Evidence map›Paper›PMID 35461210›Full record

ArticleBMC cancer2022

AXL regulates neuregulin1 expression leading to cetuximab resistance in head and neck cancer.

Mari Iida, Nellie K McDaniel, Kourtney L Kostecki, Noah B Welke, Carlene A Kranjac, Peng Liu, Colin Longhurst, Justine Y Bruce, Seungpyo Hong, Ravi Salgia and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 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
1.2field-weighted citation impact, top 23% 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, 14 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. [Role of Receptor Tyrosine Kinase AXL in Cancer Targeted Therapy Drug Resistance].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2026
    Review
  5. Article
  6. Article
  7. AXL signaling in cancer: from molecular insights to targeted therapies.Signal transduction and targeted therapy · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. AXL in cancer: a modulator of drug resistance and therapeutic target.Journal of experimental & clinical cancer research : CR · 2023
    Review
  15. Article
  16. Targeting HER3-dependent activation of nuclear AKT improves radiotherapy of non-small cell lung cancer.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2022
    Article
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 4 institutions in 2 countries.

Mari IidaDepartment of Human Oncology, School of Medicine and Public Health, University of Wisconsin, 1111 highland Ave, WIMR 3159, Madison, WI, 53705, USA.
Nellie K McDanielDepartment of Human Oncology, School of Medicine and Public Health, University of Wisconsin, 1111 highland Ave, WIMR 3159, Madison, WI, 53705, USA.
Kourtney L KosteckiDepartment of Human Oncology, School of Medicine and Public Health, University of Wisconsin, 1111 highland Ave, WIMR 3159, Madison, WI, 53705, USA.
Noah B WelkeDepartment of Human Oncology, School of Medicine and Public Health, University of Wisconsin, 1111 highland Ave, WIMR 3159, Madison, WI, 53705, USA.
Carlene A KranjacDepartment of Human Oncology, School of Medicine and Public Health, University of Wisconsin, 1111 highland Ave, WIMR 3159, Madison, WI, 53705, USA.
Peng LiuSchool of Medicine and Public Health, University of Wisconsin Carbone Cancer Center, University of Wisconsin, Madison, WI, USA.
Colin LonghurstDepartment of Biostatistics and Medical Informatics, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
Justine Y BruceSchool of Medicine and Public Health, University of Wisconsin Carbone Cancer Center, University of Wisconsin, Madison, WI, USA.
Seungpyo HongPharmaceutical Sciences Division, University of Wisconsin School of Pharmacy, Madison, WI, USA.
Ravi SalgiaDepartment of Medical Oncology and Experimental Therapeutics, Comprehensive Cancer Center, City of Hope, Duarte, CA, USA.
Deric L WheelerDepartment of Human Oncology, School of Medicine and Public Health, University of Wisconsin, 1111 highland Ave, WIMR 3159, Madison, WI, 53705, USA. dlwheeler@wisc.edu.
University of Wisconsin–Madison · USCity of Hope · USUniversity of Wisconsin Carbone Cancer Center · USYonsei University · KR

Funding

Project 3: Modulation of the head and neck tumor immune microenvironment by targeting the TAM family of receptorsP50CA278595 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI PAUL M HARARI · 2022 to 2026
$12.5M
Project 4: Role of Receptor Tyrosine Kinase AXL in HNSCC Therapy ResistanceP50DE026787 · NIDCR · UNIVERSITY OF WISCONSIN-MADISON · PI YU, MENGGANG · 2016 to 2020
$10.8M
Automated Tissue MicroarrayerS10OD023526 · OD · UNIVERSITY OF WISCONSIN-MADISON · PI MATKOWSKYJ, KRISTINA A. · 2018 to 2018
$184k
NCI NIH HHS P50 CA278595NIDCR NIH HHS P50 DE026787NIH HHS S10 OD023526
6 · The paper itself

Abstract

backgroundThe receptor tyrosine kinase (RTK) epidermal growth factor receptor (EGFR) is overexpressed and an important therapeutic target in Head and Neck cancer (HNC). Cetuximab is currently the only EGFR-targeting agent approved by the FDA for treatment of HNC; however, intrinsic and acquired resistance to cetuximab is a major problem in the clinic. Our lab previously reported that AXL leads to cetuximab resistance via activation of HER3. In this study, we investigate the connection between AXL, HER3, and neuregulin1 (NRG1) gene expression with a focus on understanding how their interdependent signaling promotes resistance to cetuximab in HNC.

methodsPlasmid or siRNA transfections and cell-based assays were conducted to test cetuximab sensitivity. Quantitative PCR and immunoblot analysis were used to analyze gene and protein expression levels. Seven HNC patient-derived xenografts (PDXs) were evaluated for protein expression levels.

resultsWe found that HER3 expression was necessary but not sufficient for cetuximab resistance without AXL expression. Our results demonstrated that addition of the HER3 ligand NRG1 to cetuximab-sensitive HNC cells leads to cetuximab resistance. Further, AXL-overexpressing cells regulate NRG1 at the level of transcription, thereby promoting cetuximab resistance. Immunoblot analysis revealed that NRG1 expression was relatively high in cetuximab-resistant HNC PDXs compared to cetuximab-sensitive HNC PDXs. Finally, genetic inhibition of NRG1 resensitized AXL-overexpressing cells to cetuximab.

conclusionsThe results of this study indicate that AXL may signal through HER3 via NRG1 to promote cetuximab resistance and that targeting of NRG1 could have significant clinical implications for HNC therapeutic approaches.

Indexed as

Drug Resistance, NeoplasmHead and Neck NeoplasmsNeuregulin-1Proto-Oncogene ProteinsReceptor Protein-Tyrosine KinasesAxl Receptor Tyrosine KinaseCell Line, TumorCetuximabErbB ReceptorsHumansAXL protein, humanAxl Receptor Tyrosine KinaseCetuximabErbB ReceptorsNeuregulin-1Proto-Oncogene ProteinsReceptor Protein-Tyrosine KinasesAXLCetuximabHead and neck cancerHER3neuregulin1Resistance

Identifiers

PMID35461210
PMCPMC9035247
OpenAlexW4225874074

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.