Evidence map›Paper›PMID 34267282›Full record

ArticleNPJ precision oncology2021

Combined FGFR and Akt pathway inhibition abrogates growth of FGFR1 overexpressing EGFR-TKI-resistant NSCLC cells.

Mikkel G Terp, Kirstine Jacobsen, Miguel Angel Molina, Niki Karachaliou, Hans C Beck, Jordi Bertran-Alamillo, Ana Giménez-Capitán, Andrés F Cardona, Rafael Rosell, Henrik J Ditzel

Open access · goldAbstract read
In one paragraph

Article in NPJ precision oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

31 citing papers in PubMed, 46 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

10 authors at 5 institutions in 3 countries.

Mikkel G Terp *Department of Cancer and Inflammation Research, Institute of Molecular Medicine, University of Southern Denmark, Odense C, Denmark.
Kirstine Jacobsen *Department of Cancer and Inflammation Research, Institute of Molecular Medicine, University of Southern Denmark, Odense C, Denmark.
Miguel Angel MolinaLaboratory of Oncology, Pangaea Biotech, Quiron Dexeus University Hospital, Barcelona, Spain.ORCID http://orcid.org/0000-0001-8866-9881
Niki KarachaliouInstituto Oncológico Dr. Rosell, University Hospital Sagrat Cor, Barcelona, Spain.
Hans C BeckCenter for Clinical Proteomics, Odense University Hospital, Odense C, Denmark.
Jordi Bertran-AlamilloLaboratory of Oncology, Pangaea Biotech, Quiron Dexeus University Hospital, Barcelona, Spain.
Ana Giménez-CapitánLaboratory of Oncology, Pangaea Biotech, Quiron Dexeus University Hospital, Barcelona, Spain.
Andrés F CardonaThoracic Oncology Unit, Clinical and Translational Oncology Group, Clinica del Country, Bogotá, Colombia.
Rafael RosellLaboratory of Oncology, Pangaea Biotech, Quiron Dexeus University Hospital, Barcelona, Spain.
Henrik J DitzelDepartment of Cancer and Inflammation Research, Institute of Molecular Medicine, University of Southern Denmark, Odense C, Denmark. hditzel@health.sdu.dk.ORCID http://orcid.org/0000-0003-3927-5135
Hospital Universitario Dexeus · ESUniversity of Southern Denmark · DKInstituto Oncológico Dr. Rosell · ESMerck (Germany) · DEOdense University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

EGFR tyrosine kinase inhibitor (TKI) resistance in non-small cell lung cancer (NSCLC) patients is inevitable. Identification of resistance mechanisms and corresponding targeting strategies can lead to more successful later-line treatment in many patients. Using spectrometry-based proteomics, we identified increased fibroblast growth factor receptor 1 (FGFR1) expression and Akt activation across erlotinib, gefitinib, and osimertinib EGFR-TKI-resistant cell line models. We show that while combined EGFR-TKI and FGFR inhibition showed some efficacy, simultaneous inhibition of FGFR and Akt or PI3K induced superior synergistic growth inhibition of FGFR1-overexpressing EGFR-TKI-resistant NSCLC cells. This effect was confirmed in vivo. Only dual FGFR and Akt inhibition completely blocked the resistance-mediating signaling pathways downstream of Akt. Further, increased FGFR1 expression was associated with significantly lower PFS in EGFR-TKI-treated NSCLC patients, and increased FGFR1 were demonstrated in a few post- vs. pre-EGFR-TKI treatment clinical biopsies. The superior therapeutic benefit of combining FGFR and Akt inhibitors provide the rationale for clinical trials of this strategy.

Identifiers

PMID34267282
PMCPMC8282882
OpenAlexW3178280348

What OpenQuestion holds

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LicenceCC BY
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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.