Evidence map›Paper›PMID 31122263›Full record

ArticleJournal of experimental & clinical cancer research : CR2019

Hyper-activation of Aurora kinase a-polo-like kinase 1-FOXM1 axis promotes chronic myeloid leukemia resistance to tyrosine kinase inhibitors.

M Mancini, S De Santis, C Monaldi, L Bavaro, M Martelli, F Castagnetti, G Gugliotta, G Rosti, M A Santucci, G Martinelli and 2 more

Expression of concernOpen access · goldAbstract read
In one paragraph

Article in Journal of experimental & clinical cancer research : CR, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It carries an expression of concern. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

M ManciniDipartimento di Medicina Specialistica, Diagnostica e Sperimentale - DIMES - Istituto di Ematologia "L. e A. Seràgnoli", University of Bologna, Medical School, via Massarenti, 9, 40138, Bologna, Italy. mancini_manu@yahoo.com.
S De SantisDipartimento di Medicina Specialistica, Diagnostica e Sperimentale - DIMES - Istituto di Ematologia "L. e A. Seràgnoli", University of Bologna, Medical School, via Massarenti, 9, 40138, Bologna, Italy.
C MonaldiDipartimento di Medicina Specialistica, Diagnostica e Sperimentale - DIMES - Istituto di Ematologia "L. e A. Seràgnoli", University of Bologna, Medical School, via Massarenti, 9, 40138, Bologna, Italy.
L BavaroDipartimento di Medicina Specialistica, Diagnostica e Sperimentale - DIMES - Istituto di Ematologia "L. e A. Seràgnoli", University of Bologna, Medical School, via Massarenti, 9, 40138, Bologna, Italy.
M MartelliDipartimento di Medicina Specialistica, Diagnostica e Sperimentale - DIMES - Istituto di Ematologia "L. e A. Seràgnoli", University of Bologna, Medical School, via Massarenti, 9, 40138, Bologna, Italy.
F CastagnettiDipartimento di Medicina Specialistica, Diagnostica e Sperimentale - DIMES - Istituto di Ematologia "L. e A. Seràgnoli", University of Bologna, Medical School, via Massarenti, 9, 40138, Bologna, Italy.
G GugliottaDipartimento di Medicina Specialistica, Diagnostica e Sperimentale - DIMES - Istituto di Ematologia "L. e A. Seràgnoli", University of Bologna, Medical School, via Massarenti, 9, 40138, Bologna, Italy.
G RostiDipartimento di Medicina Specialistica, Diagnostica e Sperimentale - DIMES - Istituto di Ematologia "L. e A. Seràgnoli", University of Bologna, Medical School, via Massarenti, 9, 40138, Bologna, Italy.
M A SantucciDipartimento di Medicina Specialistica, Diagnostica e Sperimentale - DIMES - Istituto di Ematologia "L. e A. Seràgnoli", University of Bologna, Medical School, via Massarenti, 9, 40138, Bologna, Italy.
G MartinelliIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) Srl Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), via Piero Maroncelli 40, 47014, Meldola (FC), Italy.
M CavoDipartimento di Medicina Specialistica, Diagnostica e Sperimentale - DIMES - Istituto di Ematologia "L. e A. Seràgnoli", University of Bologna, Medical School, via Massarenti, 9, 40138, Bologna, Italy.
S SoveriniDipartimento di Medicina Specialistica, Diagnostica e Sperimentale - DIMES - Istituto di Ematologia "L. e A. Seràgnoli", University of Bologna, Medical School, via Massarenti, 9, 40138, Bologna, Italy.
University of Bologna · ITIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori · IT

Funding

Associazione Italiana per la Ricerca sul Cancro 16996Ministero della Salute GR-2016-02364880
6 · The paper itself

Abstract

backgroundChronic myeloid leukemia (CML) is a myeloproliferative disease caused by the constitutive tyrosine kinase (TK) activity of the BCR-ABL1 fusion protein. Accordingly, TK inhibitors have drastically changed the disease prognosis. However, persistence of the transformed hematopoiesis even in patients who achieved a complete response to TK inhibitors and the disease relapse upon therapy discontinuation represent a major obstacle to CML cure.

methodsThiostrepton, Danusertib and Volasertib were used to investigate the effects of FOXM1, AKA and Plk1 inhibition in K562-S and K562-R cells. Apoptotic cell death was quantified by annexin V/propidium iodide staining and flow cytometry. Quantitative reverse transcription (RT)-PCR was used to assess BCR-ABL1, FOXM1, PLK1 and AURKA expression. Protein expression and activation was assessed by Western Blotting (WB). Clonogenic assay were performed to confirm K562-R resistance to Imatinib and to evaluate cells sensitivity to the different drugs.

resultsHere we proved that BCR-ABL1 TK-dependent hyper-activation of Aurora kinase A (AURKA)-Polo-like kinase 1 (PLK1)-FOXM1 axis is associated with the outcome of Imatinib (IM) resistance in an experimental model (K562 cell line) and bone marrow hematopoietic cells. Notably, such a biomolecular trait was detected in the putative leukemic stem cell (LSC) compartment characterized by a CD34+ phenotype. Constitutive phosphorylation of FOXM1 associated with BCR-ABL1 TK lets FOXM1 binding with β-catenin enables β-catenin nuclear import and recruitment to T cell factor/lymphoid enhancer-binding factor (TCF/LEF) transcription complex, hence supporting leukemic cell proliferation and survival. Lastly, the inhibition of single components of AURKA-PLK1-FOXM1 axis in response to specific drugs raises the expression of growth factor/DNA damage-inducible gene a (GADD45a), a strong inhibitor of AURKA and, as so, a critical component whose induction may mediate the eradication of leukemic clone.

conclusionsOur conclusion is that AURKA, PLK1 and FOXM1 inhibition may be considered as a promising therapeutic approach to cure CML.

Indexed as

Drug Resistance, NeoplasmAurora Kinase ABenzamidesCell Cycle ProteinsCell Line, TumorForkhead Box Protein M1Fusion Proteins, bcr-ablGene Expression Regulation, NeoplasticHumansImatinib MesylateK562 CellsLeukemia, Myelogenous, Chronic, BCR-ABL PositivePhosphorylationPolo-Like Kinase 1Protein Kinase InhibitorsProtein Serine-Threonine KinasesAURKA protein, humanAurora Kinase ABCR-ABL1 fusion protein, humanBenzamidesBI 6727Cell Cycle ProteinsdanusertibForkhead Box Protein M1FOXM1 protein, humanFusion Proteins, bcr-ablImatinib MesylatePolo-Like Kinase 1Protein Kinase InhibitorsProtein Serine-Threonine KinasesProto-Oncogene ProteinsPteridinesPyrazolesThiostreptonAurora kinase aChronic myeloid leukemiaDrug resistanceFOXM1Polo-like kinase 1β-Catenin

Identifiers

PMID31122263
PMCPMC6533706
OpenAlexW2947497650

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.