Evidence map›Paper›PMID 39054369›Full record

ArticleNPJ precision oncology2024

Combined inhibition of EZH2 and CDK4/6 perturbs endoplasmic reticulum-mitochondrial homeostasis and increases antitumor activity against glioblastoma.

Thomas Freitag, Philipp Kaps, Justus Ramtke, Sarah Bertels, Emily Zunke, Björn Schneider, Anne-Sophie Becker, Dirk Koczan, Daniel Dubinski, Thomas M Freiman and 14 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 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.

  1. Article
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  10. Loss ofJournal of Cancer · 2026
    Article
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  15. Article
  16. Article
  17. Plasma methylatedFrontiers in medicine · 2025
    Article
  18. TMPO-AS1-hsa-let-7b-5p-EZH2-RNA network predicts poor survival in basal-like breast cancer patients.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2025
    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

24 authors.

Thomas FreitagDepartment of Medicine, Clinic III -Hematology, Oncology, Palliative Medicine, Rostock University Medical Center, University of Rostock, Rostock, Germany.
Philipp KapsDepartment of Medicine, Clinic III -Hematology, Oncology, Palliative Medicine, Rostock University Medical Center, University of Rostock, Rostock, Germany.
Justus RamtkeDepartment of Medicine, Clinic III -Hematology, Oncology, Palliative Medicine, Rostock University Medical Center, University of Rostock, Rostock, Germany.
Sarah BertelsDepartment of Medicine, Clinic III -Hematology, Oncology, Palliative Medicine, Rostock University Medical Center, University of Rostock, Rostock, Germany.
Emily ZunkeDepartment of Medicine, Clinic III -Hematology, Oncology, Palliative Medicine, Rostock University Medical Center, University of Rostock, Rostock, Germany.
Björn SchneiderInstitute of Pathology, Rostock University Medical Center, University of Rostock, Rostock, Germany.ORCID http://orcid.org/0000-0002-0282-7330
Anne-Sophie BeckerInstitute of Pathology, Rostock University Medical Center, University of Rostock, Rostock, Germany.
Dirk KoczanDepartment of Immunology, Rostock University Medical Center, University of Rostock, Rostock, Germany.
Daniel DubinskiDepartment of Neurosurgery, Rostock University Medical Center, University of Rostock, Rostock, Germany.
Thomas M FreimanDepartment of Neurosurgery, Rostock University Medical Center, University of Rostock, Rostock, Germany.
Felix WittigInstitute of Pharmacology and Toxicology, Rostock University Medical Center, University of Rostock, Rostock, Germany.
Burkhard HinzInstitute of Pharmacology and Toxicology, Rostock University Medical Center, University of Rostock, Rostock, Germany.
Mike-Andrew WesthoffDepartment of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.
Hannah StrobelDepartment of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.
Franziska MeinersInstitute for Biostatistics and Informatics in Medicine and Aging Research (IBIMA), Rostock University Medical Center, University of Rostock, Rostock, Germany.
Daniel WolterDepartment of Oral and Maxillofacial Surgery, Facial Plastic Surgery, Rostock University Medical Center, University of Rostock, Rostock, Germany.
Nadja EngelDepartment of Oral and Maxillofacial Surgery, Facial Plastic Surgery, Rostock University Medical Center, University of Rostock, Rostock, Germany.
Sascha Troschke-MeurerDepartment of Pediatric Oncology and Hematology, University Medicine Greifswald, Greifswald, Germany.
Wendy Bergmann-EwertCore Facility for Cell Sorting & Cell Analysis, Laboratory for Clinical Immunology, Rostock University Medical Center, University of Rostock, Rostock, Germany.ORCID http://orcid.org/0000-0001-7221-3900
Susanne StaehlkeInstitute for Cell Biology, University Medical Center Rostock, Rostock, Germany.
Annabell WolffDepartment of Medicine, Clinic III -Hematology, Oncology, Palliative Medicine, Rostock University Medical Center, University of Rostock, Rostock, Germany.
Florian GesslerDepartment of Neurosurgery, Rostock University Medical Center, University of Rostock, Rostock, Germany.
Christian JunghanssDepartment of Medicine, Clinic III -Hematology, Oncology, Palliative Medicine, Rostock University Medical Center, University of Rostock, Rostock, Germany.
Claudia MaletzkiDepartment of Medicine, Clinic III -Hematology, Oncology, Palliative Medicine, Rostock University Medical Center, University of Rostock, Rostock, Germany. claudia.maletzki@med.uni-rostock.de.ORCID http://orcid.org/0000-0002-8389-8439

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

He, we show that combined use of the EZH2 inhibitor GSK126 and the CDK4/6 inhibitor abemaciclib synergistically enhances antitumoral effects in preclinical GBM models. Dual blockade led to HIF1α upregulation and CalR translocation, accompanied by massive impairment of mitochondrial function. Basal oxygen consumption rate, ATP synthesis, and maximal mitochondrial respiration decreased, confirming disrupted endoplasmic reticulum-mitochondrial homeostasis. This was paralleled by mitochondrial depolarization and upregulation of the UPR sensors PERK, ATF6α, and IRE1α. Notably, dual EZH2/CDK4/6 blockade also reduced 3D-spheroid invasion, partially inhibited tumor growth in ovo, and led to impaired viability of patient-derived organoids. Mechanistically, this was due to transcriptional changes in genes involved in mitotic aberrations/spindle assembly (Rb, PLK1, RRM2, PRC1, CENPF, TPX2), histone modification (HIST1H1B, HIST1H3G), DNA damage/replication stress events (TOP2A, ATF4), immuno-oncology (DEPDC1), EMT-counterregulation (PCDH1) and a shift in the stemness profile towards a more differentiated state. We propose a dual EZH2/CDK4/6 blockade for further investigation.

Identifiers

PMID39054369
PMCPMC11272933

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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.