred BALB CMice, Inbred C57BLMiddle AgedPolyether PolyketidesPyransPyrvinium CompoundsScleroderma, SystemicAnti-Bacterial AgentsG007-LKPolyether PolyketidesPyransPyrvinium CompoundssalinomycinSulfonesTriazoles

Identifiers

PMID33529322
OpenAlexW3126348366

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.