Evidence map›Paper›PMID 34657149›Full record

ArticleBlood2022

Tyrosine phosphatases regulate resistance to ALK inhibitors in ALK+ anaplastic large cell lymphoma.

Elif Karaca Atabay, Carmen Mecca, Qi Wang, Chiara Ambrogio, Ines Mota, Nina Prokoph, Giulia Mura, Cinzia Martinengo, Enrico Patrucco, Giulia Leonardi and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

29 citing papers in PubMed, 48 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 7 institutions in 5 countries.

Elif Karaca AtabayDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA.
Carmen MeccaDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA.ORCID 0000-0002-6770-5094
Qi WangDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA.ORCID 0000-0002-4306-3293
Chiara AmbrogioDepartment of Molecular Biotechnology and Health Sciences, University of Torino, Torino, Italy.ORCID 0000-0003-4122-701X
Ines MotaDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA.ORCID 0000-0003-1523-7134
Nina ProkophDivision of Cellular and Molecular Pathology, Department of Pathology, University of Cambridge, Addenbrooke's Hospital, Cambridge, United Kingdom.ORCID 0000-0002-6429-9895
Giulia MuraDepartment of Molecular Biotechnology and Health Sciences, University of Torino, Torino, Italy.
Cinzia MartinengoDepartment of Molecular Biotechnology and Health Sciences, University of Torino, Torino, Italy.
Enrico PatruccoDepartment of Molecular Biotechnology and Health Sciences, University of Torino, Torino, Italy.ORCID 0000-0001-8060-5058
Giulia LeonardiDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA.
Jessica HossaDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA.
Achille PichDepartment of Molecular Biotechnology and Health Sciences, University of Torino, Torino, Italy.ORCID 0000-0003-3175-7797
Luca MologniDepartment of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy.ORCID 0000-0002-6365-5149
Carlo Gambacorti-PasseriniDepartment of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy.ORCID 0000-0001-6058-515X
Laurence BrugièresDepartment of Pediatric and Adolescent Oncology, Gustave Roussy Cancer Center, Villejuif, France.ORCID 0000-0002-7798-6651
Birgit GeoergerDepartment of Pediatric and Adolescent Oncology, Gustave Roussy Cancer Center, Villejuif, France.
Suzanne D TurnerDivision of Cellular and Molecular Pathology, Department of Pathology, University of Cambridge, Addenbrooke's Hospital, Cambridge, United Kingdom.
Claudia VoenaDepartment of Molecular Biotechnology and Health Sciences, University of Torino, Torino, Italy.ORCID 0000-0002-1324-1431
Taek-Chin CheongDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA.ORCID 0000-0002-0939-9412
Roberto ChiarleDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA.ORCID 0000-0003-1564-8531
Boston Children's Hospital · USUniversity of Turin · ITUniversity of Milano-Bicocca · ITCentral European Institute of Technology · CZCentre National de la Recherche Scientifique · FRInstitut Gustave Roussy · FRUniversity of Cambridge · GB

Funding

Mechanisms of resistance to ALK inhibitors in ALK-rearranged lymphomaR01CA196703 · NCI · BOSTON CHILDREN'S HOSPITAL · PI CHIARLE, ROBERTO · 2015 to 2025
$4.1M
NCI NIH HHS R01 CA196703
6 · The paper itself

Abstract

Anaplastic large cell lymphomas (ALCLs) frequently carry oncogenic fusions involving the anaplastic lymphoma kinase (ALK) gene. Targeting ALK using tyrosine kinase inhibitors (TKIs) is a therapeutic option in cases relapsed after chemotherapy, but TKI resistance may develop. By applying genomic loss-of-function screens, we identified PTPN1 and PTPN2 phosphatases as consistent top hits driving resistance to ALK TKIs in ALK+ ALCL. Loss of either PTPN1 or PTPN2 induced resistance to ALK TKIs in vitro and in vivo. Mechanistically, we demonstrated that PTPN1 and PTPN2 are phosphatases that bind to and regulate ALK phosphorylation and activity. In turn, oncogenic ALK and STAT3 repress PTPN1 transcription. We found that PTPN1 is also a phosphatase for SHP2, a key mediator of oncogenic ALK signaling. Downstream signaling analysis showed that deletion of PTPN1 or PTPN2 induces resistance to crizotinib by hyperactivating SHP2, the MAPK, and JAK/STAT pathways. RNA sequencing of patient samples that developed resistance to ALK TKIs showed downregulation of PTPN1 and PTPN2 associated with upregulation of SHP2 expression. Combination of crizotinib with a SHP2 inhibitor synergistically inhibited the growth of wild-type or PTPN1/PTPN2 knock-out ALCL, where it reverted TKI resistance. Thus, we identified PTPN1 and PTPN2 as ALK phosphatases that control sensitivity to ALK TKIs in ALCL and demonstrated that a combined blockade of SHP2 potentiates the efficacy of ALK inhibition in TKI-sensitive and -resistant ALK+ ALCL.

Indexed as

Anaplastic Lymphoma KinaseAnimalsAntineoplastic AgentsCell Line, TumorCrizotinibHumansLymphoma, Large-Cell, AnaplasticMiceMice, Inbred NODMice, SCIDProtein Kinase InhibitorsProtein Tyrosine Phosphatase, Non-Receptor Type 1Protein Tyrosine Phosphatase, Non-Receptor Type 2ALK protein, humanAnaplastic Lymphoma KinaseAntineoplastic AgentsCrizotinibProtein Kinase InhibitorsProtein Tyrosine Phosphatase, Non-Receptor Type 1Protein Tyrosine Phosphatase, Non-Receptor Type 2

Identifiers

PMID34657149
PMCPMC8814675
OpenAlexW3206811245

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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.