Evidence map›Paper›PMID 37200088›Full record

ArticleThe Journal of clinical investigation2023

Atrx deletion impairs CGAS/STING signaling and increases sarcoma response to radiation and oncolytic herpesvirus.

Warren Floyd, Matthew Pierpoint, Chang Su, Rutulkumar Patel, Lixia Luo, Katherine Deland, Amy J Wisdom, Daniel Zhu, Yan Ma, Suzanne Bartholf DeWitt and 7 more

Open access · goldAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Loss of function ofiScience · 2025
    Article
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  10. Article
  11. Article
  12. Article
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  14. Review
  15. Article
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  17. Article
  18. Article
  19. Telomeres and telomerase in Sarcoma disease and therapy.International journal of medical sciences · 2024
    Review
  20. 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

17 authors at 5 institutions in 2 countries.

Warren FloydDepartment of Pharmacology and Cancer Biology, and.
Matthew PierpointDepartment of Pharmacology and Cancer Biology, and.
Chang SuDepartment of Pharmacology and Cancer Biology, and.
Rutulkumar PatelDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, USA.
Lixia LuoDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, USA.
Katherine DelandDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, USA.
Amy J WisdomDepartment of Radiation Oncology, Brigham and Women's Hospital/Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Daniel ZhuDepartment of Pharmacology and Cancer Biology, and.
Yan MaDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, USA.
Suzanne Bartholf DeWittDepartment of Orthopaedics and.
Nerissa T WilliamsDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, USA.
Alexander L LazaridesDepartment of Medicine, Duke University Medical Center, Durham, North Carolina, USA.
Jason A SomarelliDepartment of Sarcoma, Moffitt Cancer Center, Tampa, Florida, USA.
David L CorcoranCenter for Genomic and Computational Biology, Duke University, Durham, North Carolina, USA.
William C EwardDepartment of Orthopaedics and.
Diana M CardonaDepartment of Pathology, Duke University Medical Center, Durham, North Carolina, USA.
David G KirschRadiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Duke Medical Center · USMoffitt Cancer Center · USBrigham and Women's Hospital · USDuke University · USUniversity Health Network · CA

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007171 · NIGMS · DUKE UNIVERSITY · PI KONTOS, CHRISTOPHER D · 1985 to 2021
$31.2M
Advancing Cancer Therapy through Ground Breaking Research in Radiation BiologyR35CA197616 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI David Guy Kirsch · 2016 to 2026
$10.7M
Medical Scientist Training Program Training GrantT32GM145449 · NIGMS · DUKE UNIVERSITY · PI Christopher D Kontos · 2022 to 2026
$6.6M
Dissecting the role of ATRX in soft tissue sarcoma development and radiation responseF30CA232652 · NCI · DUKE UNIVERSITY · PI FLOYD, ROBERT WARREN · 2020 to 2022
$105k
NCI NIH HHS F30 CA232652NCI NIH HHS R35 CA197616NIGMS NIH HHS T32 GM007171NIGMS NIH HHS T32 GM145449
6 · The paper itself

Abstract

ATRX is one of the most frequently altered genes in solid tumors, and mutation is especially frequent in soft tissue sarcomas. However, the role of ATRX in tumor development and response to cancer therapies remains poorly understood. Here, we developed a primary mouse model of soft tissue sarcoma and showed that Atrx-deleted tumors were more sensitive to radiation therapy and to oncolytic herpesvirus. In the absence of Atrx, irradiated sarcomas had increased persistent DNA damage, telomere dysfunction, and mitotic catastrophe. Our work also showed that Atrx deletion resulted in downregulation of the CGAS/STING signaling pathway at multiple points in the pathway and was not driven by mutations or transcriptional downregulation of the CGAS/STING pathway components. We found that both human and mouse models of Atrx-deleted sarcoma had a reduced adaptive immune response, markedly impaired CGAS/STING signaling, and increased sensitivity to TVEC, an oncolytic herpesvirus that is currently FDA approved for the treatment of aggressive melanomas. Translation of these results to patients with ATRX-mutant cancers could enable genomically guided cancer therapy approaches to improve patient outcomes.

Indexed as

HerpesviridaeSarcomaAnimalsHumansImmunity, InnateMiceNucleotidyltransferasesSignal TransductionX-linked Nuclear ProteinAtrx protein, mouseNucleotidyltransferasesX-linked Nuclear ProteinInnate immunityMouse modelsOncologyRadiation therapy

Identifiers

PMID37200088
PMCPMC10313374
OpenAlexW4377094281

What OpenQuestion holds

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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.