Evidence map›Paper›PMID 34725737›Full record

ArticleJournal of molecular modeling2021

How does nintedanib overcome cancer drug-resistant mutation of RET protein-tyrosine kinase: insights from molecular dynamics simulations.

Shu Cao, Xu Jiang, Changbin Tan, Ming Fu, Wenqing Xiong, Dong Ji, Jun Lv

Abstract read
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Article in Journal of molecular modeling, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Shu Cao *Department of Urology, Ezhou Central Hospital, Hubei, 436000, China.
Xu Jiang *Department of Interventional Therapy, Changhai Hospital Affiliated To Navy Medical University, Shanghai, 200433, China.
Changbin TanDepartment of Urology, Ezhou Central Hospital, Hubei, 436000, China.
Ming FuDepartment of Urology, Ezhou Central Hospital, Hubei, 436000, China.
Wenqing XiongDepartment of Urology, Ezhou Central Hospital, Hubei, 436000, China.
Dong JiDepartment of Anesthesiology, Changhai Hospital, The Second Military Medical University, Shanghai, 200433, China. jidong_ch@hotmail.com.
Jun LvDepartment of Neurology, Ezhou Central Hospital, Hubei, 436000, China. lvjun_lj1982@163.com.
Ezhou Central Hospital · CNChanghai Hospital · CNSecond Military Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Targeted drug therapies represent a therapeutic breakthrough in the treatment of human cancer. However, the emergence of acquired resistance inevitably compromises therapeutic drugs. Rearranged during transfection (RET) proto-oncogene, which encodes a receptor tyrosine kinase, is a target for several kinds of human cancer such as thyroid, breast, and colorectal carcinoma. A single mutation L881V at the RET kinase domain was found in familial medullary thyroid carcinoma. Nintedanib can effectively inhibit the RET L881V mutant, whereas its analog compound 1 is unable to combat this mutant. However, the underlying mechanism was still unexplored. Here, molecular dynamics (MD) simulations, binding free energy calculations, and structural analysis were performed to uncover the mechanism of overcoming the resistance of RET L881V mutant to nintedanib. Energetic analysis revealed that the L881V mutant remained sensitive to the treatment of nintedanib, whereas it was insensitive to the compound 1. Structural analysis further showed that the distribution of K758, D892, and N879 network had a detrimental effect on the binding of compound 1 to the L881V mutant. The obtained results may provide insight into the mechanism of overcoming resistance in the RET kinase.

Indexed as

Carcinoma, MedullaryDrug Resistance, NeoplasmHumansIndolesMolecular Dynamics SimulationMultiple Endocrine Neoplasia Type 2aMutationProtein Kinase InhibitorsProtein-Tyrosine KinasesProto-Oncogene Proteins c-retThyroid NeoplasmsIndolesnintedanibProtein Kinase InhibitorsProtein-Tyrosine KinasesProto-Oncogene Proteins c-retRET protein, humanBinding free energyDrug resistanceDrug therapiesMolecular dynamics simulationRET kinase

Identifiers

PMID34725737
OpenAlexW3209588215

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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.