Evidence map›Paper›PMID 35443029›Full record

ArticleBlood2022

Ceramide-induced integrated stress response overcomes Bcl-2 inhibitor resistance in acute myeloid leukemia.

Alexander C Lewis, Victoria S Pope, Melinda N Tea, Manjun Li, Gus O Nwosu, Thao M Nguyen, Craig T Wallington-Beddoe, Paul A B Moretti, Dovile Anderson, Darren J Creek and 16 more

Open access · hybridAbstract read
In one paragraph

Article in Blood, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

38 citing papers in PubMed, 45 citations in OpenAlex.

  1. Review
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  5. A Novel Potent and Selective GCN2 Inhibitor, APL-4098, Has Antileukemic Activity through Dysregulation of Mitochondrial Function.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  6. Review
  7. Article
  8. Review
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  11. Metabolic Signature ofJournal of personalized medicine · 2025
    Review
  12. Article
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  15. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 5 institutions in 2 countries.

Alexander C LewisCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.
Victoria S PopeCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.
Melinda N TeaCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.ORCID 0000-0001-7045-1198
Manjun LiCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.
Gus O NwosuCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.
Thao M NguyenCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.
Craig T Wallington-BeddoeCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.ORCID 0000-0002-7457-5937
Paul A B MorettiCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.
Dovile AndersonDrug Delivery, Disposition, and Dynamics, Monash Institute of Pharmaceutical Sciences, Monash University, Parkville, VIC, Australia.ORCID 0000-0003-0284-471X
Darren J CreekDrug Delivery, Disposition, and Dynamics, Monash Institute of Pharmaceutical Sciences, Monash University, Parkville, VIC, Australia.ORCID 0000-0001-7497-7082
Maurizio CostabileCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.ORCID 0000-0002-2162-6497
Saira R AliCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.
Chloe A L Thompson-PeachFaculty of Health Sciences, Adelaide Medical School, University of Adelaide, Adelaide, SA, Australia.ORCID 0000-0001-7172-3183
B Kate DredgeCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.ORCID 0000-0002-6103-5165
Andrew G BertCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.ORCID 0000-0003-3876-1537
Gregory J GoodallCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.ORCID 0000-0003-1294-0692
Paul G EkertChildren's Cancer Institute, Lowy Cancer Research Centre, University of New South Wales, Sydney, NSW, Australia.ORCID 0000-0002-2976-8617
Anna L BrownCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.ORCID 0000-0002-9023-0138
Richard D'AndreaCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.ORCID 0000-0002-4915-4612
Nirmal RobinsonCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.ORCID 0000-0002-7361-9491
Melissa R PitmanCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.ORCID 0000-0002-9587-3837
Daniel ThomasFaculty of Health Sciences, Adelaide Medical School, University of Adelaide, Adelaide, SA, Australia.
David M RossCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.ORCID 0000-0001-7171-2935
Briony L GliddonCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.
Jason A PowellCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.ORCID 0000-0001-8493-9178
Stuart M PitsonCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, SA, Australia.ORCID 0000-0002-9527-2740
South Australia Pathology · AUMonash University · AUCalifornia Institute for Regenerative Medicine · USRoyal Children's Hospital · AUSouth Australian Health and Medical Research Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inducing cell death by the sphingolipid ceramide is a potential anticancer strategy, but the underlying mechanisms remain poorly defined. In this study, triggering an accumulation of ceramide in acute myeloid leukemia (AML) cells by inhibition of sphingosine kinase induced an apoptotic integrated stress response (ISR) through protein kinase R-mediated activation of the master transcription factor ATF4. This effect led to transcription of the BH3-only protein Noxa and degradation of the prosurvival Mcl-1 protein on which AML cells are highly dependent for survival. Targeting this novel ISR pathway, in combination with the Bcl-2 inhibitor venetoclax, synergistically killed primary AML blasts, including those with venetoclax-resistant mutations, as well as immunophenotypic leukemic stem cells, and reduced leukemic engraftment in patient-derived AML xenografts. Collectively, these findings provide mechanistic insight into the anticancer effects of ceramide and preclinical evidence for new approaches to augment Bcl-2 inhibition in the therapy of AML and other cancers with high Mcl-1 dependency.

Indexed as

Antineoplastic AgentsLeukemia, Myeloid, AcuteApoptosisBridged Bicyclo Compounds, HeterocyclicCell Line, TumorCeramidesHumansMyeloid Cell Leukemia Sequence 1 ProteinProto-Oncogene Proteins c-bcl-2Antineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicCeramidesMyeloid Cell Leukemia Sequence 1 ProteinProto-Oncogene Proteins c-bcl-2

Identifiers

PMID35443029
PMCPMC9642852
OpenAlexW4224213933

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.