Evidence map›Paper›PMID 34348968›Full record

ArticleCancer research2021

Targeting Notch Inhibitors to the Myeloma Bone Marrow Niche Decreases Tumor Growth and Bone Destruction without Gut Toxicity.

Hayley M Sabol, Adam J Ferrari, Manish Adhikari, Tânia Amorim, Kevin McAndrews, Judith Anderson, Michele Vigolo, Rajwinder Lehal, Meloney Cregor, Sharmin Khan and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer research, 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
3.2field-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

31 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Targeting NOTCH3 to eradicate dormant and therapy-resistant multiple myeloma cells.Journal of experimental & clinical cancer research : CR · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Ex Vivo Model Systems of Cancer-Bone Cell Interactions.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
  10. 2D and 3D In Vitro Co-culture for Cancer and Bone Cell Interaction Studies.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Bisphosphonates for osteoporosis: from bench to clinic.The Journal of clinical investigation · 2024
    Article
  17. Article
  18. Review
  19. Review
  20. 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

19 authors at 7 institutions in 2 countries.

Hayley M Sabol *Department of Physiology and Cell Biology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Adam J Ferrari *Department of Medicine, Hematology/Oncology, Indiana University School of Medicine, Indianapolis, Indiana.
Manish AdhikariDepartment of Physiology and Cell Biology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Tânia AmorimDepartment of Medicine, Hematology/Oncology, Indiana University School of Medicine, Indianapolis, Indiana.
Kevin McAndrewsDepartment of Anatomy, Cell Biology & Physiology, Indiana University School of Medicine, Indianapolis, Indiana.
Judith AndersonDepartment of Medicine, Hematology/Oncology, Indiana University School of Medicine, Indianapolis, Indiana.
Michele VigoloCellestia Biotech, Basel, Switzerland.ORCID 0000-0002-4765-6598
Rajwinder LehalCellestia Biotech, Basel, Switzerland.
Meloney CregorDepartment of Physiology and Cell Biology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Sharmin KhanDepartment of Physiology and Cell Biology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Pedro L CuevasDivision of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Palo Alto, California.
Jill A HelmsDivision of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Palo Alto, California.
Noriyoshi KuriharaDepartment of Medicine, Hematology/Oncology, Indiana University School of Medicine, Indianapolis, Indiana.
Venkat SrinivasanDepartment of Chemistry, University of Rochester, Rochester, New York.
Frank H EbetinoDepartment of Chemistry, University of Rochester, Rochester, New York.
Robert K BoeckmanDepartment of Chemistry, University of Rochester, Rochester, New York.
G David RoodmanDepartment of Medicine, Hematology/Oncology, Indiana University School of Medicine, Indianapolis, Indiana.
Teresita BellidoDepartment of Physiology and Cell Biology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Jesus Delgado-CalleDepartment of Physiology and Cell Biology, University of Arkansas for Medical Sciences, Little Rock, Arkansas. jdelgadocalle@uams.edu.
Indiana University – Purdue University Indianapolis · USUniversity of Arkansas for Medical Sciences · USUniversity of Rochester · USPalo Alto University · USSinovac Biotech · CNIndiana Department of Natural Resources · USJohn L. McClellan Memorial Veterans Hospital · US

Funding

Understanding the Negative Prognostic Impact of Intraosseous Focal Lesions in Multiple MyelomaP20GM125503 · NIGMS · UNIV OF ARKANSAS FOR MED SCIS · PI Sanja Novak · 2018 to 2026
$23.0M
Contribution of Osteocytes to the Musculoskeletal Effects of Multiple MyelomaR01CA209882 · NCI · UNIV OF ARKANSAS FOR MED SCIS · PI Teresita M. Bellido, Jesus Delgado-Calle · 2017 to 2026
$3.8M
Glucocorticoid-induced Atrophy in Bone and MuscleR01AR059357 · NIAMS · UNIV OF ARKANSAS FOR MED SCIS · PI BELLIDO, TERESITA M. · 2011 to 2022
$3.4M
Bone-Targeted Therapies to Improve Bone Health and Prevent Relapse in Multiple MyelomaR37CA251763 · NCI · UNIV OF ARKANSAS FOR MED SCIS · PI DELGADO-CALLE, JESUS · 2020 to 2025
$2.6M
Manipulating the N-end Rule Protein Degradation Pathway to Build Bone and Decrease Tumor Growth in Multiple Myeloma Bone DiseaseR01CA241677 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI CHIRGWIN, JOHN M · 2020 to 2024
$1.6M
Role of Microenvironmental-Derived AXII in Myeloma Bone DiseaseI01CX000623 · VA · VETERANS HEALTH ADMINISTRATION · PI Attaya Suvannasankha · 2013 to 2026
–
BLRD VA I01 BX002104BLRD VA IK6 BX004596CSRD VA I01 CX000623NCI NIH HHS R01 CA209882NCI NIH HHS R01 CA241677NCI NIH HHS R37 CA251763NIAMS NIH HHS R01 AR059357NIGMS NIH HHS P20 GM125503
6 · The paper itself

Abstract

Systemic inhibition of Notch with γ-secretase inhibitors (GSI) decreases multiple myeloma tumor growth, but the clinical use of GSI is limited due to its severe gastrointestinal toxicity. In this study, we generated a GSI Notch inhibitor specifically directed to the bone (BT-GSI). BT-GSI administration decreased Notch target gene expression in the bone marrow, but it did not alter Notch signaling in intestinal tissue or induce gut toxicity. In mice with established human or murine multiple myeloma, treatment with BT-GSI decreased tumor burden and prevented the progression of multiple myeloma-induced osteolytic disease by inhibiting bone resorption more effectively than unconjugated GSI at equimolar doses. These findings show that BT-GSI has dual anti-myeloma and anti-resorptive properties, supporting the therapeutic approach of bone-targeted Notch inhibition for the treatment of multiple myeloma and associated bone disease. SIGNIFICANCE: Development of a bone-targeted Notch inhibitor reduces multiple myeloma growth and mitigates cancer-induced bone destruction without inducing the gastrointestinal toxicity typically associated with inhibition of Notch.

Indexed as

AnimalsBone and BonesBone Density Conservation AgentsBone Marrow CellsCell Line, TumorClodronic AcidDisease Models, AnimalDisease ProgressionDose-Response Relationship, DrugHumansMiceMultiple MyelomaOsteolysisReceptors, NotchSignal TransductionXenograft Model Antitumor AssaysBone Density Conservation AgentsClodronic AcidReceptors, Notch

Identifiers

PMID34348968
PMCPMC8488008
OpenAlexW3190502192

What OpenQuestion holds

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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.