Evidence map›Paper›PMID 34261798›Full record

ArticleScience translational medicine2021

Repurposed floxacins targeting RSK4 prevent chemoresistance and metastasis in lung and bladder cancer.

Stelios Chrysostomou, Rajat Roy, Filippo Prischi, Lucksamon Thamlikitkul, Kathryn L Chapman, Uwais Mufti, Robert Peach, Laifeng Ding, David Hancock, Christopher Moore and 33 more

Open access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. RiSKs in Computational Modeling of Isoform-Selective RSK Inhibitors.Journal of chemical information and modeling · 2025
    Review
  7. Article
  8. Repurposing Amiodarone for Bladder Cancer Treatment.Cancer research communications · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Therapeutic targeting of p90 ribosomal S6 kinase.Frontiers in cell and developmental biology · 2023
    Review
  16. Applications and advancements of CRISPR-Cas in the treatment of lung cancer.Frontiers in cell and developmental biology · 2023
    Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

43 authors at 18 institutions in 6 countries.

Stelios ChrysostomouDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.ORCID 0000-0003-4763-8522
Rajat RoyDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.ORCID 0000-0001-7806-3659
Filippo PrischiSchool of Biological Sciences, University of Essex, Colchester CO4 3SQ, UK.ORCID 0000-0003-2107-938X
Lucksamon ThamlikitkulDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.ORCID 0000-0003-4846-5678
Kathryn L ChapmanDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.
Uwais MuftiDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.ORCID 0000-0002-7044-5289
Robert PeachDepartment of Chemistry, Imperial College London, London SW7 2AZ, UK.ORCID 0000-0002-8738-5825
Laifeng DingKey Laboratory of Magnetic Resonance in Biological Systems, National Centre for Magnetic Resonance in Wuhan, State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan 430071, China.ORCID 0000-0003-4867-5296
David HancockOncogene Biology Laboratory, The Francis Crick Institute, London NW1 1AT, UK.ORCID 0000-0003-4507-5279
Christopher MooreOncogene Biology Laboratory, The Francis Crick Institute, London NW1 1AT, UK.ORCID 0000-0002-4653-1427
Miriam Molina-ArcasOncogene Biology Laboratory, The Francis Crick Institute, London NW1 1AT, UK.ORCID 0000-0002-8176-8948
Francesco MauriDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.
David J PinatoDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.ORCID 0000-0002-3529-0103
Joel M AbrahamsDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.
Silvia OttavianiDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.ORCID 0000-0002-8830-9947
Leandro CastellanoDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.ORCID 0000-0002-3059-4829
Georgios GiamasDepartment of Biochemistry and Biomedicine, School of Life Sciences, University of Sussex, Falmer, Brighton BN1 9QG, UK.ORCID 0000-0002-4417-2707
Jennifer PascoeDepartment of Oncology, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2TH, UK.
Devmini MoonamaleDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.ORCID 0000-0003-1995-4181
Sarah PirrieCancer Research UK Clinical Trials Unit, University of Birmingham, Birmingham B15 2TT, UK.ORCID 0000-0002-2894-2230
Claire GauntCancer Research UK Clinical Trials Unit, University of Birmingham, Birmingham B15 2TT, UK.
Lucinda BillinghamCancer Research UK Clinical Trials Unit, University of Birmingham, Birmingham B15 2TT, UK.
Neil M StevenDepartment of Oncology, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2TH, UK.ORCID 0000-0002-0571-5043
Michael CullenDepartment of Oncology, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2TH, UK.
David HroudaDepartment Urology, Charing Cross Hospital, London W6 8RF, UK.ORCID 0000-0001-5771-4870
Mathias WinklerDepartment Urology, Charing Cross Hospital, London W6 8RF, UK.ORCID 0000-0002-2553-5816
John PostMRC Protein Phosphorylation and Ubiquitylation Unit, School of Life Sciences, University of Dundee, Dow Street, Dundee DD1 5EH. UK.ORCID 0000-0002-2881-5821
Philip CohenMRC Protein Phosphorylation and Ubiquitylation Unit, School of Life Sciences, University of Dundee, Dow Street, Dundee DD1 5EH. UK.
Seth J SalpeterCuresponse, 6 Weizmann Street, 6423906 Tel Aviv, Israel.
Vered BarCuresponse, 6 Weizmann Street, 6423906 Tel Aviv, Israel.
Adi ZundelevichCuresponse, 6 Weizmann Street, 6423906 Tel Aviv, Israel.ORCID 0000-0001-6629-3588
Shay GolanDepartment of Urology, Rabin Medical Center, Jabotinsky St. 39, 4941492 Petah Tikva, Israel.ORCID 0000-0002-9205-5820
Dan LeiboviciDepartment of Urology, Kaplan Medical Center, 7610001 Rehovot, Israel.
Romain LaraDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.ORCID 0000-0003-3327-1985
David R KlugDepartment of Chemistry, Imperial College London, London SW7 2AZ, UK.ORCID 0000-0001-9301-1654
Sophia N YalirakiDepartment of Chemistry, Imperial College London, London SW7 2AZ, UK.
Mauricio BarahonaDepartment of Mathematics, Imperial College London, London SW7 2AZ, UK.ORCID 0000-0002-1089-5675
Yulan WangLee Kong Chian School of Medicine, Nanyang Technological University, Singapore 636921, Singapore.ORCID 0000-0002-2831-8737
Julian DownwardOncogene Biology Laboratory, The Francis Crick Institute, London NW1 1AT, UK.ORCID 0000-0002-2331-4729
J Mark SkehelBiological Mass Spectrometry and Proteomics, MRC LMB, Cambridge CB2 0QH, UK.ORCID 0000-0002-2432-0901
Maruf M U AliDepartment of Life Sciences, Imperial College London, London SW7 2AZ, UK. maruf.ali@imperial.ac.uk m.seckl@imperial.ac.uk o.pardo@imperial.ac.uk.ORCID 0000-0001-5392-4029
Michael J SecklDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK. maruf.ali@imperial.ac.uk m.seckl@imperial.ac.uk o.pardo@imperial.ac.uk.ORCID 0000-0003-4078-2599
Olivier E PardoDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK. maruf.ali@imperial.ac.uk m.seckl@imperial.ac.uk o.pardo@imperial.ac.uk.ORCID 0000-0003-2223-1435
Imperial College London · GBThe Francis Crick Institute · GBCancer Research UK Clinical Trials Unit · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBWeizmann Institute of Science · ILCharing Cross Hospital · GBMRC Protein Phosphorylation and Ubiquitylation Unit · GBAstraZeneca (United Kingdom) · GBDomainex (United Kingdom) · GBKaplan Medical Center · ILMRC Laboratory of Molecular Biology · GBNanyang Technological University · SGRabin Medical Center · ILSiriraj Hospital · THUniversitätsklinikum Würzburg · DEUniversity of Essex · GBUniversity of Sussex · GBWuhan Institute of Physics and Mathematics · CN

Funding

Cancer Research UK 11161Cancer Research UK 20752Cancer Research UK A11161Cancer Research UK A20752Cancer Research UK C33269/A11161Cancer Research UK C33269/A20752Medical Research Council FC001070Medical Research Council MC_U105184326Medical Research Council MR/L007436/1Medical Research Council MR/R021406/1Wellcome Trust FC001070
6 · The paper itself

Abstract

Lung and bladder cancers are mostly incurable because of the early development of drug resistance and metastatic dissemination. Hence, improved therapies that tackle these two processes are urgently needed to improve clinical outcome. We have identified RSK4 as a promoter of drug resistance and metastasis in lung and bladder cancer cells. Silencing this kinase, through either RNA interference or CRISPR, sensitized tumor cells to chemotherapy and hindered metastasis in vitro and in vivo in a tail vein injection model. Drug screening revealed several floxacin antibiotics as potent RSK4 activation inhibitors, and trovafloxacin reproduced all effects of RSK4 silencing in vitro and in/ex vivo using lung cancer xenograft and genetically engineered mouse models and bladder tumor explants. Through x-ray structure determination and Markov transient and Deuterium exchange analyses, we identified the allosteric binding site and revealed how this compound blocks RSK4 kinase activation through binding to an allosteric site and mimicking a kinase autoinhibitory mechanism involving the RSK4's hydrophobic motif. Last, we show that patients undergoing chemotherapy and adhering to prophylactic levofloxacin in the large placebo-controlled randomized phase 3 SIGNIFICANT trial had significantly increased (

Indexed as

Lung NeoplasmsUrinary Bladder NeoplasmsAnimalsCell Line, TumorDrug Resistance, NeoplasmGene Expression Regulation, NeoplasticHumansLungMiceRibosomal Protein S6 Kinases, 90-kDaRibosomal Protein S6 Kinases, 90-kDa

Identifiers

PMID34261798
PMCPMC7611705
OpenAlexW3179068261

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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.