Evidence map›Paper›PMID 34102903›Full record

ReviewExperimental biology and medicine (Maywood, N.J.)2021

Modeling adaptive drug resistance of colorectal cancer and therapeutic interventions with tumor spheroids.

Astha Lamichhane, Pradip Shahi Thakuri, Pouria Rafsanjani Nejad, Hossein Tavana

Open access · bronzeAbstract readReview
In one paragraph

Review in Experimental biology and medicine (Maywood, N.J.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. NRF2 as a ferroptosis gatekeeper in colorectal cancer: implications for therapy.Naunyn-Schmiedeberg's archives of pharmacology · 2025
    Review
  3. Advanced Hydrogels in Breast Cancer Therapy.Gels (Basel, Switzerland) · 2024
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. 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

4 authors at 1 institution in 1 country.

Astha LamichhaneDepartment of Biomedical Engineering, The University of Akron, Akron, OH 44325, USA.
Pradip Shahi ThakuriDepartment of Biomedical Engineering, The University of Akron, Akron, OH 44325, USA.
Pouria Rafsanjani NejadDepartment of Biomedical Engineering, The University of Akron, Akron, OH 44325, USA.ORCID 0000-0003-1220-1769
Hossein TavanaDepartment of Biomedical Engineering, The University of Akron, Akron, OH 44325, USA.ORCID 0000-0003-3872-1869
University of Akron · US

Funding

A High Throughput Human Tumor Modeling Technology for Cancer Drug DiscoveryR33CA225549 · NCI · UNIVERSITY OF AKRON · PI LUKER, GARY D, TAVANA, HOSSEIN · 2019 to 2021
$1.4M
Modeling Treatment-Induced Drug Resistance of Colon Cancer Cells and Treatment StrategiesR15CA216413 · NCI · UNIVERSITY OF AKRON · PI TAVANA, HOSSEIN · 2018 to 2019
$547k
NCI NIH HHS R15 CA216413NCI NIH HHS R33 CA225549
6 · The paper itself

Abstract

Drug resistance is a major barrier against successful treatments of cancer patients. Various intrinsic mechanisms and adaptive responses of tumor cells to cancer drugs often lead to failure of treatments and tumor relapse. Understanding mechanisms of cancer drug resistance is critical to develop effective treatments with sustained anti-tumor effects. Three-dimensional cultures of cancer cells known as spheroids present a biologically relevant model of avascular tumors and have been increasingly incorporated in tumor biology and cancer drug discovery studies. In this review, we discuss several recent studies from our group that utilized colorectal tumor spheroids to investigate responses of cancer cells to cytotoxic and molecularly targeted drugs and uncover mechanisms of drug resistance. We highlight our findings from both short-term, one-time treatments and long-term, cyclic treatments of tumor spheroids and discuss mechanisms of adaptation of cancer cells to the treatments. Guided by mechanisms of resistance, we demonstrate the feasibility of designing specific drug combinations to effectively block growth and resistance of cancer cells in spheroid cultures. Finally, we conclude with our perspectives on the utility of three-dimensional tumor models and their shortcomings and advantages for phenotypic and mechanistic studies of cancer drug resistance.

Indexed as

Drug Resistance, NeoplasmAnimalsAntineoplastic AgentsColorectal NeoplasmsHumansSpheroids, CellularTumor Cells, CulturedAntineoplastic Agents3D tumor modelcolorectal cancercombination treatmentscompensatory signalingcyclic treatmentDrug resistance

Identifiers

PMID34102903
PMCPMC8606955
OpenAlexW3167146752

What OpenQuestion holds

Textmetadata
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.