Evidence map›Paper›PMID 34531319›Full record

ReviewCancer research2021

Epigenetic Alterations and Mechanisms That Drive Resistance to Targeted Cancer Therapies.

Narendra Wajapeyee, Romi Gupta

Open access · bronzeAbstract readReview
In one paragraph

Review in Cancer research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
4.3field-weighted citation impact, top 4% 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

50 citing papers in PubMed, 88 citations in OpenAlex.

  1. Trial
  2. Reprogramming resistance in advanced lung cancer: epigenetic modulation to restore therapeutic vulnerability.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  3. Tuning epigenetics to enhance cancer virotherapy.Acta pharmaceutica Sinica. B · 2026
    Review
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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

2 authors at 1 institution in 1 country.

Narendra WajapeyeeDepartment of Biochemistry and Molecular Genetics, University of Alabama at Birmingham, Birmingham, Alabama. nwajapey@uab.edu romigup@uab.edu.
Romi GuptaDepartment of Biochemistry and Molecular Genetics, University of Alabama at Birmingham, Birmingham, Alabama. nwajapey@uab.edu romigup@uab.edu.ORCID 0000-0001-5108-5962
University of Alabama at Birmingham · US

Funding

A Novel Druggable Epigenetic Vulnerability Pathway in HCCR01CA218008 · NCI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KELLIHER, MICHELLE ALICE, WAJAPEYEE, NARENDRA · 2018 to 2022
$2.9M
Deciphering and targeting a non-genetic driver pathway in hepatocellular carcinomaR01CA257046 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WAJAPEYEE, NARENDRA · 2021 to 2025
$2.3M
A NOVEL DRUGGABLE GENETIC VULNERABILITY PATHWAY IN MELANOMAR01CA200919 · NCI · YALE UNIVERSITY · PI WAJAPEYEE, NARENDRA · 2016 to 2020
$1.8M
Nucleoporin NUP205-driven Novel Pathway in Melanoma Tumor Growth and MetastasisR01CA196566 · NCI · YALE UNIVERSITY · PI WAJAPEYEE, NARENDRA · 2016 to 2020
$1.8M
PRECISION METABOLIC THERAPY OF p53 MUTANT TRIPLE NEGATIVE BREAST CANCERSR01CA233481 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GUPTA, ROMI · 2021 to 2025
$1.6M
A NOVEL EPIGENETIC IMMUNOTHERAPY FOR OVARIAN CANCER TREATMENTR03CA230815 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GUPTA, ROMI · 2019 to 2020
$149k
NCI NIH HHS R01 CA196566NCI NIH HHS R01 CA200919NCI NIH HHS R01 CA218008NCI NIH HHS R01 CA233481NCI NIH HHS R01 CA257046NCI NIH HHS R03 CA230815
6 · The paper itself

Abstract

Cancer is a complex disease and cancer cells typically harbor multiple genetic and epigenetic alterations. Large-scale sequencing of patient-derived cancer samples has identified several druggable driver oncogenes. Many of these oncogenes can be pharmacologically targeted to provide effective therapies for breast cancer, leukemia, lung cancer, melanoma, lymphoma, and other cancer types. Initial responses to these agents can be robust in many cancer types and some patients with cancer experience sustained tumor inhibition. However, resistance to these targeted therapeutics frequently emerges, either from intrinsic or acquired mechanisms, posing a major clinical hurdle for effective treatment. Several resistance mechanisms, both cell autonomous and cell nonautonomous, have been identified in different cancer types. Here we describe how alterations of the transcriptome, transcription factors, DNA, and chromatin regulatory proteins confer resistance to targeted therapeutic agents. We also elaborate on how these studies have identified underlying epigenetic factors that drive drug resistance and oncogenic pathways, with direct implications for the prevention and treatment of drug-resistant cancer.

Indexed as

Drug Resistance, NeoplasmEpigenesis, GeneticMolecular Targeted TherapyAnimalsAntineoplastic AgentsBiomarkers, TumorGene Expression Regulation, NeoplasticHumansNeoplasmsAntineoplastic AgentsBiomarkers, Tumor

Identifiers

PMID34531319
PMCPMC8595782
OpenAlexW3200052499

What OpenQuestion holds

Textmetadata
LicenceTDM
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.