Evidence map›Paper›PMID 36318650›Full record

ArticleMolecular cancer therapeutics2023

Combination of Ribociclib with BET-Bromodomain and PI3K/mTOR Inhibitors for Medulloblastoma Treatment In Vitro and In Vivo.

Barbara Jonchere, Justin Williams, Frederique Zindy, Jingjing Liu, Sarah Robinson, Dana M Farmer, Jaeki Min, Lei Yang, Jennifer L Stripay, Yingzhe Wang and 5 more

Open access · hybridAbstract readComment
In one paragraph

Article in Molecular cancer therapeutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

20 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Small-Molecule Drugs in Pediatric Neuro-Oncology.Current oncology (Toronto, Ont.) · 2025
    Review
  8. Article
  9. Review
  10. Review
  11. Medulloblastoma: biology and immunotherapy.Frontiers in immunology · 2025
    Review
  12. Mechanistic insights into medulloblastoma relapse.Pharmacology & therapeutics · 2024
    Review
  13. Article
  14. Article
  15. Regulation of PI3K signaling in cancer metabolism and PI3K-targeting therapy.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2024
    Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Barbara JonchereDepartment of Tumor Cell Biology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-5386-2961
Justin WilliamsDepartment of Tumor Cell Biology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-0195-5509
Frederique ZindyDepartment of Tumor Cell Biology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-8133-4752
Jingjing LiuDepartment of Tumor Cell Biology Computational Biology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-8184-8382
Sarah RobinsonDepartment of Tumor Cell Biology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-5323-5124
Dana M FarmerDepartment of Tumor Cell Biology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0001-5102-2080
Jaeki MinDepartment of Tumor Cell Biology Chemical Biology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-0083-3198
Lei YangDepartment of Tumor Cell Biology Chemical Biology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-3060-0790
Jennifer L StripayDepartment of Tumor Cell Biology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-0039-8675
Yingzhe WangDepartment of Tumor Cell Biology Preclinical PK Shared Resource, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-7382-9683
Burgess B FreemanDepartment of Tumor Cell Biology Preclinical PK Shared Resource, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0003-2174-5119
Jiyang YuDepartment of Tumor Cell Biology Computational Biology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0003-1244-4429
Anang A ShelatDepartment of Tumor Cell Biology Chemical Biology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-6266-2910
Zoran RankovicDepartment of Tumor Cell Biology Chemical Biology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0001-6866-4290
Martine F RousselDepartment of Tumor Cell Biology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-1740-8139
St. Jude Children's Research Hospital · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Shondra Michelle Miller · 1985 to 2026
$166.9M
The DNA Damage Response and Tumorigenesis in the BrainP01CA096832 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI BAKER, SUZANNE J. · 2003 to 2025
$38.0M
Bromodomain-selective inhibitors for cancer therapyR01CA225945 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI SHELAT, ANANG A · 2019 to 2023
$2.0M
National Cancer Institute (NCI) CA-02165National Cancer Institute (NCI) CA-096832NCI NIH HHS P01 CA096832NCI NIH HHS P30 CA021765NCI NIH HHS R01 CA225945
6 · The paper itself

Abstract

Despite improvement in the treatment of medulloblastoma over the last years, numerous patients with MYC- and MYCN-driven tumors still fail current therapies. Medulloblastomas have an intact retinoblastoma protein RB, suggesting that CDK4/6 inhibition might represent a therapeutic strategy for which drug combination remains understudied. We conducted high-throughput drug combination screens in a Group3 (G3) medulloblastoma line using the CDK4/6 inhibitor (CDK4/6i) ribociclib at IC20, referred to as an anchor, and 87 oncology drugs approved by FDA or in clinical trials. Bromodomain and extra terminal (BET) and PI3K/mTOR inhibitors potentiated ribociclib inhibition of proliferation in an established cell line and freshly dissociated tumor cells from intracranial xenografts of G3 and Sonic hedgehog (SHH) medulloblastomas in vitro. A reverse combination screen using the BET inhibitor JQ1 as anchor, revealed CDK4/6i as the most potentiating drugs. In vivo, ribociclib showed single-agent activity in medulloblastoma models whereas JQ1 failed to show efficacy due to high clearance and insufficient free brain concentration. Despite in vitro synergy, combination of ribociclib with the PI3K/mTOR inhibitor paxalisib did not significantly improve the survival of G3 and SHH medulloblastoma-bearing mice compared with ribociclib alone. Molecular analysis of ribociclib and paxalisib-treated tumors revealed that E2F targets and PI3K/AKT/MTORC1 signaling genes were depleted, as expected. Importantly, in one untreated G3MB model HD-MB03, the PI3K/AKT/MTORC1 gene set was enriched in vitro compared with in vivo suggesting that the pathway displayed increased activity in vitro. Our data illustrate the difficulty in translating in vitro findings in vivo. See related article in Mol Cancer Ther (2022) 21(8):1306-1317.

Indexed as

Cerebellar NeoplasmsMedulloblastomaAminopyridinesAnimalsGemcitabineHedgehog ProteinsHumansMechanistic Target of Rapamycin Complex 1MiceMTOR InhibitorsPhosphatidylinositol 3-KinasesProtein Kinase InhibitorsProto-Oncogene Proteins c-aktPurinesTOR Serine-Threonine KinasesAminopyridinesGemcitabineHedgehog ProteinsMechanistic Target of Rapamycin Complex 1MTOR InhibitorsMTOR protein, humanPhosphatidylinositol 3-KinasesProtein Kinase InhibitorsProto-Oncogene Proteins c-aktPurinesribociclibTOR Serine-Threonine Kinases

Identifiers

PMID36318650
PMCPMC9808370
OpenAlexW4307973587

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.