Evidence map›Paper›PMID 34439278›Full record

ArticleCancers2021

Photodynamic Therapy Combined with Bcl-2/Bcl-xL Inhibition Increases the Noxa/Mcl-1 Ratio Independent of Usp9X and Synergistically Enhances Apoptosis in Glioblastoma.

Carolin Golla, Mayas Bilal, Annika Dwucet, Nicolas Bader, Jenson Anthonymuthu, Tim Heiland, Maximilian Pruss, Mike-Andrew Westhoff, Markus David Siegelin, Felix Capanni and 4 more

Abstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. Shedding light on the cancer cell death mechanism in photodynamic therapy.Apoptosis : an international journal on programmed cell death · 2026
    Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Determinants of Photodynamic Therapy Resistance in Cancer Cells.International journal of molecular sciences · 2024
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. 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

14 authors.

Carolin GollaDepartment of Neurological Surgery, Ulm University Medical Center, 89081 Ulm, Germany.
Mayas BilalDepartment of Neurological Surgery, Ulm University Medical Center, 89081 Ulm, Germany.
Annika DwucetDepartment of Neurological Surgery, Ulm University Medical Center, 89081 Ulm, Germany.
Nicolas BaderDepartment of Mechatronics and Medical Engineering, Ulm University of Applied Sciences, 89081 Ulm, Germany.
Jenson AnthonymuthuDepartment of Neurological Surgery, Ulm University Medical Center, 89081 Ulm, Germany.
Tim HeilandDepartment of Neurological Surgery, Ulm University Medical Center, 89081 Ulm, Germany.
Maximilian PrussDepartment of Neurological Surgery, Ulm University Medical Center, 89081 Ulm, Germany.
Mike-Andrew WesthoffDepartment of Pediatric and Adolescent Medicine, Ulm University Medical Center, 89075 Ulm, Germany.ORCID 0000-0003-3256-7100
Markus David SiegelinDepartment of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY 10032, USA.
Felix CapanniDepartment of Mechatronics and Medical Engineering, Ulm University of Applied Sciences, 89081 Ulm, Germany.
Christian Rainer WirtzDepartment of Neurological Surgery, Ulm University Medical Center, 89081 Ulm, Germany.
Richard Eric KastIIAIG Study Center, Burlington, VT 05408, USA.
Marc-Eric HalatschDepartment of Neurological Surgery, Ulm University Medical Center, 89081 Ulm, Germany.ORCID 0000-0002-6981-2280
Georg Karpel-MasslerDepartment of Neurological Surgery, Ulm University Medical Center, 89081 Ulm, Germany.ORCID 0000-0001-8236-5369

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study was to assess in vitro whether the biological effects of 5-aminolevulinic acid (5-ALA)-based photodynamic therapy are enhanced by inhibition of the anti-apoptotic Bcl-2 family proteins Bcl-2 and Bcl-xL in different glioblastoma models. Pre-clinical testing of a microcontroller-based device emitting light of 405 nm wavelength in combination with exposure to 5-ALA (PDT) and the Bcl-2/Bcl-xL inhibitor ABT-263 (navitoclax) was performed in human established and primary cultured glioblastoma cells as well as glioma stem-like cells. We applied cell count analyses to assess cellular proliferation and Annexin V/PI staining to examine pro-apoptotic effects. Western blot analyses and specific knockdown experiments using siRNA were used to examine molecular mechanisms of action. Bcl-2/Bcl-xL inhibition synergistically enhanced apoptosis in combination with PDT. This effect was caspase-dependent. On the molecular level, PDT caused an increased Noxa/Mcl-1 ratio, which was even more pronounced when combined with ABT-263 in a Usp9X-independent manner. Our data showed that Bcl-2/Bcl-xL inhibition increases the response of glioblastoma cells toward photodynamic therapy. This effect can be partly attributed to cytotoxicity and is likely related to a pro-apoptotic shift because of an increased Noxa/Mcl-1 ratio. The results of this study warrant further investigation.

Indexed as

5-aminolevulinic acidABT-263Bcl-xLglioblastomanavitoclaxphotodynamic therapy

Identifiers

PMID34439278
PMCPMC8393699

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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.