Evidence map›Paper›PMID 39083807›Full record

ArticleCancer discovery2024

Identification and Characterization of Chemotherapy-Resistant High-Risk Neuroblastoma Persister Cells.

Liron D Grossmann, Chia-Hui Chen, Yasin Uzun, Anusha Thadi, Adam J Wolpaw, Kevin Louault, Yael Goldstein, Lea F Surrey, Daniel Martinez, Matteo Calafatti and 29 more

Abstract read
In one paragraph

Article in Cancer discovery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

26 citing papers in PubMed.

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  10. Epigenetic crosstalk in neuroblastoma development and progression.Frontiers in cell and developmental biology · 2026
    Review
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  12. Article
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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

39 authors.

Liron D GrossmannDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0002-0692-8921
Chia-Hui ChenDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0001-5239-1574
Yasin UzunDepartment of Pediatrics, Penn State College of Medicine, Philadelphia, Pennsylvania.ORCID 0000-0003-3478-3499
Anusha ThadiDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0002-1271-0398
Adam J WolpawDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0002-1373-7648
Kevin LouaultDepartment of Pediatrics, Cancer and Blood Diseases Institute, Children's Hospital Los Angeles and the University of Southern California, Los Angeles, California.ORCID 0000-0002-2325-5757
Yael GoldsteinCancer Research Center, Sheba Medical Center, Tel-Hashomer, Israel.ORCID 0009-0000-3810-9106
Lea F SurreyDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0002-6944-2232
Daniel MartinezDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0002-4723-9989
Matteo CalafattiDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0001-8677-0716
Mark GerelusDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0001-8986-4523
Peng GaoDepartment of Hematology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.ORCID 0000-0002-7785-2389
Lobin LeeDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0009-0001-5902-5224
Khushbu PatelDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0002-3269-7442
Rebecca S KaufmanDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0001-8535-9730
Guy ShaniCancer Research Center, Sheba Medical Center, Tel-Hashomer, Israel.ORCID 0009-0009-5602-9287
Alvin FarrelDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0003-1087-9840
Sharon Moshitch-MoshkovitzCancer Research Center, Sheba Medical Center, Tel-Hashomer, Israel.ORCID 0000-0003-2465-6664
Paris GrimaldiDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0009-0000-4535-4169
Matthew ShapiroDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0009-0005-4199-2960
Nathan M KendserskyDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0003-0132-8748
Jarrett M LindsayDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0009-0000-4960-7821
Colleen E CaseyDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0009-0004-9259-1035
Kateryna KrytskaDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0009-0009-8402-8687
Laura ScolaroDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0001-6035-2946
Matthew TsangDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0002-2983-2914
David GroffDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0001-6897-2656
Smita MatkarDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0002-5697-2576
Josh R KalnaDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0009-0009-6308-142X
Emily MycekDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0009-0000-1919-3648
Jayne McDevittDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0001-5261-394X
Erin RunbeckDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0001-5686-0120
Tasleema PatelDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0002-7927-6071
Kathrin M BerntDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0002-0691-356X
Shahab AsgharzadehDepartment of Pediatrics, Cancer and Blood Diseases Institute, Children's Hospital Los Angeles and the University of Southern California, Los Angeles, California.ORCID 0000-0002-0510-3848
Yves A DeClerckDepartment of Pediatrics, Cancer and Blood Diseases Institute, Children's Hospital Los Angeles and the University of Southern California, Los Angeles, California.ORCID 0000-0002-3688-0113
Yael P MosséDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0002-3463-0399
Kai TanDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0002-9104-5567
John M MarisDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0002-8088-7929

Funding

Tumor microenvironment-dependent therapy resistanceP01CA217959 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI Robbie G. Majzner · 2017 to 2026
$20.7M
Data Analysis UnitU2CCA233285 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI HUNGER, STEPHEN PATRICK, TAN, KAI · 2018 to 2023
$13.2M
Discovering mechanisms of neuroblastoma tumorigenesis to improve patient outcomesR35CA220500 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI JOHN M MARIS · 2017 to 2026
$8.7M
cGAS-STING and therapeutic immune responses in neuroblastomaK08CA266914 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI Adam J Wolpaw · 2022 to 2026
$1.1M
Children's Hospital Los Angeles (CHLA) the Saban Research InstituteChildren's Hospital of Philadelphia (CHOP) the Giulio D', Angio Endowed ChairChildren's Hospital of Philadelphia (CHOP) the Patricia Brophy Endowed ChairChildren's Hospital of Philadelphia (CHOP) the Richard & Sheila Sanford Endowed ChairNCI NIH HHS K08 CA266914NCI NIH HHS P01 CA217959NCI NIH HHS R35 CA220500NCI NIH HHS U2C CA233285Sheba Medical Center (SMC) Physician Scientist Program
6 · The paper itself

Abstract

Relapse rates in high-risk neuroblastoma remain exceedingly high. The malignant cells that are responsible for relapse have not been identified, and mechanisms of therapy resistance remain poorly understood. In this study, we used single-nucleus RNA sequencing and bulk whole-genome sequencing to identify and characterize the residual malignant persister cells that survive chemotherapy from a cohort of 20 matched diagnosis and definitive surgery tumor samples from patients treated with high-risk neuroblastoma induction chemotherapy. We show that persister cells share common mechanisms of chemotherapy escape, including suppression of MYC(N) activity and activation of NFκB signaling, and the latter is further enhanced by cell-cell communication between the malignant cells and the tumor microenvironment. Overall, our work dissects the transcriptional landscape of cellular persistence in high-risk neuroblastoma and paves the way to the development of new therapeutic strategies to prevent disease relapse. Significance: Approximately 50% of patients with high-risk neuroblastoma die of relapsed refractory disease. We identified the malignant cells that likely contribute to relapse and discovered key signaling pathways that mediate cellular persistence. Inhibition of these pathways and their downstream effectors is postulated to eliminate persister cells and prevent relapse. See related commentary by Wolf et al., p. 2308.

Indexed as

Drug Resistance, NeoplasmNeuroblastomaCell Line, TumorHumansNeoplasm Recurrence, LocalSignal TransductionTumor Microenvironment

Identifiers

PMID39083807
PMCPMC11609622

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.