Evidence map›Paper›PMID 34185934›Full record

ArticleCancer science2021

Quadruple-editing of the MAPK and PI3K pathways effectively blocks the progression of KRAS-mutated colorectal cancer cells.

Zaozao Wang, Bin Kang, Qianqian Gao, Lei Huang, Jiabo Di, Yingcong Fan, Jianhong Yu, Beihai Jiang, Feng Gao, Dan Wang and 4 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Cancer science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Aquaporin 9 downregulation in KRASScientific reports · 2025
    Article
  6. Article
  7. Review
  8. Review
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 2 countries.

Zaozao WangDepartment of Gastrointestinal Surgery IV, Key Laboratory of Carcinogenesis and Translational Research, Peking University Cancer Hospital and Institute, Beijing, China.ORCID https://orcid.org/0000-0001-5599-483X
Bin KangBGI-Shenzhen, Shenzhen, China.
Qianqian GaoBGI-Shenzhen, Shenzhen, China.
Lei HuangBGI-Shenzhen, Shenzhen, China.
Jiabo DiDepartment of Gastrointestinal Surgery IV, Key Laboratory of Carcinogenesis and Translational Research, Peking University Cancer Hospital and Institute, Beijing, China.
Yingcong FanDepartment of Gastrointestinal Surgery IV, Key Laboratory of Carcinogenesis and Translational Research, Peking University Cancer Hospital and Institute, Beijing, China.
Jianhong YuDepartment of Gastrointestinal Surgery IV, Key Laboratory of Carcinogenesis and Translational Research, Peking University Cancer Hospital and Institute, Beijing, China.
Beihai JiangDepartment of Gastrointestinal Surgery IV, Key Laboratory of Carcinogenesis and Translational Research, Peking University Cancer Hospital and Institute, Beijing, China.
Feng GaoBGI-Shenzhen, Shenzhen, China.
Dan WangBGI-Shenzhen, Shenzhen, China.
Haixi SunBGI-Shenzhen, Shenzhen, China.
Ying GuBGI-Shenzhen, Shenzhen, China.
Jian LiDepartment of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research, Peking University Cancer Hospital and Institute, Beijing, China.
Xiangqian SuDepartment of Gastrointestinal Surgery IV, Key Laboratory of Carcinogenesis and Translational Research, Peking University Cancer Hospital and Institute, Beijing, China.
BGI Group (China) · CNPeking University · CN

Funding

Beijing Natural Science Foundation 7172042Beijing Natural Science Foundation 7192037Capital's Funds for Health Improvement and Research 2018-2-2153Guangdong Provincial Key Laboratory of Genome Read and Write 2017B030301011National Natural Science Foundation of China 81672439National Natural Science Foundation of China 81872022National Natural Science Foundation of China 81903159National Natural Science Foundation of China 81972678National Natural Science Foundation of China 82073357Science Foundation of Peking University Cancer Hospital 2017-14Science, Technology and Innovation Commission of Shenzhen Municipality JCYJ20170817145218948
6 · The paper itself

Abstract

Mutated KRAS promotes the activation of the MAPK pathway and the progression of colorectal cancer (CRC) cells. Aberrant activation of the PI3K pathway strongly attenuates the efficacy of MAPK suppression in KRAS-mutated CRC. The development of a novel strategy targeting a dual pathway is therefore highly essential for the therapy of KRAS-mutated CRC. In this study, a quadruple-depleting system for the KRAS, MEK1, PIK3CA, and MTOR genes based on CRISPR/SaCas9 was developed. Adenovirus serotype 5 (ADV5) was integrated with two engineered proteins, an adaptor and a protector, to form ADV-protein complex (APC) for systemic delivery of the CRISPR system. Quadruple-editing could significantly inhibit the MAPK and PI3K pathways in CRC cells with oncogenic mutations of KRAS and PIK3CA or with KRAS mutation and compensated PI3K activation. Compared with MEK and PI3K/MTOR inhibitors, quadruple-editing induced more significant survival inhibition on primary CRC cells with oncogenic mutations of KRAS and PIK3CA. The adaptor specifically targeting EpCAM and the hexon-shielding protector could dramatically enhance ADV5 infection efficiency to CRC cells and significantly reduce off-targeting tropisms to many organs except the colon. Moreover, quadruple-editing intravenously delivered by APC significantly blocked the dual pathway and tumor growth of KRAS-mutated CRC cells, without influencing normal tissues in cell- and patient-derived xenograft models. Therefore, APC-delivered quadruple-editing of the MAPK and PI3K pathways shows a promising therapeutic potential for KRAS-mutated CRC.

Indexed as

AnimalsCell MovementCell ProliferationClass I Phosphatidylinositol 3-KinasesColorectal NeoplasmsGene EditingHCT116 CellsHumansMAP Kinase Kinase 1MiceMice, Inbred NODMice, NudeMice, SCIDMutationProto-Oncogene Proteins p21(ras)Signal TransductionClass I Phosphatidylinositol 3-KinasesKRAS protein, humanMAP2K1 protein, humanMAP Kinase Kinase 1MTOR protein, humanPIK3CA protein, humanProto-Oncogene Proteins p21(ras)TOR Serine-Threonine KinasesADV-protein complexKRAS-mutated colorectal cancerMAPK pathwayPI3K pathwayquadruple gene editing

Identifiers

PMID34185934
PMCPMC8409416
OpenAlexW3134645471

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.