Evidence map›Paper›PMID 40257680›Full record

ArticleMedical oncology (Northwood, London, England)2025

Mechanism of etoposide resistance in small cell lung cancer and the potential therapeutic options.

Yan-Wen Fan, Mei-Hui Liu, Tao-Jun Xu, Ruo-Yue Fan, Jing Xiang, Jia-Qi Wu, Ming-Fang He

Abstract read
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In one paragraph

Article in Medical oncology (Northwood, London, England), 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. 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

7 authors.

Yan-Wen Fan *College of Biotechnology and Pharmaceutical Engineering, Nanjing Tech University, 30 Puzhu South Road, Nanjing, 211816, China.
Mei-Hui Liu *Jiangsu Health Vocational College, Nanjing, China.
Tao-Jun XuCollege of Biotechnology and Pharmaceutical Engineering, Nanjing Tech University, 30 Puzhu South Road, Nanjing, 211816, China.
Ruo-Yue FanCollege of Biotechnology and Pharmaceutical Engineering, Nanjing Tech University, 30 Puzhu South Road, Nanjing, 211816, China.
Jing XiangDepartment of Medical Oncology, Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China.
Jia-Qi WuCollege of Biotechnology and Pharmaceutical Engineering, Nanjing Tech University, 30 Puzhu South Road, Nanjing, 211816, China. jiaqi_wu@njtech.edu.cn.
Ming-Fang HeCollege of Biotechnology and Pharmaceutical Engineering, Nanjing Tech University, 30 Puzhu South Road, Nanjing, 211816, China. mingfanghe@njtech.edu.cn.

Funding

National Natural Science Foundation of China 82203219National Natural Science Foundation of China 82272671The Jiangsu Synergetic Innovation Center for Advanced Bio-Manufacture XTD2202The Key Medical Projects of Jiangsu Provincial Health Commission ZD2022019The Key R&D Special Fund of Jiangsu Province BE2022719The Natural Science Foundation of Jiangsu Province BK20210546The Open Project of Jiangsu Provincial Science and Technology Resources (Clinical Resources) Coordination Servince Platform TC2023B011
6 · The paper itself

Abstract

Small cell lung cancer (SCLC) is a type of high-grade neuroendocrine malignancy with low gene mutation. Chemotherapy is the major treatment strategy, but long-term clinical application often leads to drug resistance. Etoposide is a first-line drug approved by the US Food and Drug Administration for SCLC treatment, but etoposide-resistance is a problem. In this study, a SCLC cell line with etoposide-acquired resistance, H1048-ER, was constructed through a concentration gradient increasing method, and its resistance to etoposide was investigated in vitro and in a zebrafish model. Through transcriptome sequencing, real-time reverse transcription-quantitative polymerase chain reaction, and bioinformatic analyses of H1048-ER vs. H1048 cells, 51 differentially expressed genes were found to be significantly enriched in "collagen degradation" and "MET/FAK signaling activation in ECM". Among them, six genes (COL11A1, COL26A1, COL4A3, COL4A4, LAMA4, and LAMC1) had strong correlations with the prognosis of lung cancer. They may be key factors in the acquired etoposide resistance of H1048-ER cells. H1048-ER cells showed cross-resistance to cisplatin but were sensitive to doxorubicin and temozolomide. Our study provides novel insights into etoposide resistance in SCLC and affords the potential treatment options after etoposide resistance.

Indexed as

Antineoplastic Agents, PhytogenicDrug Resistance, NeoplasmEtoposideLung NeoplasmsSmall Cell Lung CarcinomaAnimalsCell Line, TumorHumansZebrafishAntineoplastic Agents, PhytogenicEtoposideDrug resistanceEtoposideSmall cell lung cancerZebrafish xenograft tumor model

Identifiers

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Registered trials

None linked

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.