Evidence map›Paper›PMID 37534528›Full record

ArticleHaematologica2024

Hypomethylating agent decitabine sensitizes diffuse large B-cell lymphoma to venetoclax.

Fen Zhu, Jennifer L Crombie, Wei Ni, Nguyet-Minh Hoang, Swati Garg, Liam Hackett, Stephen J F Chong, Mary C Collins, Lixin Rui, James Griffin and 1 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 12 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Fen ZhuDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Jennifer L CrombieDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Wei NiDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Nguyet-Minh HoangDepartment of Medicine and Carbone Cancer Center, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Swati GargDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Liam HackettDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Stephen J F ChongDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Mary C CollinsDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Lixin RuiDepartment of Medicine and Carbone Cancer Center, University of Wisconsin School of Medicine and Public Health, Madison, WI.
James GriffinDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Matthew S DavidsDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA. Matthew_Davids@DFCI.HARVARD.EDU.
Dana-Farber Cancer Institute · USUniversity of Wisconsin Carbone Cancer Center · US

Funding

Optimizing novel agent combination therapy for previously untreated, high risk chronic lymphocytic leukemiaR01CA266298 · NCI · DANA-FARBER CANCER INST · PI MATTHEW S DAVIDS · 2022 to 2026
$2.0M
NCI NIH HHS R01 CA266298
6 · The paper itself

Abstract

Despite recent advances in the therapy of diffuse large B-cell lymphoma (DLBCL), many patients are still not cured. Therefore, new therapeutic strategies are needed. The anti-apoptotic B-cell lymphoma 2 (BCL2) gene is commonly dysregulated in DLBCL due to various mechanisms such as chromosomal translocation t(14;18)(q32;q21) and copy number alterations; however, targeting BCL-2 with the selective inhibitor, venetoclax, led to response in only a minority of patients. Thus, we sought to identify a rational combination partner of venetoclax to improve its activity against DLBCL cells. Utilizing a functional assay, dynamic BH3 profiling, we found that the DNA hypomethylating agent decitabine increased mitochondrial apoptotic priming and BCL-2 dependence in DLBCL cells. RNA-sequencing analysis revealed that decitabine suppressed the pro-survival PI3K-AKT pathway and altered the mitochondria membrane composition in DLBCL cell lines. Additionally, it induced a DNA damage response and increased BAX and BAK activities. The combination of decitabine and venetoclax synergistically suppressed proliferation of DLBCL cells both in vitro and in vivo in a DLBCL cell line-derived xenograft mouse model. Our study suggests that decitabine plus venetoclax is a promising combination to explore clinically in DLBCL.

Indexed as

Lymphoma, Large B-Cell, DiffusePhosphatidylinositol 3-KinasesAnimalsApoptosisBridged Bicyclo Compounds, HeterocyclicCell Line, TumorDecitabineHumansMiceProto-Oncogene Proteins c-bcl-2SulfonamidesBridged Bicyclo Compounds, HeterocyclicDecitabinePhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-bcl-2Sulfonamidesvenetoclax

Identifiers

PMID37534528
PMCPMC10772509
OpenAlexW4385514479

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.