Evidence map›Paper›PMID 40202582›Full record

ArticleDiscover oncology2025

A combination of Dihydroartemisinin and Venetoclax enhances antitumor effect in AML via C-MYC/BCL-XL/MCL-1 triple targeting.

Fenglin Li, Yao Chen, Haihui Zhuang, Renzhi Pei, Yuyu Lu, Dong Chen, Shuangyue Li, Peipei Ye, Jiaying Lian, Ying Lu

Abstract read
In one paragraph

Article in Discover oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

10 authors.

Fenglin Li *Department of Hematology, The Affiliated People's Hospital of Ningbo University, Baizhang Road 251#, Ningbo, China.
Yao Chen *Department of Hematology, The Affiliated People's Hospital of Ningbo University, Baizhang Road 251#, Ningbo, China.
Haihui ZhuangDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Baizhang Road 251#, Ningbo, China.
Renzhi PeiDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Baizhang Road 251#, Ningbo, China.
Yuyu LuDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Baizhang Road 251#, Ningbo, China.
Dong ChenDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Baizhang Road 251#, Ningbo, China.
Shuangyue LiDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Baizhang Road 251#, Ningbo, China.
Peipei YeDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Baizhang Road 251#, Ningbo, China.
Jiaying LianDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Baizhang Road 251#, Ningbo, China.
Ying LuDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Baizhang Road 251#, Ningbo, China. rmluying@nbu.edu.cn.

Funding

Natural Science Foundation of Ningbo grants 2022J028Natural Science Foundation of Ningbo grants 2022J033Ningbo Medical & Health Leading Academic Discipline Project 2022-S05Zhejiang Province Traditional Chinese Medicine Science and Technology Project 2023ZL685
6 · The paper itself

Abstract

backgroundAcute myeloid leukemia (AML) is associated with high rates of resistance to standard therapies, necessitating the exploration of novel treatment strategies. Venetoclax (VEN) has shown efficacy in AML, yet drug resistance remains a significant challenge. This study aims to explore the synergistic effects of combining dihydroartemisinin (DHA) with VEN to improve therapeutic outcomes in AML.

methodsAML cell lines and primary cells from AML patients were treated with various concentrations of DHA, VEN and their combined regimen. The cytotoxic effects were evaluated using MTS assays, flow cytometry for apoptosis analysis, and cell cycle assessments. Protein levels of caspase-3, PARP, MCL-1, BCL-XL and C-MYC were analyzed to elucidate the underlying mechanisms of the observed synergy.

resultsThe combination of VEN and DHA demonstrated a significant synergistic cytotoxic effect on AML cells, characterized by reduced cell proliferation, induced apoptosis, and cell cycle arrest in the G0/G1 phase. Mechanistically, the synergy was associated with increased levels of cleaved caspase-3 and PARP, along with the downregulation of anti-apoptotic proteins MCL-1 and BCL-XL. Additionally, the combined treatment led to a significant decrease in C-MYC expression. This synergistic effect was consistently observed across all primary AML patient samples analyzed.

conclusionThe findings suggest that the combination of VEN and DHA exerts synergistic anti-leukemic effects by targeting BCL-XL, MCL-1 and C-MYC, offering a promising therapeutic strategy for AML.

Indexed as

AML VENC-MYCDHAMCL-1

Identifiers

PMID40202582
PMCPMC11982003

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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.