Evidence map›Paper›PMID 41254013›Full record

ArticleScientific reports2025

Combinational BET and mTOR inhibition unveils EGR1 as acute myeloid leukemia prognostic biomarker.

Marcela Teatin Latancia, Wellington Fernandes da Silva, Elayne Bragança-Jardim, Fernanda Fernandes Terra, Paula Fontes Asprino, Welbert De Oliveira Pereira, Vanessa Candiotti Buzatto, Pedro Alexandre Galante, Lilian Tiemi Inoue, Ana Rita Fonseca and 8 more

Abstract read
In one paragraph

Article in Scientific reports, 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

18 authors.

Marcela Teatin LatanciaHospital Sírio-Libanes, R. Prof. Daher Cutait, 69, São Paulo, SP, Brazil.
Wellington Fernandes da SilvaDivisão de Hematologia, Instituto do Câncer do Estado de São Paulo, São Paulo, Brazil.
Elayne Bragança-JardimHospital Sírio-Libanes, R. Prof. Daher Cutait, 69, São Paulo, SP, Brazil.
Fernanda Fernandes TerraInstituto de Ciências Biomédicas da Universidade de São Paulo, São Paulo, Brazil.
Paula Fontes AsprinoHospital Sírio-Libanes, R. Prof. Daher Cutait, 69, São Paulo, SP, Brazil.
Welbert De Oliveira PereiraFaculdade Israelita de Ciências da Saúde Albert Einstein, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Vanessa Candiotti BuzattoHospital Sírio-Libanes, R. Prof. Daher Cutait, 69, São Paulo, SP, Brazil.
Pedro Alexandre GalanteHospital Sírio-Libanes, R. Prof. Daher Cutait, 69, São Paulo, SP, Brazil.
Lilian Tiemi InoueHospital Sírio-Libanes, R. Prof. Daher Cutait, 69, São Paulo, SP, Brazil.
Ana Rita FonsecaHospital Sírio-Libanes, R. Prof. Daher Cutait, 69, São Paulo, SP, Brazil.
Thais Nascimento KimmemgsHospital Sírio-Libanes, R. Prof. Daher Cutait, 69, São Paulo, SP, Brazil.
Celso Arrais-RodriguesDepartamento de Oncologia Clínica e Experimental, Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM/UNIFESP), São Paulo, Brazil.
Vanderson RochaDivisão de Hematologia, Instituto do Câncer do Estado de São Paulo, São Paulo, Brazil.
Yana NovisHospital Sírio-Libanes, R. Prof. Daher Cutait, 69, São Paulo, SP, Brazil.
Niels Olsen Saraiva CamaraInstituto de Ciências Biomédicas da Universidade de São Paulo, São Paulo, Brazil.
Ana Paula LepiqueInstituto de Ciências Biomédicas da Universidade de São Paulo, São Paulo, Brazil.
Luiz Fernando Lima ReisHospital Sírio-Libanes, R. Prof. Daher Cutait, 69, São Paulo, SP, Brazil.
Mariane Tami AmanoHospital Sírio-Libanes, R. Prof. Daher Cutait, 69, São Paulo, SP, Brazil. mtamano@mochsl.org.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study investigated the anti-leukemic potential of BET inhibitors in combination with mTOR inhibitors, focusing on both BET-resistant and BET-sensitive AML cell lines. Our findings reveal a significant suppression of proliferation and induction of apoptosis across all tested cell lines following combined treatment. Interestingly, JQ1 (a specific BET inhibitor) triggered cell cycle arrest only in sensitive cells when used alone while addition of mTOR inhibitors extended this antiproliferative effect to BET-resistant cells as well. This observation underscores the potential of this combination therapy to circumvent existing resistance mechanisms. This study further confirmed an additive antitumor effect of the combined inhibitors in primary AML patient cells. We also identified EGR1 as a predictive biomarker for treatment efficacy, which was correlated with increased levels of EGR1, a protein linked to enhanced overall survival. In silico analysis suggested better prognosis for AML patients with higher EGR1 expression. This study validates the combined use of BET and mTOR inhibitors as a promising treatment strategy for AML, capable of overcoming resistance and enhancing therapeutic outcomes. Furthermore, our investigation also highlights EGR1 not only as a biomarker of treatment response, but also as a potential target for future therapeutic interventions, offering valuable insights for patient management.

Indexed as

Biomarkers, TumorEarly Growth Response Protein 1Leukemia, Myeloid, AcuteMTOR InhibitorsTOR Serine-Threonine KinasesApoptosisAzepinesCell Cycle CheckpointsCell Line, TumorCell ProliferationDrug Resistance, NeoplasmHumansPrognosisTriazolesAzepinesBiomarkers, TumorEarly Growth Response Protein 1EGR1 protein, human(+)-JQ1 compoundMTOR InhibitorsMTOR protein, humanTOR Serine-Threonine KinasesTriazolesBromodomainCancer treatmentEpigeneticsInhibitorsLeukemiamTOR

Identifiers

PMID41254013
PMCPMC12627814

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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.