Evidence map›Paper›PMID 34254585›Full record

ArticleeLife2021

An epigenetic switch regulates the ontogeny of AXL-positive/EGFR-TKi-resistant cells by modulating miR-335 expression.

Polona Safaric Tepes, Debjani Pal, Trine Lindsted, Ingrid Ibarra, Amaia Lujambio, Vilma Jimenez Sabinina, Serif Senturk, Madison Miller, Navya Korimerla, Jiahao Huang and 7 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in eLife, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02488408 (A Phase Ib/II Multicenter Open-label Study of BGB324 as a Single Agent and in Combination With Cytarabine or Decitabine in Patients With Acute Myeloid Leukemia or as a Single Agent in Patients With Myelodysplastic Syndrome), which is not on this 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 37% 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.

NCT02488408 phase1 / phase2completednot on this map

A Phase Ib/II Multicenter Open-label Study of BGB324 as a Single Agent and in Combination With Cytarabine or Decitabine in Patients With Acute Myeloid Leukemia or as a Single Agent in Patients With Myelodysplastic Syndrome

TypeinterventionalSponsorBerGenBio ASARan2014 to 2022Enrolled122ConditionsAcute Myeloid Leukemia, Myelodysplastic SyndromesArmsBemcentinib, Cytarabine, Decitabine
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. AXL signaling in cancer: from molecular insights to targeted therapies.Signal transduction and targeted therapy · 2025
    Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
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

17 authors at 5 institutions in 3 countries.

Polona Safaric Tepes *Cold Spring Harbor Laboratory, Cold Spring Harbor, United States.ORCID 0000-0002-5833-739X
Debjani Pal *Cold Spring Harbor Laboratory, Cold Spring Harbor, United States.
Trine LindstedCold Spring Harbor Laboratory, Cold Spring Harbor, United States.
Ingrid IbarraCold Spring Harbor Laboratory, Cold Spring Harbor, United States.
Amaia LujambioIcahn School of Medicine at Mount Sinai, Hess Center for Science and Medicine, New York, United States.ORCID 0000-0002-2798-1481
Vilma Jimenez SabininaCold Spring Harbor Laboratory, Cold Spring Harbor, United States.
Serif SenturkCold Spring Harbor Laboratory, Cold Spring Harbor, United States.
Madison MillerCold Spring Harbor Laboratory, Cold Spring Harbor, United States.
Navya KorimerlaCold Spring Harbor Laboratory, Cold Spring Harbor, United States.
Jiahao HuangCold Spring Harbor Laboratory, Cold Spring Harbor, United States.
Lawrence GlassmanNorthwell Health Long Island, Jewish Medical Center, New York, United States.
Paul LeeNorthwell Health Long Island, Jewish Medical Center, New York, United States.
David ZeltsmanNorthwell Health Long Island, Jewish Medical Center, New York, United States.
Kevin HymanNorthwell Health Long Island, Jewish Medical Center, New York, United States.
Michael EspositoNorthwell Health Long Island, Jewish Medical Center, New York, United States.
Gregory J HannonCold Spring Harbor Laboratory, Cold Spring Harbor, United States.
Raffaella SordellaCold Spring Harbor Laboratory, Cold Spring Harbor, United States.ORCID 0000-0001-9745-1227
Cold Spring Harbor Laboratory · USNorthwell Health · USIcahn School of Medicine at Mount Sinai · USUniversity of Cambridge · GBUniversity of Ljubljana · SI

Funding

Single-Cell Biology Shared ResourceP30CA045508 · NCI · COLD SPRING HARBOR LABORATORY · PI David A Tuveson · 1987 to 2026
$118.9M
Cancer Research UK 21143NCI NIH HHS P30 CA045508
6 · The paper itself

Abstract

Despite current advancements in research and therapeutics, lung cancer remains the leading cause of cancer-related mortality worldwide. This is mainly due to the resistance that patients develop against chemotherapeutic agents over the course of treatment. In the context of non-small cell lung cancers (NSCLC) harboring EGFR-oncogenic mutations, augmented levels of AXL and GAS6 have been found to drive resistance to EGFR tyrosine kinase inhibitors such as Erlotinib and Osimertinib in certain tumors with mesenchymal-like features. By studying the ontogeny of AXL-positive cells, we have identified a novel non-genetic mechanism of drug resistance based on cell-state transition. We demonstrate that AXL-positive cells are already present as a subpopulation of cancer cells in Erlotinib-naïve tumors and tumor-derived cell lines and that the expression of AXL is regulated through a stochastic mechanism centered on the epigenetic regulation of miR-335. The existence of a cell-intrinsic program through which AXL-positive/Erlotinib-resistant cells emerge infers the need of treating tumors harboring EGFR-oncogenic mutations upfront with combinatorial treatments targeting both AXL-negative and AXL-positive cancer cells.

Indexed as

AcrylamidesAniline CompoundsAntineoplastic AgentsCarcinoma, Non-Small-Cell LungCell Line, TumorDrug Resistance, NeoplasmEpigenesis, GeneticErbB ReceptorsErlotinib HydrochlorideGrowth Arrest-Specific Protein 6HumansIndolesIntercellular Signaling Peptides and ProteinsLung NeoplasmsMicroRNAsMutationAcrylamidesAniline CompoundsAntineoplastic AgentsEGFR protein, humanErbB ReceptorsErlotinib HydrochlorideGrowth Arrest-Specific Protein 6IndolesIntercellular Signaling Peptides and ProteinsMicroRNAsMIRN335 microRNA, humanosimertinibProtein Kinase InhibitorsProto-Oncogene ProteinsPyrimidinesReceptor Protein-Tyrosine KinasesRNA, MessengerAXLcancer biologyepigeneticserlotinib-resistanthumanlung cancer

Identifiers

PMID34254585
PMCPMC8285107
OpenAlexW3179454984

What OpenQuestion holds

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Registered trials

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.