Evidence map›Paper›PMID 19965685›Full record

ArticleBlood2010

Dual targeting of the PI3K/Akt/mTOR pathway as an antitumor strategy in Waldenstrom macroglobulinemia.

Aldo M Roccaro, Antonio Sacco, Emanuel N Husu, Costas Pitsillides, Steven Vesole, Abdel Kareem Azab, Feda Azab, Molly Melhem, Hai T Ngo, Phong Quang and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
6.4field-weighted citation impact, top 3% of its field
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

48 citing papers in PubMed, 99 citations in OpenAlex.

  1. Review
  2. Review
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  9. Article
  10. Dual NAMPT and BTK Targeting Leads to Synergistic Killing of Waldenström Macroglobulinemia Cells Regardless of MYD88 and CXCR4 Somatic Mutation Status.Clinical cancer research : an official journal of the American Association for Cancer Research · 2016
    Article
  11. The interaction of Wnt-11 and signalling cascades in prostate cancer.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2016
    Review
  12. Article
  13. Review
  14. TCL1 expression patterns in Waldenström macroglobulinemia.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2016
    Article
  15. Article
  16. Targeting the Spleen Tyrosine Kinase with Fostamatinib as a Strategy against Waldenström Macroglobulinemia.Clinical cancer research : an official journal of the American Association for Cancer Research · 2015
    Article
  17. Article
  18. Article
  19. Article
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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

16 authors at 3 institutions in 1 country.

Aldo M RoccaroMedical Oncology, Dana-Farber Cancer Institute, and Harvard Medical School, Boston, MA, USA.
Antonio Sacco
Emanuel N Husu
Costas Pitsillides
Steven Vesole
Abdel Kareem Azab
Feda Azab
Molly Melhem
Hai T Ngo
Phong Quang
Patricia Maiso
Judith Runnels
Mei-Chih Liang
Kwok-Kin Wong
Charles Lin
Irene M Ghobrial
Dana-Farber Cancer Institute · USHarvard University · USMassachusetts General Hospital · US

Funding

Regulation of the P13K/AKT pathway in Waldenstrom MacroglobulinemiaR21CA126119 · NCI · DANA-FARBER CANCER INST · PI GHOBRIAL, IRENE M. · 2007 to 2008
$643k
NCI NIH HHS R21 1R21CA126119-01NCI NIH HHS R21 CA126119
6 · The paper itself

Abstract

We have previously shown clinical activity of a mammalian target of rapamycin (mTOR) complex 1 inhibitor in Waldenstrom macroglobulinemia (WM). However, 50% of patients did not respond to therapy. We therefore examined mechanisms of activation of the phosphoinositide 3-kinase (PI3K)/Akt/mTOR in WM, and mechanisms of overcoming resistance to therapy. We first demonstrated that primary WM cells show constitutive activation of the PI3K/Akt pathway, supported by decreased expression of phosphate and tensin homolog tumor suppressor gene (PTEN) at the gene and protein levels, together with constitutive activation of Akt and mTOR. We illustrated that dual targeting of the PI3K/mTOR pathway by the novel inhibitor NVP-BEZ235 showed higher cytotoxicity on WM cells compared with inhibition of the PI3K or mTOR pathways alone. In addition, NVP-BEZ235 inhibited both rictor and raptor, thus abrogating the rictor-induced Akt phosphorylation. NVP-BEZ235 also induced significant cytotoxicity in WM cells in a caspase-dependent and -independent manner, through targeting the Forkhead box transcription factors. In addition, NVP-BEZ235 targeted WM cells in the context of bone marrow microenvironment, leading to significant inhibition of migration, adhesion in vitro, and homing in vivo. These studies therefore show that dual targeting of the PI3K/mTOR pathway is a better modality of targeted therapy for tumors that harbor activation of the PI3K/mTOR signaling cascade, such as WM.

Indexed as

Phosphoinositide-3 Kinase InhibitorsAnimalsAntineoplastic AgentsCells, CulturedDrug Delivery SystemsDrug Evaluation, PreclinicalEnzyme ActivationEnzyme InhibitorsHumansImidazolesIntracellular Signaling Peptides and ProteinsMiceMice, Inbred BALB COncogene Protein v-aktPhosphatidylinositol 3-KinasesProtein Serine-Threonine KinasesAntineoplastic AgentsdactolisibEnzyme InhibitorsImidazolesIntracellular Signaling Peptides and ProteinsMTOR protein, humanmTOR protein, mouseOncogene Protein v-aktPhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsProtein Serine-Threonine KinasesPTEN PhosphohydrolaseQuinolinesTOR Serine-Threonine Kinases

Identifiers

PMID19965685
PMCPMC2810978
OpenAlexW2019809220

What Socratic holds

Textmetadata
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 Socratic graph.