Evidence map›Paper›PMID 32362655›Full record

ArticleBritish journal of cancer2020

Integrated single-cell and bulk gene expression and ATAC-seq reveals heterogeneity and early changes in pathways associated with resistance to cetuximab in HNSCC-sensitive cell lines.

Luciane T Kagohara, Fernando Zamuner, Emily F Davis-Marcisak, Gaurav Sharma, Michael Considine, Jawara Allen, Srinivasan Yegnasubramanian, Daria A Gaykalova, Elana J Fertig

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.1field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 56 citations in OpenAlex.

  1. Integration of Bulk and Single-Cell RNA Sequencing Analyses in Biomedicine.International journal of molecular sciences · 2026
    Review
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  8. Application of single-cell RNA sequencing in head and neck squamous cell carcinoma.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2023
    Article
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  11. Multiomics Empowers Predictive Pancreatic Cancer Immunotherapy.Journal of immunology (Baltimore, Md. : 1950) · 2023
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Luciane T KagoharaSidney Kimmel Comprehensive Cancer Center, Johns Hopkins University - School of Medicine, Baltimore, MD, USA. ltsukam1@jhmi.edu.
Fernando ZamunerDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins University - School of Medicine, Baltimore, MD, USA.
Emily F Davis-MarcisakSidney Kimmel Comprehensive Cancer Center, Johns Hopkins University - School of Medicine, Baltimore, MD, USA.
Gaurav SharmaSidney Kimmel Comprehensive Cancer Center, Johns Hopkins University - School of Medicine, Baltimore, MD, USA.
Michael ConsidineSidney Kimmel Comprehensive Cancer Center, Johns Hopkins University - School of Medicine, Baltimore, MD, USA.
Jawara AllenDepartment of Medicine, Johns Hopkins University - School of Medicine, Baltimore, MD, USA.
Srinivasan YegnasubramanianSidney Kimmel Comprehensive Cancer Center, Johns Hopkins University - School of Medicine, Baltimore, MD, USA.
Daria A GaykalovaDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins University - School of Medicine, Baltimore, MD, USA.
Elana J FertigSidney Kimmel Comprehensive Cancer Center, Johns Hopkins University - School of Medicine, Baltimore, MD, USA.
Johns Hopkins University · USSidney Kimmel Comprehensive Cancer Center · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI ALAN KEITH MEEKER · 1985 to 2026
$208.6M
TUMOR SUPPRESOR GENE PROMOTER HYPERMETHYLATION FOR DETECTION OF HEAD AND NECKP50DE019032 · NIDCR · JOHNS HOPKINS UNIVERSITY · PI SIDRANSKY, DAVID · 2007 to 2016
$27.1M
Medical Scientist Training ProgramT32GM136577 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI ANDREA L COX · 2020 to 2026
$13.4M
Predoctoral Training Program in Human GeneticsT32GM007814 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI VALLE, DAVID · 1985 to 2021
$10.6M
Delineating chromatin-related gene expression signatures as a function of HNSCC progressionR01DE027809 · NIDCR · UNIVERSITY OF MARYLAND BALTIMORE · PI GAYKALOVA, DARIA A, IZUMCHENKO, EVGENY (EUGENE) G · 2019 to 2023
$2.6M
Molecular signatures of HNSCC in response to targeted therapiesR01DE017982 · NIDCR · VANDERBILT UNIVERSITY · PI CHUNG, CHRISTINE H · 2007 to 2011
$1.9M
Dynamical Models of Cetuximab Resistance in HNSCC Based on Serial Genomics DataR01CA177669 · NCI · JOHNS HOPKINS UNIVERSITY · PI FERTIG, ELANA · 2014 to 2019
$1.8M
Characterizing genome-wide alternative splicing in HPV related HNSCCR21DE025398 · NIDCR · JOHNS HOPKINS UNIVERSITY · PI GAYKALOVA, DARIA A · 2015 to 2016
$446k
NCI NIH HHS P30 CA006973NCI NIH HHS R01 CA177669NIDCR NIH HHS P50 DE019032NIDCR NIH HHS R01 DE017982NIDCR NIH HHS R01 DE027809NIDCR NIH HHS R21 DE025398NIGMS NIH HHS T32 GM007814NIGMS NIH HHS T32 GM136577
6 · The paper itself

Abstract

backgroundIdentifying potential resistance mechanisms while tumour cells still respond to therapy is critical to delay acquired resistance.

methodsWe generated the first comprehensive multi-omics, bulk and single-cell data in sensitive head and neck squamous cell carcinoma (HNSCC) cells to identify immediate responses to cetuximab. Two pathways potentially associated with resistance were focus of the study: regulation of receptor tyrosine kinases by TFAP2A transcription factor, and epithelial-to-mesenchymal transition (EMT).

resultsSingle-cell RNA-seq demonstrates heterogeneity, with cell-specific TFAP2A and VIM expression profiles in response to treatment and also with global changes to various signalling pathways. RNA-seq and ATAC-seq reveal global changes within 5 days of therapy, suggesting early onset of mechanisms of resistance; and corroborates cell line heterogeneity, with different TFAP2A targets or EMT markers affected by therapy. Lack of TFAP2A expression is associated with HNSCC decreased growth, with cetuximab and JQ1 increasing the inhibitory effect. Regarding the EMT process, short-term cetuximab therapy has the strongest effect on inhibiting migration. TFAP2A silencing does not affect cell migration, supporting an independent role for both mechanisms in resistance.

conclusionOverall, we show that immediate adaptive transcriptional and epigenetic changes induced by cetuximab are heterogeneous and cell type dependent; and independent mechanisms of resistance arise while tumour cells are still sensitive to therapy.

Indexed as

Cell Line, TumorCell MovementCetuximabDrug Resistance, NeoplasmEpithelial-Mesenchymal TransitionGene Expression Regulation, NeoplasticHumansRNA-SeqSignal TransductionSingle-Cell AnalysisSquamous Cell Carcinoma of Head and NeckTranscription Factor AP-2CetuximabTFAP2A protein, humanTranscription Factor AP-2

Identifiers

PMID32362655
PMCPMC7341752
OpenAlexW3021755237

What Socratic holds

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LicenceCC BY
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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.