Evidence map›Paper›PMID 33922599›Full record

ArticleCancers2021

Targeting Cancer Stem Cells with Differentiation Agents as an Alternative to Genotoxic Chemotherapy for the Treatment of Malignant Testicular Germ Cell Tumors.

Amanda R Loehr, Timothy M Pierpont, Eric Gelsleichter, Anabella Maria D Galang, Irma R Fernandez, Elizabeth S Moore, Matthew Z Guo, Andrew D Miller, Robert S Weiss

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

Amanda R LoehrDepartment of Biomedical Sciences, Cornell University, Ithaca, NY 14853, USA.ORCID 0000-0003-4829-7897
Timothy M PierpontDepartment of Microbiology and Immunology, Cornell University, Ithaca, NY 14853, USA.
Eric GelsleichterDepartment of Biomedical Sciences, Cornell University, Ithaca, NY 14853, USA.
Anabella Maria D GalangDepartment of Biomedical Sciences, Cornell University, Ithaca, NY 14853, USA.ORCID 0000-0002-9245-0396
Irma R FernandezDepartment of Biomedical Sciences, Cornell University, Ithaca, NY 14853, USA.
Elizabeth S MooreDepartment of Biomedical Engineering, Cornell University, Ithaca, NY 14853, USA.
Matthew Z GuoDepartment of Biomedical Sciences, Cornell University, Ithaca, NY 14853, USA.ORCID 0000-0003-4741-7463
Andrew D MillerDepartment of Biomedical Sciences, Cornell University, Ithaca, NY 14853, USA.ORCID 0000-0001-6350-5581
Robert S WeissDepartment of Biomedical Sciences, Cornell University, Ithaca, NY 14853, USA.ORCID 0000-0003-3327-1379
Cornell University · US

Funding

The role of the DNA damage response in the development and therapeutic sensitivity of malignant testicular germ cell tumors.F30CA247458 · NCI · CORNELL UNIVERSITY · PI LOEHR, AMANDA · 2020 to 2025
$264k
Mark I Model 68 Gamma IrradiatorS10RR023781 · NCRR · CORNELL UNIVERSITY · PI WEISS, ROBERT S · 2007 to 2007
$234k
NCI NIH HHS F30 CA247458New York State Stem Cell Science C32571GGNIH HHS F30 CA247458NIH HHS S10RR023781
6 · The paper itself

Abstract

Testicular germ cell tumors (TGCTs) are exceptionally sensitive to genotoxic chemotherapy, resulting in a high cure rate for the young men presenting with these malignancies. However, this treatment is associated with significant toxicity, and a subset of malignant TGCTs demonstrate chemoresistance. Mixed nonseminomas often contain pluripotent embryonal carcinoma (EC) cells, the cancer stem cells (CSCs) of these tumors. We hypothesized that differentiation therapy, a treatment strategy which aims to induce differentiation of tumor-propagating CSCs to slow tumor growth, could effectively treat mixed nonseminomas without significant toxicity. The FDA-approved antipsychotic thioridazine and the agricultural antibiotic salinomycin are two drugs previously found to selectively target CSCs, and here we report that these agents differentiate EC cells in vitro and greatly reduce their tumorigenic potential in vivo. Using a novel transformed induced pluripotent stem cell allograft model and a human xenograft model, we show that thioridazine extends the survival of tumor-bearing mice and can reduce the number of pluripotent EC cells within tumors. These results suggest that thioridazine could be repurposed as an alternative TGCT treatment that avoids the toxicity of conventional chemotherapeutics.

Indexed as

cancer stem cellsdifferentiation therapyembryonal carcinomanonseminomapluripotencytesticular germ cell tumorthioridazine

Identifiers

PMID33922599
PMCPMC8122873
OpenAlexW3157933977

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.