Evidence map›Paper›PMID 28211204›Full record

ArticleCancer science2017

Evaluation of the enhanced permeability and retention effect in the early stages of lymph node metastasis.

Mamoru Mikada, Ariunbuyan Sukhbaatar, Yoshinobu Miura, Sachiko Horie, Maya Sakamoto, Shiro Mori, Tetsuya Kodama

Open access · goldAbstract read
In one paragraph

Article in Cancer science, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

28 citing papers in PubMed, 59 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Mamoru MikadaLaboratory of Biomedical Engineering for Cancer, Tohoku University, Aoba, Sendai, Japan.
Ariunbuyan SukhbaatarLaboratory of Biomedical Engineering for Cancer, Tohoku University, Aoba, Sendai, Japan.
Yoshinobu MiuraLaboratory of Biomedical Engineering for Cancer, Tohoku University, Aoba, Sendai, Japan.
Sachiko HorieLaboratory of Biomedical Engineering for Cancer, Tohoku University, Aoba, Sendai, Japan.
Maya SakamotoDepartment of Oral Diagnosis, Tohoku University Hospital, Aoba, Sendai, Japan.
Shiro MoriLaboratory of Biomedical Engineering for Cancer, Tohoku University, Aoba, Sendai, Japan.
Tetsuya KodamaLaboratory of Biomedical Engineering for Cancer, Tohoku University, Aoba, Sendai, Japan.ORCID http://orcid.org/0000-0003-4727-9558
Tohoku University · JPTohoku University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Most solid cancers spread to new sites via the lymphatics before hematogenous dissemination. However, only a small fraction of an intravenously administered anti-cancer drug enters the lymphatic system to reach metastatic lymph nodes (LN). Here, we show that the enhanced permeability and retention (EPR) effect is not induced during the early stages of LN metastasis. Luciferase-expressing tumor cells were injected into the subiliac LN of the MXH10/Mo-lpr/lpr mouse to induce metastasis to the proper axillary LN (PALN). In vivo biofluorescence imaging was used to confirm metastasis induction and to quantify the EPR effect, measured as PALN accumulation of intravenously injected indocyanine green (ICG) liposomes. PALN blood vessel volume changes were measured by contrast-enhanced high-frequency ultrasound imaging. The volume and density of blood vessels in the PALN increased until day 29 after inoculation, whereas the LN volume remained constant. ICG retention was first detected on day 29 post-inoculation. While CD31-positive cells increased up to day 29 post-inoculation, α-smooth muscle actin-positive cells were detected on day 29 post-inoculation for the first time. These results suggest that the EPR effect was not induced in the early stages of LN metastasis; therefore, systemic chemotherapy would likely not be beneficial during the early stages of LN metastasis. The development of an alternative drug delivery system, independent of the EPR effect, is required for the treatment of LN metastasis.

Indexed as

AnimalsAxillaCells, CulturedLiposomesLuciferasesLymphatic MetastasisLymphatic VesselsLymph NodesMiceMice, Inbred C3HNeoplasmsPermeabilityLiposomesLuciferasesDrug delivery systemenhanced permeability and retention effectindocyanine greenlymph node metastasisMXH10/Mo-lpr/lpr mouse

Identifiers

PMID28211204
PMCPMC5448659
OpenAlexW2588826493

What OpenQuestion holds

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LicenceCC BY-NC
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.