Evidence map›Paper›PMID 33737576›Full record

ArticleScientific reports2021

Karonudib has potent anti-tumor effects in preclinical models of B-cell lymphoma.

Morten P Oksvold, Ulrika Warpman Berglund, Helge Gad, Baoyan Bai, Trond Stokke, Idun Dale Rein, Therese Pham, Kumar Sanjiv, Geir Frode Øy, Jens Henrik Norum and 4 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 31% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Clinical Significance of NUDT1 (MTH1) Across Cancer Types.International journal of molecular sciences · 2025
    Review
  3. Article
  4. Mitotic MTH1 Inhibitors in Treatment of Cancer.Cancer treatment and research · 2023
    Article
  5. Review
  6. Review
  7. 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

14 authors at 6 institutions in 3 countries.

Morten P OksvoldDepartment of Cancer Immunology, Institute for Cancer Research, The Norwegian Radium Hospital, Oslo University Hospital, Ullernschausseen 70, 0379, Montebello, Oslo, Norway.
Ulrika Warpman BerglundDepartment of Oncology and Pathology, Science for Life Laboratory, Karolinska Institutet, Stockholm, Sweden.
Helge GadDepartment of Oncology and Pathology, Science for Life Laboratory, Karolinska Institutet, Stockholm, Sweden.
Baoyan BaiDepartment of Cancer Immunology, Institute for Cancer Research, The Norwegian Radium Hospital, Oslo University Hospital, Ullernschausseen 70, 0379, Montebello, Oslo, Norway.
Trond StokkeDepartment of Radiation Biology, Institute for Cancer Research, Oslo University Hospital, Oslo, Norway.
Idun Dale ReinDepartment of Radiation Biology, Institute for Cancer Research, Oslo University Hospital, Oslo, Norway.
Therese PhamDepartment of Oncology and Pathology, Science for Life Laboratory, Karolinska Institutet, Stockholm, Sweden.
Kumar SanjivDepartment of Oncology and Pathology, Science for Life Laboratory, Karolinska Institutet, Stockholm, Sweden.
Geir Frode ØyDepartment of Tumor Biology, Institute for Cancer Research, Oslo University Hospital, Oslo, Norway.
Jens Henrik NorumDepartment of Cancer Genetics, Institute for Cancer Research, Oslo University Hospital, Oslo, Norway.
Erlend B SmelandDepartment of Cancer Immunology, Institute for Cancer Research, The Norwegian Radium Hospital, Oslo University Hospital, Ullernschausseen 70, 0379, Montebello, Oslo, Norway.
June H MyklebustDepartment of Cancer Immunology, Institute for Cancer Research, The Norwegian Radium Hospital, Oslo University Hospital, Ullernschausseen 70, 0379, Montebello, Oslo, Norway.
Thomas HelledayDepartment of Oncology and Pathology, Science for Life Laboratory, Karolinska Institutet, Stockholm, Sweden.
Thea Kristin VåtsveenDepartment of Cancer Immunology, Institute for Cancer Research, The Norwegian Radium Hospital, Oslo University Hospital, Ullernschausseen 70, 0379, Montebello, Oslo, Norway. thea.kristin.vatsveen@rr-research.no.
Oslo University Hospital · NONorwegian Cancer Society · NOKarolinska Institutet · SEScience for Life Laboratory · SEUniversity of Oslo · NOUniversity of Sheffield · GB

Funding

European Research Council ERC-2015-Adg_695376
6 · The paper itself

Abstract

Chemo-immunotherapy has improved survival in B-cell lymphoma patients, but refractory/relapsed diseases still represent a major challenge, urging for development of new therapeutics. Karonudib (TH1579) was developed to inhibit MTH1, an enzyme preventing oxidized dNTP-incorporation in DNA. MTH1 is highly upregulated in tumor biopsies from patients with diffuse large B-cell lymphoma (DLBCL) and Burkitt lymphoma, hence confirming a rationale for targeting MTH1. Here, we tested the efficacy of karonudib in vitro and in preclinical B-cell lymphoma models. Using a range of B-cell lymphoma cell lines, karonudib strongly reduced viability at concentrations well tolerated by activated normal B cells. In B-cell lymphoma cells, karonudib increased incorporation of 8-oxo-dGTP into DNA, and prominently induced prometaphase arrest and apoptosis due to failure in spindle assembly. MTH1 knockout cell lines were less sensitive to karonudib-induced apoptosis, but were displaying cell cycle arrest phenotype similar to the wild type cells, indicating a dual inhibitory role of the drug. Karonudib was highly potent as single agent in two different lymphoma xenograft models, including an ABC DLBCL patient derived xenograft, leading to prolonged survival and fully controlled tumor growth. Together, our preclinical findings provide a rationale for further clinical testing of karonudib in B-cell lymphoma.

Indexed as

AnimalsApoptosisBurkitt LymphomaCell Cycle CheckpointsCell Line, TumorCell ProliferationDeoxyguanine NucleotidesDNADNA Repair EnzymesGene Expression Regulation, NeoplasticHumansLymphoma, B-CellMicePhosphoric Monoester HydrolasesPyrimidinesXenograft Model Antitumor Assays8-oxodeoxyguanosine triphosphate8-oxodGTPaseDeoxyguanine NucleotidesDNADNA Repair EnzymeskaronudibPhosphoric Monoester HydrolasesPyrimidines

Identifiers

PMID33737576
PMCPMC7973795
OpenAlexW3138044751

What OpenQuestion holds

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LicenceCC BY
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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.