Evidence map›Paper›PMID 38973363›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2024

USP5 Promotes Ripretinib Resistance in Gastrointestinal Stromal Tumors by MDH2 Deubiquition.

Haoyu Sun, Zhiwei Cui, Chao Li, Zhishuang Gao, Jun Xu, Yibo Bian, Tianhao Gu, Jianan Zhang, Tengyun Li, Qianzheng Zhou and 6 more

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

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  14. Palmitoylation in cardiovascular diseases: Molecular mechanism and therapeutic potential.International journal of cardiology. Heart & vasculature · 2025
    Review
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  18. USP5 Promotes Ripretinib Resistance in Gastrointestinal Stromal Tumors by MDH2 Deubiquition.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    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

16 authors.

Haoyu SunDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Zhiwei CuiDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Chao LiDepartment of General Surgery, Zhongshan Hospital, Fudan University School of Medicine, #180 Fenglin Road, Shanghai, 200032, China.
Zhishuang GaoDepartment of Breast Surgery, Key Laboratory of Breast Cancer in Shanghai, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Jun XuDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Yibo BianDepartment of Oncology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Tianhao GuDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Jianan ZhangDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Tengyun LiDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Qianzheng ZhouDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Dinghua YangDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Zhongyuan HeDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Bowen LiDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Fengyuan LiDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Zekuan XuDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Hao XuDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.ORCID 0000-0001-5827-1821

Funding

Cancer Research Fund Y-SY201901-0246CSCO Zai Lab Cancer Research FundHengrui Research Fund JZ214490202106Jiangsu Key Medical Discipline ZDXKA2016005National Natural Science Foundation of China 82373335Natural Science Foundation of Province BK20191073Natural Science Foundation of Province BK20231372Natural Science Foundation of Province JX10231801Natural Science Foundation of Province PAPD
6 · The paper itself

Abstract

Ripretinib, a broad-spectrum inhibitor of the KIT and PDGFRA receptor tyrosine kinases, is designated as a fourth-line treatment for gastrointestinal stromal tumor (GIST). It is tailored for patients resistant to imatinib, sunitinib, and regorafenib. As its increasing use, instances of resistance to ripretinib are becoming more frequent. Unfortunately, there are currently no scientifically mature treatment options available for patients resistant to ripretinib. Posttranslational modifications (PTMs) such as ubiquitination, in conjunction with its interplay with other modifications, play a collective role in regulating tumor initiation and progression. However, the specific association between ubiquitination and ripretinib resistance is not reported. Through proteome-ubiquitinome sequencing, increased levels of the USP5 protein and decreased ubiquitination in ripretinib-resistant GISTs are detected. Subsequent examination of the mass spectrometry findings validated the interaction through which TRIM21 governs USP5 expression via ubiquitination, and USP5 regulates MDH2 expression through deubiquitination, consequently fostering ripretinib resistance in GIST. Moreover, ZDHHC18 can palmitoylate MDH2, preventing its ubiquitination and further increasing its protein stability. The research underscores the correlation between posttranslational modifications, specifically ubiquitination, and drug resistance, emphasizing the potential of targeting the USP5-MDH2 axis to counteract ripretinib resistance in GIST.

Indexed as

Drug Resistance, NeoplasmGastrointestinal Stromal TumorsUbiquitinationAnimalsAntineoplastic AgentsCell Line, TumorGastrointestinal NeoplasmsHumansMiceNaphthyridinesPhenylurea CompoundsUbiquitin ThiolesteraseUreaAntineoplastic AgentsNaphthyridinesPhenylurea CompoundsripretinibUbiquitin ThiolesteraseUreagastrointestinal stromal tumormesothelial and soft tissue tumorsripretinib resistanceubiquitination

Identifiers

PMID38973363
PMCPMC11425886

What OpenQuestion holds

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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.