Evidence map›Paper›PMID 35475274›Full record

ArticleNeuro-oncology advances

Predictive modeling of resistance to SMO inhibition in a patient-derived orthotopic xenograft model of SHH medulloblastoma.

Sonja Krausert, Sebastian Brabetz, Norman L Mack, Felix Schmitt-Hoffner, Benjamin Schwalm, Heike Peterziel, Aileen Mangang, Tim Holland-Letz, Laura Sieber, Andrey Korshunov and 5 more

Abstract read
In one paragraph

Article in Neuro-oncology advances. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
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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

15 authors.

Sonja KrausertPreclinical Pediatric Oncology, Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.ORCID https://orcid.org/0000-0001-6453-8692
Sebastian BrabetzPreclinical Pediatric Oncology, Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Norman L MackPreclinical Pediatric Oncology, Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Felix Schmitt-HoffnerPreclinical Pediatric Oncology, Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Benjamin SchwalmPreclinical Pediatric Oncology, Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Heike PeterzielPreclinical Pediatric Oncology, Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Aileen MangangPreclinical Pediatric Oncology, Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Tim Holland-LetzDivision of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Laura SieberPreclinical Pediatric Oncology, Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Andrey KorshunovPreclinical Pediatric Oncology, Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Ina OehmePreclinical Pediatric Oncology, Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Natalie JägerPreclinical Pediatric Oncology, Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Olaf WittPreclinical Pediatric Oncology, Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Stefan M PfisterPreclinical Pediatric Oncology, Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Marcel KoolPreclinical Pediatric Oncology, Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Inhibition of the sonic hedgehog (SHH) pathway with Smoothened (SMO) inhibitors is a promising treatment strategy in SHH-activated medulloblastoma, especially in adult patients. However, the problem is that tumors frequently acquire resistance to the treatment. To understand the underlying resistance mechanisms and to find ways to overcome the resistance, preclinical models that became resistant to SMO inhibition are needed. Methods: To induce SMO inhibitor resistant tumors, we have treated a patient-derived xenograft (PDX) model of SHH medulloblastoma, sensitive to SMO inhibition, with 20 mg/kg Sonidegib using an intermitted treatment schedule. Vehicle-treated and resistant models were subjected to whole-genome and RNA sequencing for molecular characterization and target engagement. Results: Nine independent Sonidegib-resistant PDX lines were generated. Molecular characterization of the resistant models showed that eight models developed missense mutations in Conclusions: We report the first human SMO inhibitor resistant medulloblastoma PDX models, which can be used for further preclinical experiments to develop the best strategies to overcome the resistance to SMO inhibitors in patients.

Indexed as

resistanceSelinexorSHH MedulloblastomaSMO inhibitorSonidegib

Identifiers

PMID35475274
PMCPMC9034118

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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.