Evidence map›Paper›PMID 21834980›Full record

ArticleJournal of translational medicine2011

Characterization and targeting of phosphatidylinositol-3 kinase (PI3K) and mammalian target of rapamycin (mTOR) in renal cell cancer.

Aymen A Elfiky, Saadia A Aziz, Patricia J Conrad, Summar Siddiqui, Wolfgang Hackl, Michel Maira, Camp L Robert, Harriet M Kluger

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. [Pt(Biomolecules · 2019
    Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Novel mutations and role of the LKB1 gene as a tumor suppressor in renal cell carcinoma.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2014
    Article
  20. Metabolic syndrome and renal cell carcinoma.World journal of surgical oncology · 2014
    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

8 authors at 4 institutions in 2 countries.

Aymen A ElfikyDivision of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, United States of America.
Saadia A Aziz
Patricia J Conrad
Summar Siddiqui
Wolfgang Hackl
Michel Maira
Camp L Robert
Harriet M Kluger
Yale Cancer Center · USYale University · USDana-Farber Cancer Institute · USNovartis (Switzerland) · CH

Funding

Predictive Markers in Metastatic Renal CancerR01CA129034 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SMALL, ERIC J · 2008 to 2012
$2.5M
Models to Predict Prognosis and Benefit from Adjuvant Therapy in Renal Cell CarciR01CA158167 · NCI · YALE UNIVERSITY · PI KLUGER, HARRIET M. · 2011 to 2015
$1.8M
Qualitative Analysis of Tissue Biomarkers and PathwaysR21CA116265 · NCI · YALE UNIVERSITY · PI CAMP, ROBERT L · 2005 to 2006
$278k
NCI NIH HHS R0-1 CA129034NCI NIH HHS R01 CA129034NCI NIH HHS R01 CA158167NCI NIH HHS R0-1 R0-1 CA158167NCI NIH HHS R21 CA116265
6 · The paper itself

Abstract

backgroundPI3K and mTOR are key components of signal transduction pathways critical for cell survival. Numerous PI3K inhibitors have entered clinical trials, while mTOR is the target of approved drugs for metastatic renal cell carcinoma (RCC). We characterized expression of p85 and p110α PI3K subunits and mTOR in RCC specimens and assessed pharmacologic co-targeting of these molecules in vitro.

methodsWe employed tissue microarrays containing 330 nephrectomy cases using a novel immunofluorescence-based method of Automated Quantitative Analysis (AQUA) of in situ protein expression. In RCC cell lines we assessed synergism between PI3K and mTOR inhibitors and activity of NVP-BEZ235, which co-targets PI3K and mTOR.

resultsp85 expression was associated with high stage and grade (P < 0.0001 for both). High p85 and high mTOR expression were strongly associated with decreased survival, and high p85 was independently prognostic on multi-variable analysis. Strong co-expression of both PI3K subunits and mTOR was found in the human specimens. The PI3K inhibitor LY294002 and rapamycin were highly synergistic in all six RCC cell lines studied. Similar synergism was seen with all rapamycin concentrations used. NVP-BEZ235 inhibited RCC cell growth in vitro with IC(50)s in the low ηM range and resultant PARP cleavage.

conclusionsHigh PI3K and mTOR expression in RCC defines populations with decreased survival, suggesting that they are good drug targets in RCC. These targets tend to be co-expressed, and co-targeting these molecules is synergistic. NVP-BEZ235 is active in RCC cells in vitro; suggesting that concurrent PI3K and mTOR targeting in RCC warrants further investigation.

Indexed as

Molecular Targeted TherapyPhosphoinositide-3 Kinase InhibitorsApoptosisAutomationBiomarkers, TumorCarcinoma, Renal CellCell Line, TumorChromonesDrug SynergismHumansImidazolesInhibitory Concentration 50Kidney NeoplasmsMorpholinesMultivariate AnalysisPhosphatidylinositol 3-Kinase2-(4-morpholinyl)-8-phenyl-4H-1-benzopyran-4-oneBiomarkers, TumorChromonesdactolisibImidazolesMorpholinesPhosphatidylinositol 3-KinasePhosphoinositide-3 Kinase InhibitorsProtein Kinase InhibitorsQuinolinesSirolimusTOR Serine-Threonine Kinases

Identifiers

PMID21834980
PMCPMC3173341
OpenAlexW1974710541

What Socratic 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 Socratic graph.