Evidence map›Paper›PMID 34389694›Full record

ArticleMolecular cancer therapeutics2021

Clinical Positioning of the IAP Antagonist Tolinapant (ASTX660) in Colorectal Cancer.

Nyree Crawford, Katie J Stott, Tamas Sessler, Christopher McCann, William McDaid, Andrea Lees, Cheryl Latimer, Jennifer P Fox, Joanne M Munck, Tomoko Smyth and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in Molecular cancer therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. The critical role of X-linked inhibitor of apoptosis protein (XIAP) in tumor development.Apoptosis : an international journal on programmed cell death · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. The cross talk of ubiquitination and chemotherapy tolerance in colorectal cancer.Journal of cancer research and clinical oncology · 2024
    Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
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

18 authors at 1 institution in 1 country.

Nyree CrawfordPatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.ORCID 0000-0003-2258-4687
Katie J StottPatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.ORCID 0000-0001-8994-0258
Tamas SesslerPatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.
Christopher McCannPatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.
William McDaidPatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.
Andrea LeesPatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.ORCID 0000-0001-9736-2777
Cheryl LatimerPatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.
Jennifer P FoxPatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.
Joanne M MunckAstex Pharmaceuticals, Cambridge, United Kingdom.ORCID 0000-0001-9389-4469
Tomoko SmythAstex Pharmaceuticals, Cambridge, United Kingdom.
Alpesh ShahAstex Pharmaceuticals, Cambridge, United Kingdom.
Vanessa MartinsAstex Pharmaceuticals, Cambridge, United Kingdom.
Mark LawlerPatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.ORCID 0000-0002-3930-8470
Philip D DunnePatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.ORCID 0000-0001-9160-283X
Emma M KerrPatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.
Simon S McDadePatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.ORCID 0000-0002-3024-4773
Vicky M CoylePatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.ORCID 0000-0001-9566-4130
Daniel B LongleyPatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom. d.longley@qub.ac.uk.
Queen's University Belfast · GB

Funding

Biotechnology and Biological Sciences Research Council BB/T002824/1Cancer Research UK 24387Cancer Research UK 26045Cancer Research UK C11884/A24367Cancer Research UK C36697/A25176Cancer Research UK C61288/A26045Medical Research Council G0400302Medical Research Council MC_PC_17117Medical Research Council MR/S021205/1Wellcome Trust 110371Wellcome Trust 110371/Z/15/Z
6 · The paper itself

Abstract

Inhibitors of apoptosis proteins (IAPs) are intracellular proteins, with important roles in regulating cell death, inflammation, and immunity. Here, we examined the clinical and therapeutic relevance of IAPs in colorectal cancer. We found that elevated expression of cIAP1 and cIAP2 (but not XIAP) significantly correlated with poor prognosis in patients with microsatellite stable (MSS) stage III colorectal cancer treated with 5-fluorouracil (5FU)-based adjuvant chemotherapy, suggesting their involvement in promoting chemoresistance. A novel IAP antagonist tolinapant (ASTX660) potently and rapidly downregulated cIAP1 in colorectal cancer models, demonstrating its robust on-target efficacy. In cells co-cultured with TNFα to mimic an inflammatory tumor microenvironment, tolinapant induced caspase-8-dependent apoptosis in colorectal cancer cell line models; however, the extent of apoptosis was limited because of inhibition by the caspase-8 paralogs FLIP and, unexpectedly, caspase-10. Importantly, tolinapant-induced apoptosis was augmented by FOLFOX in human colorectal cancer and murine organoid models

Indexed as

AnimalsApoptosisBaculoviral IAP Repeat-Containing 3 ProteinBiomarkers, TumorCell ProliferationColorectal NeoplasmsGene Expression Regulation, NeoplasticHumansInhibitor of Apoptosis ProteinsMaleMiceMice, Inbred BALB CMice, NudeMorpholinesPiperazinesPrognosisASTX-660Baculoviral IAP Repeat-Containing 3 ProteinBiomarkers, TumorBIRC3 protein, humanInhibitor of Apoptosis ProteinsMorpholinesPiperazinesPyrroles

Identifiers

PMID34389694
PMCPMC7611622
OpenAlexW3188615614

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.