Evidence map›Paper›PMID 36739334›Full record

ArticleCell death and differentiation2023

The anti-cancer agent APR-246 can activate several programmed cell death processes to kill malignant cells.

Zilu Wang, Huimin Hu, Luuk Heitink, Kelly Rogers, Yue You, Tao Tan, Connie Li Wai Suen, Alex Garnham, Hao Chen, Elizabeth Lieschke and 10 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Cell death and differentiation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
7.8field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 36 citations in OpenAlex.

  1. Journal of enzyme inhibition and medicinal chemistry · 2026
    Article
  2. Revisiting tumor immunogenicity through the lens of mutant p53: Implications for cancer immunotherapy.Apoptosis : an international journal on programmed cell death · 2026
    Review
  3. Article
  4. Aging and cancer: current understandings and future perspectives.Signal transduction and targeted therapy · 2026
    Review
  5. Article
  6. Review
  7. Article
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  15. Article
  16. Article
  17. Article
  18. Small-Molecule Drugs in Pediatric Neuro-Oncology.Current oncology (Toronto, Ont.) · 2025
    Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 2 institutions in 1 country.

Zilu WangThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.
Huimin HuThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.
Luuk HeitinkThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.
Kelly RogersThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.ORCID http://orcid.org/0000-0002-6755-0221
Yue YouThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.
Tao TanThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.
Connie Li Wai SuenThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.ORCID http://orcid.org/0000-0003-0529-0804
Alex GarnhamThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.
Hao ChenThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.
Elizabeth LieschkeThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.ORCID http://orcid.org/0000-0003-3320-1565
Sarah T DiepstratenThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.ORCID http://orcid.org/0000-0002-1946-5161
Catherine ChangThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.
Tianwei ChenThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.
Diane MoujalledThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.ORCID http://orcid.org/0000-0002-6405-2788
Kate SutherlandThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.ORCID http://orcid.org/0000-0002-7453-3366
Guillaume LesseneThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.ORCID http://orcid.org/0000-0002-1193-8147
Oliver M SieberThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.
Jane VisvaderThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia.
Gemma L KellyThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia. gkelly@wehi.edu.au.ORCID http://orcid.org/0000-0002-6533-1201
Andreas StrasserThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, 3052, Australia. strasser@wehi.edu.au.ORCID http://orcid.org/0000-0002-5020-4891
The University of Melbourne · AUWalter and Eliza Hall Institute of Medical Research · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mutant TP53 proteins are thought to drive the development and sustained expansion of cancers at least in part through the loss of the wild-type (wt) TP53 tumour suppressive functions. Therefore, compounds that can restore wt TP53 functions in mutant TP53 proteins are expected to inhibit the expansion of tumours expressing mutant TP53. APR-246 has been reported to exert such effects in malignant cells and is currently undergoing clinical trials in several cancer types. However, there is evidence that APR-246 may also kill malignant cells that do not express mutant TP53. To support the clinical development of APR-246 it is important to understand its mechanism(s) of action. By establishing isogenic background tumour cell lines with different TP53/TRP53 states, we found that APR-246 can kill malignant cells irrespective of their TP53/TRP53 status. Accordingly, RNAseq analysis revealed that treatment with APR-246 induces expression of the same gene set in Eμ-Myc mouse lymphoma cells of all four possible TRP53 states, wt, wt alongside mutant, knockout and knockout alongside mutant. We found that depending on the type of cancer cell and the concentration of APR-246 used, this compound can kill malignant cells through induction of various programmed cell death pathways, including apoptosis, necroptosis and ferroptosis. The sensitivity of non-transformed cells to APR-246 also depended on the cell type. These findings reveal that the clinical testing of APR-246 should not be limited to cancers expressing mutant TP53 but expanded to cancers that express wt TP53 or are TP53-deficient.

Indexed as

Genes, p53Tumor Suppressor Protein p53AnimalsApoptosisCell Line, TumorMiceMutationTumor Suppressor Protein p53

Identifiers

PMID36739334
PMCPMC10070280
OpenAlexW4319262297

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.