Evidence map›Paper›PMID 34853306›Full record

ArticleNature communications2021

Comprehensive targeting of resistance to inhibition of RTK signaling pathways by using glucocorticoids.

Ke Gong, Gao Guo, Nicole A Beckley, Xiaoyao Yang, Yue Zhang, David E Gerber, John D Minna, Sandeep Burma, Dawen Zhao, Esra A Akbay and 1 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

13 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
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

11 authors at 5 institutions in 2 countries.

Ke GongDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
Gao GuoDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
Nicole A BeckleyDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
Xiaoyao YangDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
Yue ZhangDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
David E GerberDivision of Hematology-Oncology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.ORCID http://orcid.org/0000-0002-7812-6741
John D MinnaDepartment of Pharmacology, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.ORCID http://orcid.org/0000-0002-7776-0767
Sandeep BurmaDepartment of Neurosurgery, University of Texas Health San Antonio, San Antonio, TX, 78229, USA.ORCID http://orcid.org/0000-0001-7057-9845
Dawen ZhaoDepartments of Biomedical Engineering, Wake Forest School of Medicine, Winston Salem, NC, 27157, USA.ORCID http://orcid.org/0000-0001-6428-1698
Esra A AkbayDepartment of Pathology, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.ORCID http://orcid.org/0000-0002-4149-2529
Amyn A HabibDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA. Amyn.Habib@UTSouthwestern.edu.ORCID http://orcid.org/0000-0003-4164-9028
The University of Texas Southwestern Medical Center · USSouthwestern Medical Center · USThe University of Texas Health Science Center at San Antonio · USWake Forest University · USWuhan University · CN

Funding

UNIVERSITY OF TEXAS--SPORE IN LUNG CANCERP50CA070907 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI HEYMACH, JOHN V., MINNA, JOHN D. · 1996 to 2024
$57.4M
UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI MELANIE H. COBB · 2010 to 2026
$53.7M
Lung cancer oncogenotype-selective drug target discoveryU01CA176284 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI MACMILLAN, JOHN B, MINNA, JOHN D. · 2013 to 2016
$2.8M
The role of Nrf2 in mediating resistance to EGFR inhibition in glioblastomaR01CA244212 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI HABIB, AMYN · 2020 to 2024
$1.9M
Convertible MRI contrast signaling delivery and release of anti-glioma nano-drugR01CA194578 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ZHAO, DAWEN · 2015 to 2019
$1.8M
Radiation-induced senescence in the brain microenvironment: Implications for glioblastoma recurrence and therapyR01CA246807 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI BURMA, SANDEEP · 2021 to 2025
$1.8M
Mechanisms of EXO1 regulation in response to radiation-induced DNA damageR01CA197796 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI BURMA, SANDEEP · 2016 to 2020
$1.6M
Development of New Cancer Treatments and InvestigatorsK24CA201543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI GERBER, DAVID ERIC · 2016 to 2020
$737k
Avance III HD (AV3) ConsoleS10OD023552 · OD · UT SOUTHWESTERN MEDICAL CENTER · PI TAKAHASHI, MASAYA · 2017 to 2017
$600k
Interactions between inflammatory and oncogenic signaling pathways in GBMI01BX002559 · VA · VA NORTH TEXAS HEALTH CARE SYSTEM · PI HABIB, AMYN · 2014 to 2021
–
BLRD VA I01 BX002559NCI NIH HHS K24 CA201543NCI NIH HHS P30 CA142543NCI NIH HHS P50 CA070907NCI NIH HHS R01 CA194578NCI NIH HHS R01 CA197796NCI NIH HHS R01 CA244212NCI NIH HHS R01 CA246807NCI NIH HHS U01 CA176284NIH HHS S10 OD023552
6 · The paper itself

Abstract

Inhibition of RTK pathways in cancer triggers an adaptive response that promotes therapeutic resistance. Because the adaptive response is multifaceted, the optimal approach to blunting it remains undetermined. TNF upregulation is a biologically significant response to EGFR inhibition in NSCLC. Here, we compared a specific TNF inhibitor (etanercept) to thalidomide and prednisone, two drugs that block TNF and also other inflammatory pathways. Prednisone is significantly more effective in suppressing EGFR inhibition-induced inflammatory signals. Remarkably, prednisone induces a shutdown of bypass RTK signaling and inhibits key resistance signals such as STAT3, YAP and TNF-NF-κB. Combined with EGFR inhibition, prednisone is significantly superior to etanercept or thalidomide in durably suppressing tumor growth in multiple mouse models, indicating that a broad suppression of adaptive signals is more effective than blocking a single component. We identify prednisone as a drug that can effectively inhibit adaptive resistance with acceptable toxicity in NSCLC and other cancers.

Indexed as

A549 CellsAnimalsCarcinoma, Non-Small-Cell LungCytokinesDisease Models, AnimalDrug Resistance, NeoplasmErbB ReceptorsFemaleGlucocorticoidsHumansLung NeoplasmsMiceMice, Inbred NODMice, SCIDMice, TransgenicPrednisoneCytokinesEGFR protein, mouseErbB ReceptorsGlucocorticoidsPrednisoneProtein Kinase InhibitorsStat3 protein, mouseSTAT3 Transcription FactorThalidomideTumor Necrosis Factor Inhibitors

Identifiers

PMID34853306
PMCPMC8636603
OpenAlexW3216616997

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.