Evidence map›Paper›PMID 34669238›Full record

ArticleMolecular oncology2022

Intrinsic and acquired drug resistance to LSD1 inhibitors in small cell lung cancer occurs through a TEAD4-driven transcriptional state.

Wen Yan, Chi-Yeh Chung, Tao Xie, Mark Ozeck, Timothy C Nichols, Jessica Frey, Akshata R Udyavar, Shikhar Sharma, Thomas A Paul

Open access · goldAbstract read
In one paragraph

Article in Molecular oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.4field-weighted citation impact, top 15% 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, 27 citations in OpenAlex.

  1. 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
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  10. Phase separation of RXRγ drives tumor chemoresistance and represents a therapeutic target for small-cell lung cancer.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
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  12. Actionable Driver Events in Small Cell Lung Cancer.International journal of molecular sciences · 2023
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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

9 authors at 2 institutions in 1 country.

Wen YanOncology Research Discovery, Pfizer Worldwide Research and Development, San Diego, CA, USA.ORCID 0000-0003-0980-0306
Chi-Yeh ChungOncology Research Discovery, Pfizer Worldwide Research and Development, San Diego, CA, USA.
Tao XieOncology Research Discovery, Pfizer Worldwide Research and Development, San Diego, CA, USA.
Mark OzeckOncology Research Discovery, Pfizer Worldwide Research and Development, San Diego, CA, USA.
Timothy C NicholsOncology Research Discovery, Pfizer Worldwide Research and Development, San Diego, CA, USA.
Jessica FreyOncology Research Discovery, Pfizer Worldwide Research and Development, San Diego, CA, USA.
Akshata R UdyavarArcus Biosciences, Hayward, CA, USA.
Shikhar SharmaOncology Research Discovery, Pfizer Worldwide Research and Development, San Diego, CA, USA.
Thomas A PaulOncology Research Discovery, Pfizer Worldwide Research and Development, San Diego, CA, USA.ORCID 0000-0002-6465-886X
Pfizer (United States) · USPulse Biosciences (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Small-cell lung cancer (SCLC) is a heterogeneous disease, consisting of intratumoral and intertumoral neuroendocrine (ASCL1 and/or NEUROD1), mesenchymal-like, and YAP-driven transcriptional states. Lysine-specific demethylase 1 (LSD1; also known as KDM1A) inhibitors have recently been progressed to clinical trials in SCLC based on a promising preclinical antitumor activity. A potential clinical limitation of LSD1 inhibitors is the heterogeneous drug responses that have been observed in SCLC cell lines and patient-derived models. Based on these observations, we studied molecular and transcriptional signatures that predict patient response to this class of drug. Employing SCLC patient-derived transcriptional signatures, we define that SCLC cell lines sensitive to LSD1 inhibitors are enriched in neuroendocrine transcriptional markers, whereas cell lines enriched in a mesenchymal-like transcriptional program demonstrate intrinsic resistance to LSD1 inhibitors. We have identified a reversible, adaptive resistance mechanism to LSD1 inhibitors through epigenetic reprogramming to a TEAD4-driven mesenchymal-like state. Our data suggest that only a segment of SCLC patients, with a defined neuroendocrine differentiation state, will likely benefit from LSD1 inhibitors. It provides novel evidence for the selection of a TEAD4-driven mesenchymal-like subpopulation resistant to LSD1 inhibitors in SCLC patients that may require effective drug combinations to sustain effective clinical responses.

Indexed as

Lung NeoplasmsSmall Cell Lung CarcinomaDNA-Binding ProteinsDrug ResistanceHistone DemethylasesHumansMuscle ProteinsTEA Domain Transcription FactorsTranscription FactorsDNA-Binding ProteinsHistone DemethylasesKDM1A protein, humanMuscle ProteinsTEAD4 protein, humanTEA Domain Transcription FactorsTranscription Factorsdrug resistanceepigenetic therapyKDM1ALSD1small-cell lung cancer

Identifiers

PMID34669238
PMCPMC8936524
OpenAlexW3205729949

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LicenceCC BY
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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.