Evidence map›Paper›PMID 34129075›Full record

ArticleCancer chemotherapy and pharmacology2021

Probenecid increases renal retention and antitumor activity of DFMO in neuroblastoma.

Chad R Schultz, Matthew A Swanson, Thomas C Dowling, André S Bachmann

Abstract read
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In one paragraph

Article in Cancer chemotherapy and pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Bachmann-Bupp syndrome and treatment.Developmental medicine and child neurology · 2024
    Review
  3. Review
  4. Article
  5. MYCN in Neuroblastoma: "Old Wine into New Wineskins".Diseases (Basel, Switzerland) · 2021
    Review
  6. In vivo (Athens, Greece)
    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 2 institutions in 1 country.

Chad R SchultzDepartment of Pediatrics and Human Development, College of Human Medicine, Michigan State University, 400 Monroe Ave, NW, Grand Rapids, MI, 49503, USA.
Matthew A SwansonShimadzu Core Laboratory for Academic and Research Excellence, Ferris State University, Big Rapids, MI, USA.
Thomas C DowlingDepartment of Pharmaceutical Sciences, College of Pharmacy, Ferris State University, Big Rapids, MI, USA.
André S BachmannDepartment of Pediatrics and Human Development, College of Human Medicine, Michigan State University, 400 Monroe Ave, NW, Grand Rapids, MI, 49503, USA. bachma26@msu.edu.ORCID 0000-0002-6510-8560
Ferris State University · USMichigan State University · US

Funding

St. Baldrick's Foundation 591704
6 · The paper itself

Abstract

backgroundNeuroblastoma (NB) is the most common extracranial solid tumor in children. Interference with the polyamine biosynthesis pathway by inhibition of MYCN-activated ornithine decarboxylase (ODC) is a validated approach. The ODC inhibitor α-difluoromethylornithine (DFMO, or Eflornithine) has been FDA-approved for the treatment of trypanosomiasis and hirsutism and has advanced to clinical cancer trials including NB as well as cancer-unrelated human diseases. One key challenge of DFMO is its rapid renal clearance and the need for high and frequent drug dosing during treatment.

methodsWe performed in vivo pharmacokinetic (PK), antitumorigenic, and molecular studies with DFMO/probenecid using NB patient-derived xenografts (PDX) in mice. We used LC-MS/MS, HPLC, and immunoblotting to analyze blood, brain tissue, and PDX tumor tissue samples collected from mice.

resultsThe organic anion transport 1/3 (OAT 1/3) inhibitor probenecid reduces the renal clearance of DFMO and significantly increases the antitumor activity of DFMO in PDX of NB (P < 0.02). Excised tumors revealed that DFMO/probenecid treatment decreases polyamines putrescine and spermidine, reduces MYCN protein levels and dephosphorylates retinoblastoma (Rb) protein (p-Rb

conclusionAddition of probenecid as an adjuvant to DFMO therapy may be suitable to decrease overall dose and improve drug efficacy in vivo.

Indexed as

AnimalsAntineoplastic AgentsCell Cycle CheckpointsCell Line, TumorChromatography, LiquidEflornithineFemaleHumansKidneyMiceMice, NudeNeuroblastomaOrnithine Decarboxylase InhibitorsProbenecidTandem Mass SpectrometryXenograft Model Antitumor AssaysAntineoplastic AgentsEflornithineOrnithine Decarboxylase InhibitorsProbenecidDFMO/EflornithinePediatric cancerPharmacokineticsProbenecidRenal drug clearanceRepurposing drugs

Identifiers

PMID34129075
OpenAlexW3166508681

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.