Evidence map›Paper›PMID 34172833›Full record

ArticleCommunications biology2021

Actin cytoskeleton deregulation confers midostaurin resistance in FLT3-mutant acute myeloid leukemia.

Andoni Garitano-Trojaola, Ana Sancho, Ralph Götz, Patrick Eiring, Susanne Walz, Hardikkumar Jetani, Jesus Gil-Pulido, Matteo Claudio Da Via, Eva Teufel, Nadine Rhodes and 11 more

Open access · goldAbstract read
In one paragraph

Article in Communications biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 28 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

21 authors at 5 institutions in 2 countries.

Andoni Garitano-TrojaolaDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Ana SanchoDepartment of Functional Materials in Medicine and Dentistry and Bavarian Polymer Institute, University of Würzburg, Würzburg, Germany.ORCID 0000-0002-0560-9187
Ralph GötzDepartment of Biotechnology and Biophysics, Biocenter, University of Würzburg, Würzburg, Germany.
Patrick EiringDepartment of Biotechnology and Biophysics, Biocenter, University of Würzburg, Würzburg, Germany.
Susanne WalzComprehensive Cancer Center Mainfranken, Core Unit Bioinformatics, Biocenter, University of Wuerzburg, Wuerzburg, Germany.
Hardikkumar JetaniDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Jesus Gil-PulidoInstitute of Molecular Biology, Mainz, Germany.
Matteo Claudio Da ViaDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.ORCID 0000-0002-5396-6584
Eva TeufelDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Nadine RhodesDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Larissa HaertleDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.ORCID 0000-0002-3927-9163
Estibaliz Arellano-VieraDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Raoul TibesDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Andreas RosenwaldInstitute of Pathology, University of Würzburg, Würzburg, Germany.
Leo RascheDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Michael HudecekDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.ORCID 0000-0002-2280-2202
Markus SauerDepartment of Biotechnology and Biophysics, Biocenter, University of Würzburg, Würzburg, Germany.ORCID 0000-0002-1692-3219
Jürgen GrollDepartment of Functional Materials in Medicine and Dentistry and Bavarian Polymer Institute, University of Würzburg, Würzburg, Germany.ORCID 0000-0003-3167-8466
Hermann EinseleDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.ORCID 0000-0002-7680-0819
Sabrina Kraus *Department of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Martin K Kortüm *Department of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany. Kortuem_M@ukw.de.ORCID 0000-0002-7011-0286
Universitätsklinikum Würzburg · DEUniversity of Würzburg · DEComprehensive Cancer Center Mainfranken · DEInstitute of Molecular Biology · DEUniversity of the Basque Country · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The presence of FMS-like tyrosine kinase 3-internal tandem duplication (FLT3-ITD) is one of the most frequent mutations in acute myeloid leukemia (AML) and is associated with an unfavorable prognosis. FLT3 inhibitors, such as midostaurin, are used clinically but fail to entirely eradicate FLT3-ITD + AML. This study introduces a new perspective and highlights the impact of RAC1-dependent actin cytoskeleton remodeling on resistance to midostaurin in AML. RAC1 hyperactivation leads resistance via hyperphosphorylation of the positive regulator of actin polymerization N-WASP and antiapoptotic BCL-2. RAC1/N-WASP, through ARP2/3 complex activation, increases the number of actin filaments, cell stiffness and adhesion forces to mesenchymal stromal cells (MSCs) being identified as a biomarker of resistance. Midostaurin resistance can be overcome by a combination of midostaruin, the BCL-2 inhibitor venetoclax and the RAC1 inhibitor Eht1864 in midostaurin-resistant AML cell lines and primary samples, providing the first evidence of a potential new treatment approach to eradicate FLT3-ITD + AML.

Indexed as

MutationActin CytoskeletonAntineoplastic AgentsApoptosisBridged Bicyclo Compounds, HeterocyclicCell Line, TumorDrug Resistance, Neoplasmfms-Like Tyrosine Kinase 3HumansLeukemia, Myeloid, AcuteProto-Oncogene Proteins c-bcl-2PyronesQuinolinesrac1 GTP-Binding ProteinStaurosporineSulfonamidesAntineoplastic AgentsBCL2 protein, humanBridged Bicyclo Compounds, HeterocyclicEHT 1864FLT3 protein, humanfms-Like Tyrosine Kinase 3midostaurinProto-Oncogene Proteins c-bcl-2PyronesQuinolinesrac1 GTP-Binding ProteinRAC1 protein, humanStaurosporineSulfonamidesvenetoclax

Identifiers

PMID34172833
PMCPMC8233337
OpenAlexW3173536998

What OpenQuestion holds

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Registered trials

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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.