Evidence map›Paper›PMID 38443662›Full record

ArticleNature cancer2024

A deep learning model of tumor cell architecture elucidates response and resistance to CDK4/6 inhibitors.

Sungjoon Park, Erica Silva, Akshat Singhal, Marcus R Kelly, Kate Licon, Isabella Panagiotou, Catalina Fogg, Samson Fong, John J Y Lee, Xiaoyu Zhao and 4 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Nature cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07227233 (Artificial Intelligence and Machine Learning-Enhanced Biomarker-dRiven CDK4/6 Inhibitor Rechallenge in HR+ HER2- Advanced Breast Tumors.), which is not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
18.9field-weighted citation impact, top 1% 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.

NCT07227233 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

Artificial Intelligence and Machine Learning-Enhanced Biomarker-dRiven CDK4/6 Inhibitor Rechallenge in HR+ HER2- Advanced Breast Tumors.

TypeinterventionalSponsorUniversity of California, San DiegoRan2026 to 2028Enrolled105ConditionsBreast CancerArmsA CDK4/6 inhibitor different from the first that the participant had received, plus fulvestrant., Treatment of physician's choice
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 45 citations in OpenAlex.

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  14. Using Biological Networks to Guide Biomedical Prediction.Methods in molecular biology (Clifton, N.J.) · 2026
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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

14 authors at 2 institutions in 1 country.

Sungjoon Park *Department of Medicine, University of California, San Diego, La Jolla, CA, USA.ORCID 0009-0004-9965-7068
Erica Silva *Program in Biomedical Sciences, University of California, San Diego, La Jolla, CA, USA.
Akshat Singhal *Department of Computer Science and Engineering, University of California, San Diego, La Jolla, CA, USA.ORCID 0000-0001-5371-526X
Marcus R KellyDepartment of Medicine, University of California, San Diego, La Jolla, CA, USA.
Kate LiconDepartment of Medicine, University of California, San Diego, La Jolla, CA, USA.
Isabella PanagiotouDepartment of Medicine, University of California, San Diego, La Jolla, CA, USA.
Catalina FoggDepartment of Medicine, University of California, San Diego, La Jolla, CA, USA.
Samson FongDepartment of Bioengineering, University of California, San Diego, La Jolla, CA, USA.
John J Y LeeDepartment of Medicine, University of California, San Diego, La Jolla, CA, USA.
Xiaoyu ZhaoDepartment of Medicine, University of California, San Diego, La Jolla, CA, USA.
Robin BachelderDepartment of Medicine, University of California, San Diego, La Jolla, CA, USA.ORCID 0000-0001-7502-2907
Barbara A ParkerDepartment of Medicine, University of California, San Diego, La Jolla, CA, USA.
Kay T YeungDepartment of Medicine, University of California, San Diego, La Jolla, CA, USA.
Trey IdekerDepartment of Medicine, University of California, San Diego, La Jolla, CA, USA. tideker@health.ucsd.edu.ORCID 0000-0002-1708-8454
University of California San Diego · USUC San Diego Health System · US

Funding

TR&D 3 - Network Guided Machine LearningP41GM103504 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI IDEKER, TREY · 2012 to 2024
$17.3M
The Cancer Cell Map Initiative v2.0U54CA274502 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Trey Ideker, Nevan J Krogan · 2022 to 2026
$14.2M
Predoctoral and Postdoctoral Training in Cancer Cell BiologyT32CA067754 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI JEAN Y.J. WANG · 1995 to 2026
$6.5M
NDEx - the Network Data Exchange A Network Commons for BiologistsU24CA184427 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI PRATT, DEXTER · 2014 to 2021
$5.7M
A Dynamic Perspective of the DNA Damage ResponseF30CA236404 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SILVA, ERICA NICOLE · 2019 to 2022
$184k
NCI NIH HHS F30 CA236404NCI NIH HHS T32 CA067754NCI NIH HHS U24 CA184427NCI NIH HHS U54 CA274502NIGMS NIH HHS P41 GM103504
6 · The paper itself

Abstract

Cyclin-dependent kinase 4 and 6 inhibitors (CDK4/6is) have revolutionized breast cancer therapy. However, <50% of patients have an objective response, and nearly all patients develop resistance during therapy. To elucidate the underlying mechanisms, we constructed an interpretable deep learning model of the response to palbociclib, a CDK4/6i, based on a reference map of multiprotein assemblies in cancer. The model identifies eight core assemblies that integrate rare and common alterations across 90 genes to stratify palbociclib-sensitive versus palbociclib-resistant cell lines. Predictions translate to patients and patient-derived xenografts, whereas single-gene biomarkers do not. Most predictive assemblies can be shown by CRISPR-Cas9 genetic disruption to regulate the CDK4/6i response. Validated assemblies relate to cell-cycle control, growth factor signaling and a histone regulatory complex that we show promotes S-phase entry through the activation of the histone modifiers KAT6A and TBL1XR1 and the transcription factor RUNX1. This study enables an integrated assessment of how a tumor's genetic profile modulates CDK4/6i resistance.

Indexed as

Cyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Deep LearningDrug Resistance, NeoplasmPiperazinesProtein Kinase InhibitorsPyridinesAnimalsBreast NeoplasmsCell Line, TumorFemaleHumansMiceXenograft Model Antitumor AssaysCDK4 protein, humanCDK6 protein, humanCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6palbociclibPiperazinesProtein Kinase InhibitorsPyridines

Identifiers

PMID38443662
PMCPMC11286358
OpenAlexW4392471793

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.