Evidence map›Paper›PMID 38229153›Full record

ArticleClinical epigenetics2024

Pancreatic cancer acquires resistance to MAPK pathway inhibition by clonal expansion and adaptive DNA hypermethylation.

Laura K Godfrey, Jan Forster, Sven-Thorsten Liffers, Christopher Schröder, Johannes Köster, Leonie Henschel, Kerstin U Ludwig, David Lähnemann, Marija Trajkovic-Arsic, Diana Behrens and 9 more

Open access · goldAbstract read
In one paragraph

Article in Clinical epigenetics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed, 13 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

19 authors at 11 institutions in 2 countries.

Laura K GodfreyBridge Institute of Experimental Tumor Therapy (BIT) and Division of Solid Tumor Translational Oncology (DKTK), West German Cancer Center, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Jan ForsterGerman Cancer Consortium (DKTK), partner site Essen, a partnership between German Cancer Research Center (DKFZ) and University Hospital Essen, Heidelberg, Germany.
Sven-Thorsten LiffersBridge Institute of Experimental Tumor Therapy (BIT) and Division of Solid Tumor Translational Oncology (DKTK), West German Cancer Center, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Christopher SchröderGenome Informatics, Institute of Human Genetics, University Duisburg-Essen, Essen, Germany.
Johannes KösterBioinformatics and Computational Oncology, Institute for Artificial Intelligence in Medicine, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Leonie HenschelInstitute of Human Genetics, School of Medicine & University Hospital Bonn, University of Bonn, Bonn, Germany.
Kerstin U LudwigInstitute of Human Genetics, School of Medicine & University Hospital Bonn, University of Bonn, Bonn, Germany.
David LähnemannGerman Cancer Consortium (DKTK), partner site Essen, a partnership between German Cancer Research Center (DKFZ) and University Hospital Essen, Heidelberg, Germany.
Marija Trajkovic-ArsicBridge Institute of Experimental Tumor Therapy (BIT) and Division of Solid Tumor Translational Oncology (DKTK), West German Cancer Center, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Diana BehrensEPO Experimental Pharmacology and Oncology GmbH, Berlin-Buch, Germany.
Aldo ScarpaDepartment of Diagnostics and Public Health, Pathological Anatomy Section, University and Hospital Trust of Verona, Verona, Italy.
Rita T LawlorARC-Net Cancer Research Centre, University and Hospital Trust of Verona, Verona, Italy.
Kathrin E WitzkeMedizinisches Proteom-Center/Zentrum Für Protein-Diagnostik, Ruhr-Universität Bochum, Bochum, Germany.
Barbara SitekMedizinisches Proteom-Center/Zentrum Für Protein-Diagnostik, Ruhr-Universität Bochum, Bochum, Germany.
Steven A JohnsenDepartment of General, Visceral and Pediatric Surgery, University Medical Center Göttingen, Göttingen, Germany.
Sven RahmannAlgorithmic Bioinformatics, Center for Bioinformatics Saar and Saarland University, Saarland Informatics Campus, Saarbrücken, Germany.
Bernhard HorsthemkeInstitute of Human Genetics, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Michael ZeschnigkGerman Cancer Consortium (DKTK), partner site Essen, a partnership between German Cancer Research Center (DKFZ) and University Hospital Essen, Heidelberg, Germany.
Jens T SivekeBridge Institute of Experimental Tumor Therapy (BIT) and Division of Solid Tumor Translational Oncology (DKTK), West German Cancer Center, University Hospital Essen, University of Duisburg-Essen, Essen, Germany. jens.siveke@uk-essen.de.
University of Duisburg-Essen · DEHeidelberg University · DEUniversity of Verona · ITGerman Cancer Research Center · DERobert Bosch Hospital · DERuhr University Bochum · DESaarland University · DEUniversitätsklinikum Knappschaftskrankenhaus Bochum · DEUniversity Hospital Bonn · DEUniversity Hospital Heidelberg · DEUniversity of Bonn · DE

Funding

Associazione Italiana per la Ricerca sul Cancro 12182Deutsche Forschungsgemeinschaft LU-1944/3-1Deutsche Forschungsgemeinschaft SI1549/4-1Fondazione Cassa di Risparmio di Verona Vicenza Belluno e Ancona 203885/2017German Federal Ministry of Education and Research (BMBF) 01KD2206A/SATURN3Ministry of Culture and Science of the State of North Rhine-Westphalia research network CANcer TARgeting (CANTAR)Ministry of Science, North Rhine-Westphalia, Germany. PURE
6 · The paper itself

Abstract

backgroundPancreatic ductal adenocarcinoma (PDAC) is an aggressive cancer with poor prognosis. It is marked by extraordinary resistance to conventional therapies including chemotherapy and radiation, as well as to essentially all targeted therapies evaluated so far. More than 90% of PDAC cases harbor an activating KRAS mutation. As the most common KRAS variants in PDAC remain undruggable so far, it seemed promising to inhibit a downstream target in the MAPK pathway such as MEK1/2, but up to now preclinical and clinical evaluation of MEK inhibitors (MEK

resultsWe found that resistant cell populations under increasing MEK

conclusionOverall, the concept of acquired therapy resistance as a result of the expansion of a single cell clone with epigenetic plasticity sheds light on genetic, epigenetic and phenotypic patterns during evolvement of treatment resistance in a tumor with high adaptive capabilities and provides potential for reversion through epigenetic targeting.

Indexed as

Carcinoma, Pancreatic DuctalPancreatic NeoplasmsAnimalsCell Line, TumorDNADNA MethylationMiceMitogen-Activated Protein Kinase KinasesMutationProto-Oncogene Proteins p21(ras)DNAMitogen-Activated Protein Kinase KinasesProto-Oncogene Proteins p21(ras)CancerClonal expansionDNA methylationEpigenetic plasticityPDACTherapy resistanceWGBS

Identifiers

PMID38229153
PMCPMC10792938
OpenAlexW4390908283

What OpenQuestion holds

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LicenceCC BY
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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.