Evidence map›Paper›PMID 34003798›Full record

ArticleJCI insight2021

Protein synthesis inhibitor omacetaxine is effective against hepatocellular carcinoma.

Ling Li, Gilad Halpert, Michael G Lerner, Haijie Hu, Peter Dimitrion, Matthew J Weiss, Jin He, Benjamin Philosophe, Richard Burkhart, William R Burns and 12 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

17 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Oncology research · 2026
    Article
  3. Precision models in hepatocellular carcinoma.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  4. State-of-the-Art Liver Cancer Organoids: Modeling Cancer Stem Cell Heterogeneity for Personalized Treatment.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  5. Review
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  16. The Curious Case of the HepG2 Cell Line: 40 Years of Expertise.International journal of molecular sciences · 2021
    Review
  17. 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

22 authors at 3 institutions in 1 country.

Ling LiDivision of Gastroenterology and Hepatology and.
Gilad HalpertCenter for Nanomedicine at the Wilmer Eye Institute, Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Michael G LernerDepartment of Physics and Astronomy, Earlham College, Richmond, Indiana, USA.
Haijie HuDivision of Gastroenterology and Hepatology and.
Peter DimitrionCenter for Nanomedicine at the Wilmer Eye Institute, Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Matthew J WeissDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Jin HeDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Benjamin PhilosopheDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Richard BurkhartDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
William R BurnsDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Russell N WessonDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Andrew MacGregor CameronDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Christopher L WolfgangDepartment of Surgery, NYU Grossman School of Medicine, New York, New York, USA.
Christos GeorgiadesDepartment of Radiology and.
Satomi KawamotoDepartment of Radiology and.
Nilofer S AzadDepartment of Oncology, Sidney Kimmel Cancer Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Mark YarchoanDepartment of Oncology, Sidney Kimmel Cancer Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Stephen J MeltzerDivision of Gastroenterology and Hepatology and.
Kiyoko OshimaDepartment of Pathology and.
Laura M EnsignCenter for Nanomedicine at the Wilmer Eye Institute, Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Joel S BaderDepartment of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland, USA.
Florin M SelaruDivision of Gastroenterology and Hepatology and.
Johns Hopkins University · USEarlham College · USNew York University · US

Funding

Tumor Antigens for Individual Signatures and TherapyP50CA062924 · NCI · JOHNS HOPKINS UNIVERSITY · PI LENNON, ANNE MARIE · 1993 to 2022
$54.6M
Pathway Discovery and Target Validation for Outgrowth of Breast Cancer MetastasesU01CA217846 · NCI · JOHNS HOPKINS UNIVERSITY · PI BADER, JOEL S., EWALD, ANDREW JOSEF · 2017 to 2021
$4.8M
(PQC-1) Driver Events In IBD-Associated Neoplastic ProgressionR01CA190040 · NCI · JOHNS HOPKINS UNIVERSITY · PI MELTZER, STEPHEN J, SELARU, FLORIN · 2014 to 2017
$2.5M
Computational Prediction of Genetic Drivers of Breast Cancer MetastasesF33CA247344 · NCI · JOHNS HOPKINS UNIVERSITY · PI LERNER, MICHAEL G. · 2020 to 2020
$63k
NCI NIH HHS F33 CA247344NCI NIH HHS P50 CA062924NCI NIH HHS R01 CA190040NCI NIH HHS U01 CA217846
6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) is the sixth most common and the fourth most deadly cancer worldwide. The development cost of new therapeutics is a major limitation in patient outcomes. Importantly, there is a paucity of preclinical HCC models in which to test new small molecules. Herein, we implemented potentially novel patient-derived organoid (PDO) and patient-derived xenografts (PDX) strategies for high-throughput drug screening. Omacetaxine, an FDA-approved drug for chronic myelogenous leukemia (CML), was found to be a top effective small molecule in HCC PDOs. Next, omacetaxine was tested against a larger cohort of 40 human HCC PDOs. Serial dilution experiments demonstrated that omacetaxine is effective at low (nanomolar) concentrations. Mechanistic studies established that omacetaxine inhibits global protein synthesis, with a disproportionate effect on short-half-life proteins. High-throughput expression screening identified molecular targets for omacetaxine, including key oncogenes, such as PLK1. In conclusion, by using an innovative strategy, we report - for the first time to our knowledge - the effectiveness of omacetaxine in HCC. In addition, we elucidate key mechanisms of omacetaxine action. Finally, we provide a proof-of-principle basis for future studies applying drug screening PDOs sequenced with candidate validation in PDX models. Clinical trials could be considered to evaluate omacetaxine in patients with HCC.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsAdultAgedAnimalsAntineoplastic Agents, PhytogenicCell ProliferationCells, CulturedFemaleHomoharringtonineHumansLiverMaleMiceMiddle AgedOrganoidsAntineoplastic Agents, PhytogenicHomoharringtonineProtein Synthesis InhibitorsDrug therapyHepatologyLiver cancerOncology

Identifiers

PMID34003798
PMCPMC8262474
OpenAlexW3162401559

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.