Evidence map›Paper›PMID 30699064›Full record

ArticleEndocrine-related cancer2019

PI3K/mTOR inhibition potentiates and extends palbociclib activity in anaplastic thyroid cancer.

Kristen Wong, Francesca Di Cristofano, Michela Ranieri, Daniela De Martino, Antonio Di Cristofano

Open access · bronzeAbstract read
In one paragraph

Article in Endocrine-related cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. 2021 American Thyroid Association Guidelines for Management of Patients with Anaplastic Thyroid Cancer.Thyroid : official journal of the American Thyroid Association · 2021
    Guideline
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  16. Additional Oncogenic Alterations in RAS-Driven Differentiated Thyroid Cancers Associate with Worse Clinicopathologic Outcomes.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    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

5 authors at 1 institution in 1 country.

Kristen WongDepartment of Developmental and Molecular Biology, Albert Einstein College of Medicine, Bronx, New York, USA.
Francesca Di CristofanoDepartment of Developmental and Molecular Biology, Albert Einstein College of Medicine, Bronx, New York, USA.
Michela RanieriDepartment of Developmental and Molecular Biology, Albert Einstein College of Medicine, Bronx, New York, USA.
Daniela De MartinoDepartment of Developmental and Molecular Biology, Albert Einstein College of Medicine, Bronx, New York, USA.
Antonio Di CristofanoDepartment of Developmental and Molecular Biology, Albert Einstein College of Medicine, Bronx, New York, USA.
Albert Einstein College of Medicine · US

Funding

WORD PROCESSORP30CA013330 · NCI · YESHIVA UNIVERSITY · PI Ulrich Steidl · 1985 to 2026
$111.2M
SPORE in Thyroid CancerP50CA172012 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI FAGIN, JAMES A · 2014 to 2018
$10.3M
Molecular analysis and therapeutic targeting of PI3K signaling in thyroid cancerR01CA128943 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI DI CRISTOFANO, ANTONIO · 2009 to 2024
$5.8M
Training of Surgeons for Studies of the Tumor MicroenvironmentT32CA200561 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MCAULIFFE, JOHN · 2015 to 2024
$2.7M
NCI NIH HHS P30 CA013330NCI NIH HHS P50 CA172012NCI NIH HHS R01 CA128943NCI NIH HHS T32 CA200561
6 · The paper itself

Abstract

Anaplastic thyroid carcinoma (ATC) is the most aggressive form of thyroid cancer. Despite its low incidence, it accounts for a disproportionate number of thyroid cancer-related deaths, because of its resistance to current therapeutic approaches. Novel actionable targets are urgently needed to prolong patient survival and increase their quality of life. Loss and mutation of the RB1 tumor suppressor are rare events in ATC, which suggests that therapies directed at inhibiting the cyclin D/CDK4 complexes, responsible for RB phosphorylation and inactivation, might be effective in this tumor type. In fact, we found that the CDK4/6 inhibitor, palbociclib, strongly inhibits proliferation in all the RB1 wild type ATC cell lines tested. Efficacy was also observed in vivo, in a xenograft model. However, ATC cells rapidly developed resistance to palbociclib. Resistance was associated with increased levels of cyclin D1 and D3. To counter cyclin D overexpression, we tested the effect of combining palbociclib with the PI3K/mTOR dual inhibitor, omipalisib. Combined treatment synergistically reduced cell proliferation, even in cell lines that do not carry PI3K-activating mutations. More importantly, low-dose combination was dramatically effective in inhibiting tumor growth in a xenograft model. Thus, combined PI3K/mTOR and CDK4/6 inhibition is a highly promising novel approach for the treatment of aggressive, therapy-resistant thyroid cancer.

Indexed as

AnimalsAntineoplastic AgentsBenzenesulfonamidesCell Line, TumorCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6FemaleHumansMaleMicePhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsPiperazinesProtein Kinase InhibitorsPyridazinesPyridinesAntineoplastic AgentsBenzenesulfonamidesCDK4 protein, humanCDK6 protein, humanCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6MTOR protein, humanomipalisibpalbociclibPhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsPiperazinesProtein Kinase InhibitorsPyridazinesPyridinesQuinolinesSulfonamidesTOR Serine-Threonine Kinases

Identifiers

PMID30699064
PMCPMC6602869
OpenAlexW2914546646

What Socratic holds

Textmetadata
LicenceTDM
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.