Evidence map›Paper›PMID 33547198›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2021

Yap1 Mediates Trametinib Resistance in Head and Neck Squamous Cell Carcinomas.

Tenny Mudianto, Katie M Campbell, Jason Webb, Paul Zolkind, Zachary L Skidmore, Rachel Riley, Erica K Barnell, Ibrahim Ozgenc, Tusar Giri, Gavin P Dunn and 5 more

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
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

15 authors at 3 institutions in 1 country.

Tenny Mudianto *Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Katie M Campbell *McDonnell Genome Institute and Department of Genetics, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0001-6491-4432
Jason WebbDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Paul ZolkindDepartment of Otolaryngology, Washington University School of Medicine, St. Louis, Missouri.
Zachary L SkidmoreMcDonnell Genome Institute and Department of Genetics, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-1928-7139
Rachel RileyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Erica K BarnellMcDonnell Genome Institute and Department of Genetics, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-1631-1201
Ibrahim OzgencDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Tusar GiriDepartment of Otolaryngology, Washington University School of Medicine, St. Louis, Missouri.
Gavin P DunnAlvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, Missouri.
Douglas R AdkinsAlvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, Missouri.
Malachi GriffithMcDonnell Genome Institute and Department of Genetics, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-6388-446X
Ann Marie Egloff *Department of Surgery/Otolaryngology, Brigham and Women's Hospital, Boston, Massachusetts.
Obi L Griffith *McDonnell Genome Institute and Department of Genetics, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-0843-4271
Ravindra Uppaluri *Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts. ravindra_uppaluri@dfci.harvard.edu.
Washington University in St. Louis · USDana-Farber Cancer Institute · USBrigham and Women's Hospital · US

Funding

Standardized and Genome-Wide Clinical Interpretation of Complex Genotypes for Cancer Precision MedicineU24CA237719 · NCI · WASHINGTON UNIVERSITY · PI GRIFFITH, OBI L. · 2019 to 2023
$3.8M
Immunotherapeutic responses to neoantigens in head and neck cancerR01DE027736 · NIDCR · DANA-FARBER CANCER INST · PI UPPALURI, RAVINDRA · 2018 to 2022
$2.9M
GENOMIC INSIGHTS AND THERAPEUTIC TARGETING OF ORAL CANCER TUMOR INITIATING CELLSR01DE024403 · NIDCR · WASHINGTON UNIVERSITY · PI UPPALURI, RAVINDRA · 2014 to 2018
$1.9M
DEVELOPMENT OF INFORMATICS RESOURCES FOR INTERPRETATION OF CLINICALLY ACTIONABLE VARIANTS IN CANCERU01CA209936 · NCI · WASHINGTON UNIVERSITY · PI GRIFFITH, OBI L. · 2016 to 2018
$1.0M
DEFINING THE REGULATORY, NON-CODING, MUTATIONAL LANDSCAPE OF BREAST CANCERK22CA188163 · NCI · WASHINGTON UNIVERSITY · PI GRIFFITH, OBI L. · 2014 to 2016
$515k
NCI NIH HHS K22 CA188163NCI NIH HHS U01 CA209936NCI NIH HHS U24 CA237719NIDCR NIH HHS R01 DE024403NIDCR NIH HHS R01 DE027736
6 · The paper itself

Abstract

purposeIn a head and neck squamous cell carcinoma (HNSCC) "window of opportunity" clinical trial, we reported that trametinib reduced MEK-Erk1/2 activation and resulted in tumor responses in a subset of patients. Here, we investigated resistance to trametinib and molecular correlates in HNSCC cell lines and patient samples. EXPERIMENTAL

designHNSCC cell lines were treated with trametinib to generate resistant lines. Candidate bypass pathways were assessed using immunoblotting, CRISPR knockout, and survival assays. Effectiveness of combined trametinib and verteporfin targeting was evaluated. Patient-derived xenografts (PDXs) from responder patients were treated with trametinib and resistant tumors were analyzed. Window trial clinical samples were subjected to whole-exome and RNA sequencing.

resultsHNSCC cell lines developed resistance (CAL27-TR and HSC3-TR) after prolonged trametinib exposure. Downstream effectors of the Hippo pathway were activated in CAL27-TR and HSC3-TR, and combined trametinib and verteporfin treatment resulted in synergistic treatment response. We defined the Hippo pathway effector Yap1 as an induced survival pathway promoting resistance to trametinib in HSC3-TR. Yap1 was necessary for HSC3-TR trametinib resistance, and constitutively active Yap1 was sufficient to confer resistance in parental HSC3. Analysis of trametinib neoadjuvant trial patient tumors indicated canonical MEK-Erk1/2 pathway activating mutations were infrequent, and Yap1 activity increased following trametinib treatment. Trametinib treatment of a PDX from a responder patient resulted in evolution of resistance with increased Yap1 expression and activity.

conclusionsThese studies identify a Yap1-dependent resistance to trametinib therapy in HNSCCs. Combined Yap1 and MEK targeting may represent a strategy to enhance HNSCC response.

Indexed as

AnimalsBiopsyCell Line, TumorDrug Resistance, NeoplasmExome SequencingFemaleGene Expression Regulation, NeoplasticGene Knockout TechniquesHead and Neck NeoplasmsHippo Signaling PathwayHumansMAP Kinase Signaling SystemMicePyridonesPyrimidinonesRNA-SeqPyridonesPyrimidinonestrametinibYAP1 protein, humanYAP-Signaling Proteins

Identifiers

PMID33547198
PMCPMC8046740
OpenAlexW3126871726

What OpenQuestion holds

Textmetadata
LicenceTDM
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.