Evidence map›Paper›PMID 40204947›Full record

ArticleBritish journal of cancer2025

Rational design of alternative treatment options for radioresistant rectal cancer using patient-derived organoids.

D Andel, A J Nouwens, S Klaassen, J Laoukili, B Viergever, A Verheem, M P W Intven, M Zandvliet, J Hagendoorn, I H M Borel Rinkes and 1 more

Abstract read
In one paragraph

Article in British journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
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  6. 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

11 authors.

D AndelDepartment of Surgical Oncology, University Medical Center Utrecht, Cancer Center, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0001-9858-868X
A J NouwensDepartment of Surgical Oncology, University Medical Center Utrecht, Cancer Center, Utrecht, The Netherlands.
S KlaassenDepartment of Surgical Oncology, University Medical Center Utrecht, Cancer Center, Utrecht, The Netherlands.
J LaoukiliDepartment of Surgical Oncology, University Medical Center Utrecht, Cancer Center, Utrecht, The Netherlands.
B ViergeverDepartment of Surgical Oncology, University Medical Center Utrecht, Cancer Center, Utrecht, The Netherlands.
A VerheemDepartment of Surgical Oncology, University Medical Center Utrecht, Cancer Center, Utrecht, The Netherlands.
M P W IntvenDepartment of Radiation Oncology, University Medical Center Utrecht, Cancer Center, Utrecht, The Netherlands.
M ZandvlietDepartment of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-0542-5433
J HagendoornDepartment of Surgical Oncology, University Medical Center Utrecht, Cancer Center, Utrecht, The Netherlands.
I H M Borel RinkesDepartment of Surgical Oncology, University Medical Center Utrecht, Cancer Center, Utrecht, The Netherlands. I.H.M.BorelRinkes@umcutrecht.nl.
O KranenburgDepartment of Surgical Oncology, University Medical Center Utrecht, Cancer Center, Utrecht, The Netherlands. O.Kranenburg@umcutrecht.nl.ORCID http://orcid.org/0000-0002-2112-4390

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResistance to radiation therapy is a common challenge in the field of oncology. Cancer cells with an increased ability to effectively repair DNA or cells with higher levels of antioxidants are more resistant to radiation. As cancer cells rely on these traits for survival, they may offer vulnerabilities that could be exploited.

methodsIn the current study, rectal cancer organoids that showed different responses to radiation treatment were identified. RNA sequencing was used to compare radioresistant and radiosensitive organoids. In vitro combination drug screens were performed. The selection of drugs was guided by the RNA sequencing results.

resultsRadioresistant organoids exhibited superior transcriptional adaptability and activated more DNA repair pathways when irradiated. Additionally, radioresistant organoids displayed enhanced antioxidant metabolism, including pathways related to the detoxification of reactive oxygen species and the synthesis of glutathione. Combinatorial drug screens identified the combination of RRx-001 (an inducer of oxidative stress) with GCLC inhibitor BSO as a highly effective and synergistic drug combination in killing radioresistant organoids. CRISPR-CAS-mediated knockout of GCLC sensitised organoids to RRx-001.

conclusionCombining RRx-001 with the inhibition of GCLC may be a promising alternative treatment strategy in radioresistant rectal cancer.

Indexed as

OrganoidsRadiation ToleranceRectal NeoplasmsDNA RepairHumans

Identifiers

PMID40204947
PMCPMC12081638

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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.