Evidence map›Paper›PMID 39820127›Full record

ArticleNature cancer2025

First-in-class ultralong-target-residence-time p38α inhibitors as a mitosis-targeted therapy for colorectal cancer.

Ramona Rudalska, Jule Harbig, Michael Forster, Pascal Woelffing, Aylin Esposito, Mark Kudolo, Adelina Botezatu, Vanessa Haller, Nicole Janssen, Samuel Holzmayer and 18 more

Abstract read
In one paragraph

Article in Nature cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

28 authors.

Ramona Rudalska *Department of Medical Oncology and Pneumology, University Hospital Tübingen, Tübingen, Germany.ORCID 0000-0002-1742-0912
Jule Harbig *Department of Medical Oncology and Pneumology, University Hospital Tübingen, Tübingen, Germany.
Michael ForsterIFIT Cluster of Excellence EXC 2180 'Image-Guided and Functionally Instructed Tumor Therapies', University of Tübingen, Tübingen, Germany.ORCID 0009-0008-7446-3733
Pascal WoelffingDepartment of Medical Oncology and Pneumology, University Hospital Tübingen, Tübingen, Germany.
Aylin EspositoDepartment of Medical Oncology and Pneumology, University Hospital Tübingen, Tübingen, Germany.
Mark KudoloIFIT Cluster of Excellence EXC 2180 'Image-Guided and Functionally Instructed Tumor Therapies', University of Tübingen, Tübingen, Germany.
Adelina BotezatuDepartment of Medical Oncology and Pneumology, University Hospital Tübingen, Tübingen, Germany.
Vanessa HallerIFIT Cluster of Excellence EXC 2180 'Image-Guided and Functionally Instructed Tumor Therapies', University of Tübingen, Tübingen, Germany.
Nicole JanssenDr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart and University of Tübingen, Tübingen, Germany.
Samuel HolzmayerIFIT Cluster of Excellence EXC 2180 'Image-Guided and Functionally Instructed Tumor Therapies', University of Tübingen, Tübingen, Germany.ORCID 0009-0006-4513-2367
Philipp NahidinoIFIT Cluster of Excellence EXC 2180 'Image-Guided and Functionally Instructed Tumor Therapies', University of Tübingen, Tübingen, Germany.
Omelyan TrompakDepartment of Medical Oncology and Pneumology, University Hospital Tübingen, Tübingen, Germany.
Tatu PantsarIFIT Cluster of Excellence EXC 2180 'Image-Guided and Functionally Instructed Tumor Therapies', University of Tübingen, Tübingen, Germany.ORCID 0000-0002-0369-2909
Thales KronenbergerDepartment of Medical Oncology and Pneumology, University Hospital Tübingen, Tübingen, Germany.ORCID 0000-0001-6933-7590
Can YurttasDepartment of General, Visceral and Transplant Surgery, University Hospital Tübingen, Tübingen, Germany.
Elke RistDepartment of Medical Oncology and Pneumology, University Hospital Tübingen, Tübingen, Germany.
Alexander N R WeberIFIT Cluster of Excellence EXC 2180 'Image-Guided and Functionally Instructed Tumor Therapies', University of Tübingen, Tübingen, Germany.ORCID 0000-0002-8627-7056
Marc H DahlkeDepartment of General and Visceral Surgery, Robert Bosch Hospital, Stuttgart, Germany.
German OttDepartment of Clinical Pathology, Robert Bosch Hospital, Stuttgart, Germany.
Alfred KoenigsrainerDepartment of Medical Oncology and Pneumology, University Hospital Tübingen, Tübingen, Germany.
Ulrich RothbauerIFIT Cluster of Excellence EXC 2180 'Image-Guided and Functionally Instructed Tumor Therapies', University of Tübingen, Tübingen, Germany.
Melanie MaerklinIFIT Cluster of Excellence EXC 2180 'Image-Guided and Functionally Instructed Tumor Therapies', University of Tübingen, Tübingen, Germany.ORCID 0000-0002-2920-3894
Thomas MuerdterDr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart and University of Tübingen, Tübingen, Germany.
Matthias SchwabIFIT Cluster of Excellence EXC 2180 'Image-Guided and Functionally Instructed Tumor Therapies', University of Tübingen, Tübingen, Germany.ORCID 0000-0002-9984-075X
Stephan SingerIFIT Cluster of Excellence EXC 2180 'Image-Guided and Functionally Instructed Tumor Therapies', University of Tübingen, Tübingen, Germany.
Lars ZenderDepartment of Medical Oncology and Pneumology, University Hospital Tübingen, Tübingen, Germany.ORCID 0000-0001-7626-2849
Stefan LauferIFIT Cluster of Excellence EXC 2180 'Image-Guided and Functionally Instructed Tumor Therapies', University of Tübingen, Tübingen, Germany.
Daniel DauchDepartment of Medical Oncology and Pneumology, University Hospital Tübingen, Tübingen, Germany. daniel.dauch@med.uni-tuebingen.de.ORCID 0000-0002-9805-5784

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) 490941264Deutsche Forschungsgemeinschaft (German Research Foundation) EXC 2180 - 390900677Deutsche Forschungsgemeinschaft (German Research Foundation) FOR2314Deutsche Forschungsgemeinschaft (German Research Foundation) Gottfried Wilhelm Leibniz ProgramDeutsche Forschungsgemeinschaft (German Research Foundation) SFB-TR209 - 314905040Deutsche Forschungsgemeinschaft (German Research Foundation) SFB-TR240
6 · The paper itself

Abstract

Colorectal cancer (CRC) constitutes the second leading cause of cancer-related death worldwide and advanced CRCs are resistant to targeted therapies, chemotherapies and immunotherapies. p38α (Mapk14) has been suggested as a therapeutic target in CRC; however, available p38α inhibitors only allow for insufficient target inhibition. Here we describe a unique class of p38α inhibitors with ultralong target residence times (designated ULTR-p38i) that robustly inhibit p38α downstream signaling and induce distinct biological phenotypes. ULTR-p38i monotherapy triggers an uncontrolled mitotic entry by activating Cdc25 and simultaneously blocking Wee1. Consequently, CRC cells undergo mitotic catastrophe, resulting in apoptosis or senescence. ULTR-p38i exhibit high selectivity, good pharmaco-kinetic properties and no measurable toxicity with strong therapeutic effects in patient-derived CRC organoids and syngeneic CRC mouse models. Conceptually, our study suggests ultralong-target-residence-time kinase inhibitors as an alternative to covalent inhibitors, which, because of the lack of cysteine residues, cannot be generated for many kinase cancer targets.

Indexed as

Antineoplastic AgentsColorectal NeoplasmsMitogen-Activated Protein Kinase 14MitosisProtein Kinase InhibitorsAnimalsApoptosiscdc25 PhosphatasesCell Cycle ProteinsCell Line, TumorHumansMiceProtein-Tyrosine KinasesXenograft Model Antitumor AssaysAntineoplastic Agentscdc25 PhosphatasesCell Cycle ProteinsMitogen-Activated Protein Kinase 14Protein Kinase InhibitorsProtein-Tyrosine KinasesWEE1 protein, human

Identifiers

PMID39820127
PMCPMC11864979

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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.