Evidence map›Paper›PMID 37924972›Full record

ArticleJournal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer2024

MUC1-C Is a Common Driver of Acquired Osimertinib Resistance in NSCLC.

Naoki Haratake, Hiroki Ozawa, Yoshihiro Morimoto, Nami Yamashita, Tatsuaki Daimon, Atrayee Bhattacharya, Keyi Wang, Ayako Nakashoji, Hideko Isozaki, Mototsugu Shimokawa and 9 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer, 2024. 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 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
9.8field-weighted citation impact, top 1% 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

33 citing papers in PubMed, 38 citations in OpenAlex.

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  13. Targeting KRAS Inhibitor-Resistant Pancreatic Cancer with an MUC1-C Antibody-Drug Conjugate.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
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  19. The next generation of immunotherapies for lung cancers.Nature reviews. Clinical oncology · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 7 institutions in 2 countries.

Naoki HaratakeDepartment of Medical Oncology, Dana-Farber Cancer Institute Harvard Medical School, Boston, Massachusetts.
Hiroki OzawaDepartment of Medical Oncology, Dana-Farber Cancer Institute Harvard Medical School, Boston, Massachusetts.
Yoshihiro MorimotoDepartment of Medical Oncology, Dana-Farber Cancer Institute Harvard Medical School, Boston, Massachusetts.
Nami YamashitaDepartment of Medical Oncology, Dana-Farber Cancer Institute Harvard Medical School, Boston, Massachusetts.
Tatsuaki DaimonDepartment of Medical Oncology, Dana-Farber Cancer Institute Harvard Medical School, Boston, Massachusetts.
Atrayee BhattacharyaDepartment of Medical Oncology, Dana-Farber Cancer Institute Harvard Medical School, Boston, Massachusetts.
Keyi WangDepartment of Medical Oncology, Dana-Farber Cancer Institute Harvard Medical School, Boston, Massachusetts.
Ayako NakashojiDepartment of Medical Oncology, Dana-Farber Cancer Institute Harvard Medical School, Boston, Massachusetts.
Hideko IsozakiDepartment of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Mototsugu ShimokawaDepartment of Biostatistics, Graduate School of Medicine, Yamaguchi University, Yamaguchi, Japan.
Chie KikutakeDivision of Bioinformatics, Medical Institute of Bioregulation, Kyushu University, Fukuoka, Japan.
Mikita SuyamaDivision of Bioinformatics, Medical Institute of Bioregulation, Kyushu University, Fukuoka, Japan.
Asato HashinokuchiDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Kazuki TakadaSaiseikai Fukuoka General Hospital, Fukuoka, Japan.
Tomoyoshi TakenakaDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Tomoharu YoshizumiDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Tetsuya MitsudomiDepartment of Surgery, Kindai University Hospital, Osaka-Sayama, Japan.
Aaron N HataDepartment of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Donald KufeDepartment of Medical Oncology, Dana-Farber Cancer Institute Harvard Medical School, Boston, Massachusetts. Electronic address: donald_kufe@dfci.harvard.edu.
Dana-Farber Cancer Institute · USKyushu University · JPHarvard University · USKindai University Hospital · JPMassachusetts General Hospital · USSaiseikai Fukuoka General Hospital · JPYamaguchi University · JP

Funding

Targeting the MUC1-C Oncoprotein in Triple-Negative Breast CancerR01CA097098 · NCI · DANA-FARBER CANCER INSTITUTE · PI DONALD W. KUFE · 2002 to 2026
$8.8M
MUC1-C is a Target for Reversing Immune Evasion and Resistance to ImmunotherapiesU01CA233084 · NCI · DANA-FARBER CANCER INST · PI KUFE, DONALD W., WONG, KWOK KIN · 2018 to 2022
$4.1M
MUC1-C is a target for advancing immunotherapy of non-small cell lung cancerR21CA289134 · NCI · DANA-FARBER CANCER INST · PI KUFE, DONALD W. · 2024 to 2024
$450k
Targeting MUC1-C for the Treatment of Small Cell Lung Cancer ProgressionR21CA267138 · NCI · DANA-FARBER CANCER INST · PI KUFE, DONALD W. · 2022 to 2023
$437k
NCI NIH HHS R01 CA097098NCI NIH HHS R21 CA267138NCI NIH HHS R21 CA289134NCI NIH HHS U01 CA233084
6 · The paper itself

Abstract

introductionOsimertinib is an irreversible EGFR tyrosine kinase inhibitor approved for the first-line treatment of patients with metastatic NSCLC harboring EGFR exon 19 deletions or L858R mutations. Patients treated with osimertinib invariably develop acquired resistance by mechanisms involving additional EGFR mutations, MET amplification, and other pathways. There is no known involvement of the oncogenic MUC1-C protein in acquired osimertinib resistance.

methodsH1975/EGFR (L858R/T790M) and patient-derived NSCLC cells with acquired osimertinib resistance were investigated for MUC1-C dependence in studies of EGFR pathway activation, clonogenicity, and self-renewal capacity.

resultsWe reveal that MUC1-C is up-regulated in H1975 osimertinib drug-tolerant persister cells and is necessary for activation of the EGFR pathway. H1975 cells selected for stable osimertinib resistance (H1975-OR) and MGH700-2D cells isolated from a patient with acquired osimertinib resistance are found to be dependent on MUC1-C for induction of (1) phospho (p)-EGFR, p-ERK, and p-AKT, (2) EMT, and (3) the resistant phenotype. We report that MUC1-C is also required for p-EGFR, p-ERK, and p-AKT activation and self-renewal capacity in acquired osimertinib-resistant (1) MET-amplified MGH170-1D #2 cells and (2) MGH121 Res#2/EGFR (T790M/C797S) cells. Importantly, targeting MUC1-C in these diverse models reverses osimertinib resistance. In support of these results, high MUC1 mRNA and MUC1-C protein expression is associated with a poor prognosis for patients with EGFR-mutant NSCLCs.

conclusionsOur findings reveal that MUC1-C is a common effector of osimertinib resistance and is a potential target for the treatment of osimertinib-resistant NSCLCs.

Indexed as

AcrylamidesCarcinoma, Non-Small-Cell LungIndolesLung NeoplasmsPyrimidinesAniline CompoundsDrug Resistance, NeoplasmErbB ReceptorsHumansMucin-1MutationProtein Kinase InhibitorsProto-Oncogene Proteins c-aktAcrylamidesAniline CompoundsErbB ReceptorsIndolesMUC1 protein, humanMucin-1osimertinibProtein Kinase InhibitorsProto-Oncogene Proteins c-aktPyrimidinesEGFRMUC1-CNSCLCOsimertinibResistance

Identifiers

PMID37924972
PMCPMC10939926
OpenAlexW4388294364

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.