Evidence map›Paper›PMID 33924765›Full record

ArticleAntioxidants (Basel, Switzerland)2021

PKCα Inhibition as a Strategy to Sensitize Neuroblastoma Stem Cells to Etoposide by Stimulating Ferroptosis.

Lorenzo Monteleone, Andrea Speciale, Giulia Elda Valenti, Nicola Traverso, Silvia Ravera, Ombretta Garbarino, Riccardo Leardi, Emanuele Farinini, Antonella Roveri, Fulvio Ursini and 5 more

Open access · goldAbstract read
In one paragraph

Article in Antioxidants (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.5field-weighted citation impact, top 9% 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

28 citing papers in PubMed, 37 citations in OpenAlex.

  1. Significance of GSH and HRedox report : communications in free radical research · 2026
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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

15 authors at 5 institutions in 1 country.

Lorenzo MonteleoneGeneral Pathology Section, Department of Experimental Medicine, University of Genoa, 16126 Genoa, Italy.
Andrea SpecialeMutagenesis and Cancer Prevention Unit, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.ORCID 0000-0001-7602-5632
Giulia Elda ValentiGeneral Pathology Section, Department of Experimental Medicine, University of Genoa, 16126 Genoa, Italy.ORCID 0000-0001-7077-7534
Nicola TraversoGeneral Pathology Section, Department of Experimental Medicine, University of Genoa, 16126 Genoa, Italy.
Silvia RaveraHuman Anatomy Section, Department of Experimental Medicine, University of Genoa, 16126 Genoa, Italy.ORCID 0000-0002-0803-1042
Ombretta GarbarinoDepartment of Cardiovascular Medicine, IRCCS Humanitas Clinical and Research Center, Rozzano, 20089 Milan, Italy.
Riccardo LeardiDepartment of Pharmacy, University of Genoa, 16126 Genoa, Italy.
Emanuele FarininiDepartment of Pharmacy, University of Genoa, 16126 Genoa, Italy.
Antonella RoveriDepartment of Molecular Medicine, University of Padua, 35122 Padua, Italy.ORCID 0000-0002-3252-0559
Fulvio UrsiniDepartment of Molecular Medicine, University of Padua, 35122 Padua, Italy.
Claudia CantoniGeneral Pathology Section, Department of Experimental Medicine, University of Genoa, 16126 Genoa, Italy.ORCID 0000-0001-6471-1424
Maria Adelaide PronzatoGeneral Pathology Section, Department of Experimental Medicine, University of Genoa, 16126 Genoa, Italy.
Umberto Maria MarinariGeneral Pathology Section, Department of Experimental Medicine, University of Genoa, 16126 Genoa, Italy.
Barbara MarengoGeneral Pathology Section, Department of Experimental Medicine, University of Genoa, 16126 Genoa, Italy.ORCID 0000-0003-3056-6569
Cinzia DomenicottiGeneral Pathology Section, Department of Experimental Medicine, University of Genoa, 16126 Genoa, Italy.ORCID 0000-0002-5003-7333
University of Genoa · ITUniversity of Padua · ITHumanitas University · ITIstituto Giannina Gaslini · ITOspedale Policlinico San Martino · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer stem cells (CSCs) are a limited cell population inside a tumor bulk characterized by high levels of glutathione (GSH), the most important antioxidant thiol of which cysteine is the limiting amino acid for GSH biosynthesis. In fact, CSCs over-express xCT, a cystine transporter stabilized on cell membrane through interaction with CD44, a stemness marker whose expression is modulated by protein kinase Cα (PKCα). Since many chemotherapeutic drugs, such as Etoposide, exert their cytotoxic action by increasing reactive oxygen species (ROS) production, the presence of high antioxidant defenses confers to CSCs a crucial role in chemoresistance. In this study, Etoposide-sensitive and -resistant neuroblastoma CSCs were chronically treated with Etoposide, given alone or in combination with Sulfasalazine (SSZ) or with an inhibitor of PKCα (C2-4), which target xCT directly or indirectly, respectively. Both combined approaches are able to sensitize CSCs to Etoposide by decreasing intracellular GSH levels, inducing a metabolic switch from OXPHOS to aerobic glycolysis, down-regulating glutathione-peroxidase-4 activity and stimulating lipid peroxidation, thus leading to ferroptosis. Our results suggest, for the first time, that PKCα inhibition inducing ferroptosis might be a useful strategy with which to fight CSC chemoresistance.

Indexed as

cancer stem cellschemoresistanceferroptosisglutathioneGPX4lipid peroxidationZEB-1

Identifiers

PMID33924765
PMCPMC8145544
OpenAlexW3159736346

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.