Evidence map›Paper›PMID 34845378›Full record

ArticleOncogene2022

Elevated expression of RIT1 hyperactivates RAS/MAPK signal and sensitizes hepatocellular carcinoma to combined treatment with sorafenib and AKT inhibitor.

Liangzhan Sun, Shaoyan Xi, Zhengdong Zhou, Feifei Zhang, Pengchao Hu, Yuzhu Cui, Shasha Wu, Ying Wang, Shayi Wu, Yanchen Wang and 11 more

Abstract read
PubMed Publisher
In one paragraph

Article in Oncogene, 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
3.8field-weighted citation impact, top 5% 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, 42 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

21 authors at 3 institutions in 2 countries.

Liangzhan SunDepartment of Biology, School of Life Sciences, Southern University of Science and Technology, Shenzhen, China.
Shaoyan XiDepartment of Pathology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Zhengdong ZhouDepartment of Biology, School of Life Sciences, Southern University of Science and Technology, Shenzhen, China.
Feifei ZhangDepartment of Clinical Oncology, The University of Hong Kong, Hong Kong, China.
Pengchao HuDepartment of Biology, School of Life Sciences, Southern University of Science and Technology, Shenzhen, China.
Yuzhu CuiDepartment of Clinical Oncology, The University of Hong Kong, Hong Kong, China.
Shasha WuDepartment of Biology, School of Life Sciences, Southern University of Science and Technology, Shenzhen, China.
Ying WangState Key Laboratory of Oncology in South China and Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China.
Shayi WuDepartment of Clinical Oncology, The University of Hong Kong, Hong Kong, China.
Yanchen WangDepartment of Biology, School of Life Sciences, Southern University of Science and Technology, Shenzhen, China.
Yuyang DuDepartment of Biology, School of Life Sciences, Southern University of Science and Technology, Shenzhen, China.
Jingyi ZhengDepartment of Biology, School of Life Sciences, Southern University of Science and Technology, Shenzhen, China.
Hui YangDepartment of Biology, School of Life Sciences, Southern University of Science and Technology, Shenzhen, China.
Miao ChenDepartment of Clinical Oncology, The University of Hong Kong, Hong Kong, China.
Qian YanDepartment of Clinical Oncology, The University of Hong Kong, Hong Kong, China.
Dandan YuDepartment of Biology, School of Life Sciences, Southern University of Science and Technology, Shenzhen, China.
Chaoran ShiDepartment of Clinical Oncology, The University of Hong Kong, Hong Kong, China.
Yu ZhangDepartment of Clinical Oncology, The University of Hong Kong, Hong Kong, China.
Dan XieState Key Laboratory of Oncology in South China and Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China.ORCID http://orcid.org/0000-0003-2242-3138
Xin-Yuan Guan *Department of Clinical Oncology, The University of Hong Kong, Hong Kong, China. xyguan@hku.hk.ORCID http://orcid.org/0000-0002-4485-6017
Yan Li *Department of Biology, School of Life Sciences, Southern University of Science and Technology, Shenzhen, China. liy33@sustech.edu.cn.ORCID http://orcid.org/0000-0003-1146-5578
Chinese University of Hong Kong · HKSouthern University of Science and Technology · CNSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hyperactivation of RAS/MAPK signaling is commonly observed in hepatocellular carcinoma (HCC). Gain-of-function mutations of canonical RAS genes, however, are rarely detected and it remains unclear how the activity of this pathway is turned on during hepatocarcinogenesis. We performed a comprehensive analysis of RAS superfamily genetic alterations across ten subfamilies, 152 members in 377 HCC patients from the Cancer Genome Atlas database. RIT1 (Ras-like without CAAX 1) was the most frequently altered RAS member amplified in 13% of the HCC cohort. Both genomic amplification and CREB-mediated transcriptional activation contributed to the elevated RIT1 expression, and its overexpression correlated with RAS/MAPK activation and poor prognosis. Then, we found that RIT1-induced angiogenesis via the MEK/ERK/EIF4E/HIF1-α/VEGFA axis. MAP3K11 and MAP3K12, in addition to CRAF, could mediate this process by binding to RIT1. Moreover, RIT1 increased the phosphorylation of p38 MAPK and AKT to promote cell survival under reactive oxygen species stress. Based on this mechanistic understanding, we treated RIT1-overexpressing HCC with combined regimen sorafenib plus AKT inhibitor, and achieved enhanced antitumor effects in vivo. Our study reveals RAS "orphan" member RIT1 as the most common genetic alteration of RAS family in HCC and combination of sorafenib with AKT inhibitor might be a promising treatment strategy for RIT1-overexpressing HCC.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsProto-Oncogene Proteins c-aktras ProteinsSorafenibAnimalsAntineoplastic Combined Chemotherapy ProtocolsCell Line, TumorGene Expression Regulation, NeoplasticHumansMAP Kinase Signaling SystemMiceMice, NudeProtein Kinase InhibitorsXenograft Model Antitumor AssaysProtein Kinase InhibitorsProto-Oncogene Proteins c-aktras ProteinsRIT1 protein, humanSorafenib

Identifiers

PMID34845378
OpenAlexW3217198578

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.