Evidence map›Paper›PMID 27959632›Full record

ReviewAnnual review of pathology2017

The Role of Cancer-Associated Fibroblasts and Fibrosis in Liver Cancer.

Silvia Affo, Le-Xing Yu, Robert F Schwabe

Open access · hybridAbstract readReview
In one paragraph

Review in Annual review of pathology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 431 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
431citing papers in PubMed, 2 pooled it
16.5field-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

431 citing papers in PubMed, 2 syntheses or guidelines pooled it, 790 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Assessment of liver fibrosis and tumor burden in hepatocellular carcinoma using [European journal of nuclear medicine and molecular imaging · 2026
    Trial
  4. Article
  5. Article
  6. Review
  7. Disrupted Gut Viral-Bacterial Ecology of Patients With Liver Cirrhosis.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  8. Review
  9. Review
  10. GPX8Oncogene · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review

371 more citing papers are in PubMed but not listed here.

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

3 authors at 1 institution in 1 country.

Silvia AffoDepartment of Medicine, Columbia University, New York, NY 10032; email: rfs2102@cumc.columbia.edu.
Le-Xing YuDepartment of Medicine, Columbia University, New York, NY 10032; email: rfs2102@cumc.columbia.edu.
Robert F SchwabeDepartment of Medicine, Columbia University, New York, NY 10032; email: rfs2102@cumc.columbia.edu.
Columbia University · US

Funding

HMGB1 as Link Between Hepatocellular Injury and HCCR01CA200597 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SCHWABE, ROBERT F. · 2016 to 2020
$2.2M
Hepatic Stellate Cells and Liver CancerR01CA190844 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SCHWABE, ROBERT F. · 2015 to 2019
$1.8M
NCI NIH HHS R01 CA190844NCI NIH HHS R01 CA200597
6 · The paper itself

Abstract

Liver cancer is the second leading cause of cancer mortality worldwide, causing more than 700,000 deaths annually. Because of the wide landscape of genomic alterations and limited therapeutic success of targeting tumor cells, a recent focus has been on better understanding and possibly targeting the microenvironment in which liver tumors develop. A unique feature of liver cancer is its close association with liver fibrosis. More than 80% of hepatocellular carcinomas (HCCs) develop in fibrotic or cirrhotic livers, suggesting an important role of liver fibrosis in the premalignant environment (PME) of the liver. Cholangiocarcinoma (CCA), in contrast, is characterized by a strong desmoplasia that typically occurs in response to the tumor, suggesting a key role of cancer-associated fibroblasts (CAFs) and fibrosis in its tumor microenvironment (TME). Here, we discuss the functional contributions of myofibroblasts, CAFs, and fibrosis to the development of HCC and CCA in the hepatic PME and TME, focusing on myofibroblast- and extracellular matrix-associated growth factors, fibrosis-associated immunosuppressive pathways, as well as mechanosensitive signaling cascades that are activated by increased tissue stiffness. Better understanding of the role of myofibroblasts in HCC and CCA development and progression may provide the basis to target these cells for tumor prevention or therapy.

Indexed as

Tumor MicroenvironmentAnimalsCancer-Associated FibroblastsHumansLiver CirrhosisLiver NeoplasmsMyofibroblastsSignal Transductionflukeinflammationmechanosensitive signalingprimary sclerosing cholangitis (PSC)stiffnessstroma

Identifiers

PMID27959632
PMCPMC5720358
OpenAlexW2411225414

What OpenQuestion 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 OpenQuestion graph.