Evidence map›Paper›PMID 34625531›Full record

ArticleCell death & disease2021

Alpelisib combination treatment as novel targeted therapy against hepatocellular carcinoma.

Hongwei Xu, Kefei Chen, Runze Shang, Xinyan Chen, Yi Zhang, Xinhua Song, Matthias Evert, Sheng Zhong, Bo Li, Diego F Calvisi and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

23 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
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  8. International journal of molecular sciences · 2025
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  16. The essential roles of lncRNAs/PI3K/AKT axis in gastrointestinal tumors.Frontiers in cell and developmental biology · 2024
    Review
  17. Review
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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

11 authors at 5 institutions in 3 countries.

Hongwei Xu *Department of Liver Surgery, Center of Liver Transplantation, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Kefei Chen *Department of Liver Surgery, Center of Liver Transplantation, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Runze ShangDepartment of General Surgery, Affiliated Haixia Hospital of Huaqiao University, The 910 Hospital, Quanzhou, Fujian, China.
Xinyan ChenDepartment of Pharmacy, Hubei University of Chinese Medicine, Wuhan, Hubei, China.
Yi ZhangDepartment of Bioengineering and Therapeutic Sciences and Liver Center, University of California, San Francisco, CA, USA.
Xinhua SongDepartment of Bioengineering and Therapeutic Sciences and Liver Center, University of California, San Francisco, CA, USA.
Matthias EvertInstitute of Pathology, University of Regensburg, Regensburg, Germany.
Sheng ZhongDepartment of Bioengineering and Therapeutic Sciences and Liver Center, University of California, San Francisco, CA, USA.
Bo LiDepartment of Liver Surgery, Center of Liver Transplantation, West China Hospital of Sichuan University, Chengdu, Sichuan, China. hxcdlibo@126.com.
Diego F CalvisiInstitute of Pathology, University of Regensburg, Regensburg, Germany. diego.calvisi@klinik.uni-regensburg.de.
Xin ChenDepartment of Bioengineering and Therapeutic Sciences and Liver Center, University of California, San Francisco, CA, USA. xin.chen@ucsf.edu.ORCID 0000-0002-9588-0164
University of California, San Francisco · USSichuan University · CNUniversity of Regensburg · DEChongqing University · CNHuaqiao University · CN

Funding

UCSF Liver Core CenterP30DK026743 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Holger Willenbring · 1986 to 2026
$30.7M
Investigating Multifactorial Beta-catenin Activation in Hepatocellular CancersR01CA250227 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Xin Chen, Satdarshan Singh Monga · 2021 to 2026
$3.0M
Signaling pathways during hepatocarcinogenesisR01CA239251 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI CHEN, XIN · 2020 to 2024
$1.8M
NCI NIH HHS R01 CA239251NCI NIH HHS R01 CA250227NIDDK NIH HHS P30 DK026743
6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) is the sixth most common primary cancer with an unsatisfactory long-term survival. Gain of function mutations of PIK3CA occur in a subset of human HCC. Alpelisib, a selective PIK3CA inhibitor, has been approved by the FDA to treat PIK3CA mutant breast cancers. In this manuscript, we evaluated the therapeutic efficacy of alpelisib, either alone or in combination, for the treatment of HCC. We tested alpelisib in mouse HCC induced by hydrodynamic injection of c-Met/PIK3CA(H1047R) (c-Met/H1047R), c-Met/PIK3CA(E545K) (c-Met/E545K), and c-Met/sgPten gene combinations. Alpelisib slowed down the growth of c-Met/H1047R and c-Met/E545K HCC but was ineffective in c-Met/sgPten HCC. Mechanistically, alpelisib inhibited p-ERK and p-AKT in c-Met/H1047R and c-Met/E545K HCC progression but did not affect the mTOR pathway or genes involved in cell proliferation. In human HCC cell lines transfected with PIK3CA(H1047R), alpelisib synergized with the mTOR inhibitor MLN0128 or the CDK4/6 inhibitor palbociclib to suppress HCC cell growth. In c-Met/H1047R mice, alpelisib/MLN0128 or alpelisib/palbociclib combination therapy caused tumor regression. Our study demonstrates that alpelisib is effective for treating PIK3CA-mutated HCC by inhibiting MAPK and AKT cascades. Furthermore, combining alpelisib with mTOR or CDK4/6 inhibitors has a synergistic efficacy against PIK3CA-mutated HCC, providing novel opportunities for precision medicine against HCC.

Indexed as

Molecular Targeted TherapyAdenineAnilidesAnimalsBenzoxazolesCarcinogenesisCarcinoma, HepatocellularCell Line, TumorClass I Phosphatidylinositol 3-KinasesDisease Models, AnimalFemaleHumansLiver NeoplasmsMAP Kinase Signaling SystemMiceMutationAdenineAlpelisibAnilidesBenzoxazolescabozantinibClass I Phosphatidylinositol 3-KinasesMET protein, humanpalbociclibPIK3CA protein, humanPiperazinesProto-Oncogene Proteins c-aktProto-Oncogene Proteins c-metPTEN PhosphohydrolasePyridinesPyrimidinessapanisertibThiazoles

Identifiers

PMID34625531
PMCPMC8501067
OpenAlexW3204209144

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.