Evidence map›Paper›PMID 40442688›Full record

ArticleCancer cell international2025

Venetoclax synergizes with Wnt/β-catenin inhibitor C-82 in acute myeloid leukemia by increasing the degradation of Mcl-1 protein.

Mengya Pan, Changqing Jiao, Menghua Sun, Duo Jin, Yin Wang, Haoxuan Wu, Yan Zhang, Enbo Chen, Bobin Su, Junjie Zhou and 2 more

Abstract read
In one paragraph

Article in Cancer cell international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

  1. Review
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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

12 authors.

Mengya Pan *Department of Hematology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University Institute of Hematology, Hefei, 230022, China.
Changqing Jiao *Department of Hematology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University Institute of Hematology, Hefei, 230022, China.
Menghua Sun *Department of Hematology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University Institute of Hematology, Hefei, 230022, China.
Duo JinDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University Institute of Hematology, Hefei, 230022, China.
Yin WangDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University Institute of Hematology, Hefei, 230022, China.
Haoxuan WuDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University Institute of Hematology, Hefei, 230022, China.
Yan ZhangDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University Institute of Hematology, Hefei, 230022, China.
Enbo ChenDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University Institute of Hematology, Hefei, 230022, China.
Bobin SuDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University Institute of Hematology, Hefei, 230022, China.
Junjie ZhouDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University Institute of Hematology, Hefei, 230022, China. zhoujj_0924@163.com.
Xiaoying LiuSchool of Life Sciences, Anhui Medical University, Hefei, 230032, China. liuxiaoying@ahmu.edu.cn.
Jian GeDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University Institute of Hematology, Hefei, 230022, China. gejian@ahmu.edu.cn.

Funding

Clinical Trial Initiative Projects of The First Affiliated Hospital of Anhui Medical University Grant No. LCYJ2021YB009Key Research and development Project of Anhui Province Grant No. 201904a07020057Research Foundation of Anhui Institute of Translational Medicine Grant No. 2021zhyx-C32Research Foundation of Anhui Medical University Grant No.2020xkj166The National Natural Science Foundation of China Grant No. 82370175
6 · The paper itself

Abstract

backgroundDue to compensatory survival signalling and overexpression of anti-apoptotic Bcl-2 family proteins, the majority of AML patients developed acquired resistance of venetoclax (VEN) to combination therapy of VEN with low-dose cytarabine (LDAC) or hypomethylating agents (HMAs). Dysregulation of the Wnt/β-catenin signalling pathway is intently associated with leukemia development and chemotherapy resistance. However, there is currently no Wnt/β-catenin inhibitor approved for clinical use and it is not clear whether targeting the Wnt/β-catenin pathway enhances the anti-leukemic activity of VEN.

methodsAnalysis of the AML patient's data in the BeatAML and GEO databases. Establishing the MOLM13 venetoclax-resistant cell line (MOLM13-R cells) based on the MOLM13 parental cell line. CCK-8, Annexin-V/PI and Western blotting were performed to assess the effects of the combination of Wnt/β-catenin inhibitor C-82 and VEN in AML cell lines. The potential mechanisms of synergistic effects of the two-drug combination were explored by Western blotting and ubiquitination immunoprecipitation.

resultsWe displayed that the expression of β-catenin abnormally upregulated in AML patients and MOLM13-R cells. Knockdown of β-catenin could increase cell apoptosis in MOLM13-R cells. Combined treatment of C-82 with VEN synergistically inhibited AML cell growth and increased apoptosis. Mechanistically, C-82 disrupted the stability of Mcl-1 protein, and Mcl-1 downregulation was associated with different phosphorylation sites of Mcl-1 and proteasomal degradation. The combination of C-82 and VEN synergistically induced concurrent mitochondrial-associated apoptosis and gasdermin E (GSDME)-dependent pyroptosis.

conclusionOur findings propose an effective treatment strategy for AML patients through the combination of C-82 and VEN, positioning this regimen as a promising therapeutic option.

Indexed as

Acute myeloid leukemiaDrug resistanceMcl-1VenetoclaxWnt/β-catenin

Identifiers

PMID40442688
PMCPMC12121061

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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.