Evidence map›Paper›PMID 38190717›Full record

ArticleCancer research2024

AXL/WRNIP1 Mediates Replication Stress Response and Promotes Therapy Resistance and Metachronous Metastasis in HER2+ Breast Cancer.

Mauricio Marquez-Palencia, Luis Reza Herrera, Pravat Kumar Parida, Suvranil Ghosh, Kangsan Kim, Nikitha M Das, Paula I Gonzalez-Ericsson, Melinda E Sanders, Bret C Mobley, Sebastian Diegeler and 10 more

Open access · greenAbstract read
In one paragraph

Article in Cancer research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
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  10. [Role of Receptor Tyrosine Kinase AXL in Cancer Targeted Therapy Drug Resistance].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2026
    Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. AXL signaling in cancer: from molecular insights to targeted therapies.Signal transduction and targeted therapy · 2025
    Review
  16. Review
  17. Review
  18. Article
  19. 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

20 authors at 4 institutions in 2 countries.

Mauricio Marquez-PalenciaDepartment of Pathology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0003-3677-2312
Luis Reza HerreraDepartment of Pharmacology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0001-7808-8506
Pravat Kumar ParidaDepartment of Pathology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0001-7460-1579
Suvranil GhoshDepartment of Pathology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-0003-349X
Kangsan KimDepartment of Pathology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-5283-8644
Nikitha M DasDepartment of Pathology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-7482-3371
Paula I Gonzalez-EricssonBreast Cancer Research Program, Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, Tennessee.ORCID 0000-0002-6292-6963
Melinda E SandersDepartment of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0001-7227-1764
Bret C MobleyDepartment of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0002-8138-5330
Sebastian DiegelerDepartment of Radiation Oncology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0003-3161-0744
Todd A AguileraDepartment of Radiation Oncology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-3734-3758
Yan PengDepartment of Pathology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0001-5765-6260
Cheryl M LewisHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0003-2685-6475
Carlos L ArteagaHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0003-0870-9586
Ariella B HankerHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-8655-8341
Angelique W WhitehurstDepartment of Pharmacology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-9505-0240
James B LorensCentre for Cancer Biomarkers and Department of Biomedicine, University of Bergen, Bergen, Norway.ORCID 0000-0002-6782-3349
Rolf A BrekkenHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0003-2704-2377
Anthony J DavisDepartment of Radiation Oncology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0003-0184-3651
Srinivas MalladiDepartment of Pathology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-0829-2365
Southwestern Medical Center · USVanderbilt University Medical Center · USUniversity of Bergen · NOVanderbilt University · US

Funding

UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Sandi Leigh Pruitt · 2010 to 2026
$53.7M
TISSUE CoreP50CA098131 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PARK, BEN HO, PIETENPOL, JENNIFER A · 2003 to 2024
$48.7M
Framing Therapeutic Opportunities in Tumor-Activated Gametogenic ProgramsR01CA196905 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI WHITEHURST, ANGELIQUE WRIGHT · 2016 to 2020
$2.0M
The sperm specific protein, COX6B2, promotes metabolic reprogramming in lung adenocarcinomaR01CA251172 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI WHITEHURST, ANGELIQUE WRIGHT · 2021 to 2025
$1.8M
NCI NIH HHS P30 CA142543NCI NIH HHS P50 CA098131NCI NIH HHS R01 CA196905NCI NIH HHS R01 CA251172
6 · The paper itself

Abstract

Therapy resistance and metastatic progression are primary causes of cancer-related mortality. Disseminated tumor cells possess adaptive traits that enable them to reprogram their metabolism, maintain stemness, and resist cell death, facilitating their persistence to drive recurrence. The survival of disseminated tumor cells also depends on their ability to modulate replication stress in response to therapy while colonizing inhospitable microenvironments. In this study, we discovered that the nuclear translocation of AXL, a TAM receptor tyrosine kinase, and its interaction with WRNIP1, a DNA replication stress response factor, promotes the survival of HER2+ breast cancer cells that are resistant to HER2-targeted therapy and metastasize to the brain. In preclinical models, knocking down or pharmacologically inhibiting AXL or WRNIP1 attenuated protection of stalled replication forks. Furthermore, deficiency or inhibition of AXL and WRNIP1 also prolonged metastatic latency and delayed relapse. Together, these findings suggest that targeting the replication stress response, which is a shared adaptive mechanism in therapy-resistant and metastasis-initiating cells, could reduce metachronous metastasis and enhance the response to standard-of-care therapies. SIGNIFICANCE: Nuclear AXL and WRNIP1 interact and mediate replication stress response, promote therapy resistance, and support metastatic progression, indicating that targeting the AXL/WRNIP1 axis is a potentially viable therapeutic strategy for breast cancer.

Indexed as

Breast NeoplasmsATPases Associated with Diverse Cellular ActivitiesAxl Receptor Tyrosine KinaseCell Line, TumorDNA-Binding ProteinsDrug Resistance, NeoplasmFemaleHumansNeoplasm Recurrence, LocalProto-Oncogene ProteinsReceptor Protein-Tyrosine KinasesTumor MicroenvironmentATPases Associated with Diverse Cellular ActivitiesAxl Receptor Tyrosine KinaseDNA-Binding ProteinsProto-Oncogene ProteinsReceptor Protein-Tyrosine KinasesWRNIP1 protein, human

Identifiers

PMID38190717
PMCPMC11221606
OpenAlexW4390658728

What OpenQuestion holds

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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.