Evidence map›Paper›PMID 34795217›Full record

ReviewCell death discovery2021

Genome-scale CRISPR-Cas9 knockout screening in hepatocellular carcinoma with lenvatinib resistance.

Yonggang Lu, Haoming Shen, Wenjie Huang, Sha He, Jianlin Chen, Di Zhang, Yongqi Shen, Yifan Sun

Erratum issuedOpen access · goldAbstract readReview
In one paragraph

Review in Cell death discovery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
4.8field-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

46 citing papers in PubMed, 79 citations in OpenAlex.

  1. Article
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  8. Neurofibromin Encoded by theInternational journal of molecular sciences · 2025
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  10. Hepatocellular carcinoma drug resistance models.Cancer cell international · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Yonggang Lu *Department of Hepatobiliary Surgery, Affiliated Liutie Central Hospital of Guangxi Medical University, Guangxi, China.
Haoming Shen *Department of Clinical Laboratory, Hunan Cancer Hospital & The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Hunan, China.
Wenjie Huang *Department of Clinical Laboratory, Affiliated Liutie Central Hospital of Guangxi Medical University, Guangxi, China.
Sha HeDepartment of Hepatobiliary Surgery, Affiliated Liutie Central Hospital of Guangxi Medical University, Guangxi, China.
Jianlin ChenDepartment of Clinical Laboratory, Affiliated Liutie Central Hospital of Guangxi Medical University, Guangxi, China.
Di ZhangDepartment of Clinical Laboratory, The Third Xiangya Hospital of Central South University, Hunan, China.
Yongqi ShenDepartment of Oncology, Affiliated Liutie Central Hospital of Guangxi Medical University, Guangxi, China. gxnnsyq@163.com.ORCID http://orcid.org/0000-0002-1659-438X
Yifan SunDepartment of Clinical Laboratory, Affiliated Liutie Central Hospital of Guangxi Medical University, Guangxi, China. sunyifan@gxmu.edu.cn.ORCID http://orcid.org/0000-0003-3060-1539
Guangxi Medical University · CNCentral South University · CN

Funding

National Natural Science Foundation of China (National Science Foundation of China) 81760501Natural Science Foundation of Guangxi Province (Guangxi Natural Science Foundation) 2018GXNSFAA281034
6 · The paper itself

Abstract

Lenvatinib is the first target drug approved for advanced hepatocellular carcinoma (HCC). However, the development of drug resistance is common, and the mechanisms of lenvatinib resistance and resistant targets in HCC are poorly understood. By using CRISPR/Cas9 library screening, we screened out two key resistance genes, neurofibromin 1(NF1), and dual specificity phosphatase 9 (DUSP9), as critical drivers for lenvatinib resistance in HCC. With RNAi knockdown and CRISPR/Cas9 knockout models, we further clarified the mechanisms by which NF1 loss reactivates the PI3K/AKT and MAPK/ERK signaling pathways, while DUSP9 loss activates the MAPK/ERK signaling pathways, thereby inactivating FOXO3, followed by degradation of FOXO3, finally induced lenvatinib resistance. We also screened out trametinib, a small molecule pathway inhibitor for MEK, that can be used to reverse resistance induced by NF1 and DUSP9 loss in HCC cells. Trametinib was still able to halt HCC growth even when NF1 was knocked out in mice. Collectively, the findings indicate that NF1 and DUSP9 takes critical role in lenvatinib resistance and may be novel specific targets and predictive markers for lenvatinib resistance in HCC.

Identifiers

PMID34795217
PMCPMC8602346
OpenAlexW3212440187

What OpenQuestion holds

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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.