Evidence map›Paper›PMID 37800623›Full record

ArticleInternational journal of oncology2023

Inhibition of the NOTCH and mTOR pathways by nelfinavir as a novel treatment for T cell acute lymphoblastic leukemia.

Yoon Soo Chang, Joell J Gills, Shigeru Kawabata, Masahiro Onozawa, Giusy Della Gatta, Adolfo A Ferrando, Peter D Aplan, Phillip A Dennis

Open access · hybridAbstract read
In one paragraph

Article in International journal of oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Drug repurposing in oncology: a path beyond the bottleneck.Medical oncology (Northwood, London, England) · 2025
    Review
  2. Decoding the NRF2-NOTCH Crosstalk in Lung Cancer-An Update.Antioxidants (Basel, Switzerland) · 2025
    Review
  3. Article
  4. Review
  5. Review
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

8 authors at 2 institutions in 1 country.

Yoon Soo Chang *Medical Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA.
Joell J Gills *Medical Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA.
Shigeru KawabataMedical Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA.
Masahiro OnozawaGenetics Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA.
Giusy Della GattaInstitute for Cancer Genetics and Joint Centers for Systems Biology, Columbia University, New York, NY 10032, USA.
Adolfo A FerrandoInstitute for Cancer Genetics and Joint Centers for Systems Biology, Columbia University, New York, NY 10032, USA.
Peter D AplanGenetics Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA.
Phillip A DennisMedical Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA.
National Cancer Institute · USCancer Genetics (United States) · US

Funding

Activation of Proto-Oncogenes by Chromosomal TranslocationZIASC010378 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI APLAN, PETER · 2009 to 2025
$8.4M
Intramural NIH HHS ZIA SC010378
6 · The paper itself

Abstract

T cell acute lymphoblastic leukemia (T‑ALL), a neoplasm derived from T cell lineage‑committed lymphoblasts, is characterized by genetic alterations that result in activation of oncogenic transcription factors and the NOTCH1 pathway activation. The NOTCH is a transmembrane receptor protein activated by γ‑secretase. γ‑secretase inhibitors (GSIs) are a NOTCH‑targeted therapy for T‑ALL. However, their clinical application has not been successful due to adverse events (primarily gastrointestinal toxicity), limited efficacy, and drug resistance caused by several mechanisms, including activation of the AKT/mTOR pathway. Nelfinavir is an human immunodeficiency virus 1 aspartic protease inhibitor and has been repurposed as an anticancer drug. It acts by inducing endoplasmic reticulum (ER) stress and inhibiting the AKT/mTOR pathway. Thus, it was hypothesized that nelfinavir might inhibit the NOTCH pathway via γ‑secretase inhibition and blockade of aspartic protease presenilin, which would make nelfinavir effective against NOTCH‑associated T‑ALL. The present study assessed the efficacy of nelfinavir against T‑ALL cells and investigated mechanisms of action

Indexed as

NelfinavirPrecursor T-Cell Lymphoblastic Leukemia-LymphomaAmyloid Precursor Protein SecretasesAnimalsCell Line, TumorEnzyme InhibitorsHumansMiceMice, TransgenicPresenilin-1Proto-Oncogene Proteins c-aktReceptor, Notch1RNA, MessengerSestrinsTOR Serine-Threonine KinasesTranscription FactorsAmyloid Precursor Protein SecretasesEnzyme InhibitorsNelfinavirPresenilin-1Proto-Oncogene Proteins c-aktReceptor, Notch1RNA, MessengerSESN2 protein, humanSestrinsTOR Serine-Threonine KinasesTranscription FactorsmTOR pathwaynelfinavirNOTCH pathwayT cell acute lymphoblastic leukemia

Identifiers

PMID37800623
PMCPMC10609462
OpenAlexW4387258372

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.