Evidence map›Paper›PMID 40781553›Full record

ArticleCommunications biology2025

Exploiting collateral sensitivity in the evolution of resistance to tyrosine kinase inhibitors in soft tissue sarcomas.

Mark L Elms, Andrew D Jenks, Avirup Chowdhury, Lukas Krasny, Madhumeeta Chadha, Kaan Low, Peter T Harrison, William G Kerrison, Robin L Jones, Paul H Huang

Abstract read
In one paragraph

Article in Communications biology, 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. Targeting tumor transition windows.Exploration of targeted anti-tumor therapy · 2026
    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.

Mark L Elms *Division of Cancer Biology, The Institute of Cancer Research, London, UK.ORCID http://orcid.org/0000-0002-5185-5602
Andrew D Jenks *Division of Cancer Biology, The Institute of Cancer Research, London, UK.ORCID http://orcid.org/0009-0005-1724-5412
Avirup ChowdhuryDivision of Cancer Biology, The Institute of Cancer Research, London, UK.ORCID http://orcid.org/0000-0001-9817-0603
Lukas KrasnyDivision of Cancer Biology, The Institute of Cancer Research, London, UK.
Madhumeeta ChadhaDivision of Cancer Biology, The Institute of Cancer Research, London, UK.
Kaan LowDivision of Cancer Biology, The Institute of Cancer Research, London, UK.ORCID http://orcid.org/0000-0003-4275-660X
Peter T HarrisonDivision of Cancer Biology, The Institute of Cancer Research, London, UK.
William G KerrisonDivision of Cancer Biology, The Institute of Cancer Research, London, UK.
Robin L JonesThe Royal Marsden NHS Foundation Trust, London, UK.
Paul H HuangDivision of Cancer Biology, The Institute of Cancer Research, London, UK. paul.huang@icr.ac.uk.ORCID http://orcid.org/0000-0003-3972-5087

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Broad-spectrum multi-target tyrosine kinase inhibitors (mTKIs) are clinically approved for the treatment of soft tissue sarcomas (STS). However, acquired resistance inevitably arises in the majority of STS patients. There is therefore an urgent need to identify new strategies to overcome resistance and achieve durable treatment responses. Here we show that STS cells that acquire resistance to clinically relevant mTKIs are cross-resistant to one another and sequential treatment does not delay the acquisition of drug resistance. Instead, we find that en route to acquiring drug resistance, STS cells develop collateral sensitivities to alternative drugs. We demonstrate that the mTKI sitravatinib rapidly induces collateral sensitivity to the FGFR inhibitor infigratinib which can be exploited for adaptive therapy to suppress STS cell growth. This study provides proof-of-principle that collateral sensitivity may be an effective strategy for overcoming resistance to mTKIs and this novel approach should be explored in the design of future trials.

Indexed as

Antineoplastic AgentsDrug Resistance, NeoplasmProtein Kinase InhibitorsSarcomaCell Line, TumorHumansPhenylurea CompoundsPyrimidinesTyrosine Kinase InhibitorsAntineoplastic AgentsinfigratinibPhenylurea CompoundsProtein Kinase InhibitorsPyrimidinesTyrosine Kinase Inhibitors

Identifiers

PMID40781553
PMCPMC12334625

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.