Evidence map›Paper›PMID 36792625›Full record

ArticleScientific reports2023

Targeting mTOR to overcome resistance to hormone and CDK4/6 inhibitors in ER-positive breast cancer models.

María Jimena Rodriguez, María Cecilia Perrone, Marina Riggio, Marta Palafox, Valeria Salinas, Andrés Elia, Natali Daiana Salgueiro, Andrea Eugenia Werbach, María Paula Marks, Marcelo A Kauffman and 3 more

Abstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

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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

13 authors.

María Jimena RodriguezInstituto de Biología y Medicina Experimental (IBYME-CONICET), Protein Kinases and Cancer Laboratory, ADN1428 CABA, Buenos Aires, Argentina.
María Cecilia PerroneInstituto de Biología y Medicina Experimental (IBYME-CONICET), Protein Kinases and Cancer Laboratory, ADN1428 CABA, Buenos Aires, Argentina.
Marina RiggioInstituto de Biología y Medicina Experimental (IBYME-CONICET), Protein Kinases and Cancer Laboratory, ADN1428 CABA, Buenos Aires, Argentina.
Marta PalafoxVall D'Hebron Institute of Oncology (VHIO), Experimental Therapeutics Group, 08035, Barcelona, Spain.
Valeria SalinasHospital JM Ramos Mejía, Neurogenetics Unit, C1221ADC CABA, Buenos Aires, Argentina.
Andrés EliaInstituto de Biología y Medicina Experimental (IBYME-CONICET), Protein Kinases and Cancer Laboratory, ADN1428 CABA, Buenos Aires, Argentina.
Natali Daiana SalgueiroInstituto de Biología y Medicina Experimental (IBYME-CONICET), Protein Kinases and Cancer Laboratory, ADN1428 CABA, Buenos Aires, Argentina.
Andrea Eugenia WerbachInstituto de Biología y Medicina Experimental (IBYME-CONICET), Protein Kinases and Cancer Laboratory, ADN1428 CABA, Buenos Aires, Argentina.
María Paula MarksInstituto de Biología y Medicina Experimental (IBYME-CONICET), Protein Kinases and Cancer Laboratory, ADN1428 CABA, Buenos Aires, Argentina.
Marcelo A KauffmanHospital JM Ramos Mejía, Neurogenetics Unit, C1221ADC CABA, Buenos Aires, Argentina.
Luciano VellónInstituto de Biología y Medicina Experimental (IBYME-CONICET), Protein Kinases and Cancer Laboratory, ADN1428 CABA, Buenos Aires, Argentina.
Violeta SerraVall D'Hebron Institute of Oncology (VHIO), Experimental Therapeutics Group, 08035, Barcelona, Spain.
Virginia NovaroInstituto de Biología y Medicina Experimental (IBYME-CONICET), Protein Kinases and Cancer Laboratory, ADN1428 CABA, Buenos Aires, Argentina. vnovaro@gmail.com.ORCID 0000-0002-9917-4953

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Resistance to therapy remains a major obstacle in cancer management. Although treatment with hormone and CDK4/6 inhibitors is successful in luminal breast cancer, resistance to these treatments is frequent, highlighting the need for novel therapeutic strategies to delay disease progression and improve patient survival. Here, we assessed the mechanisms of acquired resistance using T47D and MCF-7 tamoxifen- and palbociclib-resistant cell-line variants in culture and as xenografts, and patient-derived cells (PDCs) obtained from sensitive or resistant patient-derived xenografts (PDXs). In these models, we analyzed the effect of specific kinase inhibitors on survival, signaling and cellular aggressiveness. Our results revealed that mTOR inhibition is more effective than PI3K inhibition in overcoming resistance, irrespective of PIK3CA mutation status, by decreasing cell proliferation and tumor growth, as well as reducing cell migration and stemness. Moreover, a combination of mTOR and CDK4/6 inhibitors may prevent pathway reactivation downstream of PI3K, interfering with the survival of resistant cells and consequent tumor escape. In conclusion, we highlight the benefits of incorporating mTOR inhibitors into the current therapy in ER + breast cancer. This alternative therapeutic strategy not only enhances the antitumor response but may also delay the emergence of resistance and tumor recurrence.

Indexed as

Breast NeoplasmsCell Line, TumorCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Drug Resistance, NeoplasmFemaleHormonesHumansNeoplasm Recurrence, LocalPhosphatidylinositol 3-KinasesProtein Kinase InhibitorsTOR Serine-Threonine KinasesCDK4 protein, humanCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6HormonesMTOR protein, humanPhosphatidylinositol 3-KinasesProtein Kinase InhibitorsTOR Serine-Threonine Kinases

Identifiers

PMID36792625
PMCPMC9932145

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.