Evidence map›Paper›PMID 37713162›Full record

ArticleMedical oncology (Northwood, London, England)2023

AKT-independent signaling in PIK3CA-mutant thyroid cancer mediates resistance to dual SRC and MEK1/2 inhibition.

Madison M Rose, Kelsey W Nassar, Vibha Sharma, Rebecca E Schweppe

Abstract read
In one paragraph

Article in Medical oncology (Northwood, London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Dual targeting of BRAFJournal of experimental & clinical cancer research : CR · 2026
    Article
  2. 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

4 authors.

Madison M RoseDivision of Endocrinology, Metabolism, and Diabetes, School of Medicine, University of Colorado Anschutz Medical Campus, Mail Stop 8106, Aurora, CO, 80045, USA. madison.m.rose@cuanschutz.edu.ORCID http://orcid.org/0000-0003-3827-3330
Kelsey W NassarDivision of Endocrinology, Metabolism, and Diabetes, School of Medicine, University of Colorado Anschutz Medical Campus, Mail Stop 8106, Aurora, CO, 80045, USA.
Vibha SharmaDivision of Endocrinology, Metabolism, and Diabetes, School of Medicine, University of Colorado Anschutz Medical Campus, Mail Stop 8106, Aurora, CO, 80045, USA.
Rebecca E SchweppeDivision of Endocrinology, Metabolism, and Diabetes, School of Medicine, University of Colorado Anschutz Medical Campus, Mail Stop 8106, Aurora, CO, 80045, USA.

Funding

Training Program in Cancer BiologyT32CA190216 · NCI · UNIVERSITY OF COLORADO DENVER · PI Craig T. Jordan · 2016 to 2026
$3.5M
Targeting FAK and Src in thyroid cancerR01CA222299 · NCI · UNIVERSITY OF COLORADO DENVER · PI SCHWEPPE, REBECCA ELIZABETH · 2018 to 2022
$2.6M
Functional Proteomics by Reverse Phase Protein Array in CancerR50CA221675 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI LU, YILING · 2017 to 2021
$726k
The Regulation of Apoptosis by Cooperative Src and MAPK Signaling in Thyroid CancerF31CA247211 · NCI · UNIVERSITY OF COLORADO DENVER · PI ROSE, MADISON MARIAH KING · 2020 to 2022
$111k
Cancer League of Colorado AWD-183294-RSFoundation for the National Institutes of Health 1R01CA222299Foundation for the National Institutes of Health 5F31CA247211Foundation for the National Institutes of Health T32CA190216NCI NIH HHS F31 CA247211NCI NIH HHS R01 CA222299NCI NIH HHS R50 CA221675NCI NIH HHS T32 CA190216
6 · The paper itself

Abstract

Anaplastic thyroid cancer (ATC) is a rare and aggressive disease with 90% of patients succumbing to this disease 1 year after diagnosis. The approval of the combination therapy of a BRAF inhibitor dabrafenib with the MEK1/2 inhibitor trametinib has improved the overall survival of ATC patients. However, resistance to therapy remains a major problem. We have previously demonstrated combined inhibition of Src with dasatinib and MEK1/2 with trametinib synergistically inhibits growth and induces apoptosis in BRAF- and RAS-mutant thyroid cancer cells, however PIK3CA-mutant cells exhibit a mixed response. Herein, we determined that AKT is not a major mediator of sensitivity and instead PIK3CA-mutants that are resistant to combined dasatinib and trametinib have sustained activation of PDK1 signaling. Furthermore, combined inhibition of PDK1 and MEK1/2 was sufficient to reduce cell viability. These data indicate PDK1 inhibition is a therapeutic option for PIK3CA mutations that do not respond to combined Src and MEK1/2 inhibition.

Indexed as

Thyroid Carcinoma, AnaplasticThyroid NeoplasmsClass I Phosphatidylinositol 3-KinasesDasatinibHumansProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-aktClass I Phosphatidylinositol 3-KinasesDasatinibPIK3CA protein, humanProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-aktDasatinibMAPKPI3KSrcThyroid cancerTrametinib

Identifiers

PMID37713162
PMCPMC13293484

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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.