Evidence map›Paper›PMID 39100925›Full record

ArticleiScience2024

Decoding sunitinib resistance in ccRCC: Metabolic-reprogramming-induced ABAT and GABAergic system shifts.

Qian Zhang, Lei Ding, Ye Yan, Qidi Zhai, Zhisheng Guo, Yibo Li, Zhentao Tang, Pan Zang, Chenbo Ni, Shaobo Zhang and 6 more

Abstract read
In one paragraph

Article in iScience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Qian ZhangDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Lei DingDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Ye YanDepartment of Urology, Peking University Third Hospital, Haidian District, Beijing, People's Republic of China.
Qidi ZhaiDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Zhisheng GuoDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Yibo LiDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Zhentao TangDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Pan ZangDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Chenbo NiDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Shaobo ZhangDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jian QianDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Peng HanDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Pu LiDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Pengfei ShaoDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Chao LiangDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jie LiDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sunitinib, a primary treatment for clear cell renal cell carcinoma (ccRCC), frequently encounters the challenge of resistance development. Metabolic reprogramming, a characteristic change in ccRCC, is likely linked to this resistance. Our research revealed a notable decrease in the expression of the key metabolic gene ABAT in ccRCC, which contributed to diminished sensitivity to sunitinib. Downregulation of ABAT led to an increase in the intracellular level of gamma-aminobutyric acid (GABA), triggering abnormal activation of the G-protein-coupled receptor GABA-B. This activation resulted in increased transactivation of the tyrosine kinase receptors SYK and LYN, thereby reducing the antitumor and antiangiogenic properties of sunitinib. However, the application of SYK and LYN inhibitors successfully inhibited this effect. The transactivation of SYK and LYN caused resistance to the antiangiogenic effects of sunitinib through the upregulation of PGF protein levels. Furthermore, the combined application of an LYN inhibitor with sunitinib has been shown to enhance therapeutic efficacy.

Indexed as

biological sciencescancermolecular biology

Identifiers

PMID39100925
PMCPMC11295714

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.