Evidence map›Paper›PMID 28348976›Full record

ArticleFrontiers in oncology2017

Combination of Photon and Carbon Ion Irradiation with Targeted Therapy Substances Temsirolimus and Gemcitabine in Hepatocellular Carcinoma Cell Lines.

Sarah Dehne, Clarissa Fritz, Stefan Rieken, Daniela Baris, Stephan Brons, Thomas Haberer, Jürgen Debus, Klaus-Josef Weber, Thomas E Schmid, Stephanie E Combs and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Basic and translational research on carbon-ion radiobiology.American journal of cancer research · 2023
    Review
  3. 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 1 country.

Sarah DehneDepartment of Radiation Oncology, University Hospital of Heidelberg , Heidelberg , Germany.
Clarissa FritzDepartment of Radiation Oncology, University Hospital of Heidelberg , Heidelberg , Germany.
Stefan RiekenDepartment of Radiation Oncology, University Hospital of Heidelberg , Heidelberg , Germany.
Daniela BarisDepartment of Radiation Oncology, University Hospital of Heidelberg , Heidelberg , Germany.
Stephan BronsHeidelberg Ion Beam Therapy Center (HIT) , Heidelberg , Germany.
Thomas HabererHeidelberg Ion Beam Therapy Center (HIT) , Heidelberg , Germany.
Jürgen DebusDepartment of Radiation Oncology, University Hospital of Heidelberg , Heidelberg , Germany.
Klaus-Josef WeberDepartment of Radiation Oncology, University Hospital of Heidelberg , Heidelberg , Germany.
Thomas E SchmidDepartment of Radiation Oncology, Klinikum rechts der Isar, Technische Universität München , Munich , Germany.
Stephanie E CombsDepartment of Radiation Oncology, Klinikum rechts der Isar, Technische Universität München , Munich , Germany.
Daniel HabermehlDepartment of Radiation Oncology, Klinikum rechts der Isar, Technische Universität München , Munich , Germany.
Heidelberg University · DEHeidelberger Institut für Radioonkologie · DETechnical University of Munich · DEKlinikum rechts der Isar · DEUniversity Hospital Heidelberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis work investigates on putative cytotoxic effects in four different hepatocellular carcinoma (HCC) cell lines after irradiation with photons or carbon ions in combination with new targeted molecular therapy using either Temsirolimus (TEM) or Gemcitabine (GEM). METHODS AND MATERIALS: The HCC cell lines HepG2, Hep3B, HuH7, and PLC were cultured and irradiated with photons or carbon ions at the Heidelberg Ion Beam Therapy Center using the raster-scanning method. For combination experiments, cell lines were first treated with Temsirolimus or GEM before irradiation. Cytotoxicity was measured by a clonogenic survival assay. The evaluation of the experiments and the obtained survival curves were based on the concept of additivity defined by Steel and Peckham.

resultsThe results for the combination of carbon ions and both tested systemic substances TEM and GEM showed independent toxicities in all four cell lines. Supra-additive effects were observed in PLC cells for photon irradiation combined either with TEM or GEM and in HuH7 cells for the combination of photons with TEM.

conclusionAddition of targeted therapy substances Temsirolimus and GEM to photon irradiation showed additive cytotoxicity in HCC cell lines, whereas independent toxicities where reached by the combination of carbon ions to these substances. It can be assumed that combining 12C with systemic substances only has independent effects because heavy ions cause direct damage because of their high-LET character resulting in complex and clustered double-strand breaks. Nonetheless, further investigations are warranted in order to determine whether addition of systemic therapy allows a reduction of radiation doses in combination therapy. This could possibly lead to better responses and tolerances in patients with HCC.

Indexed as

carbon ion irradiationcombined modality treatmentGemcitabinehepatocellular carcinomaTemsirolimus

Identifiers

PMID28348976
PMCPMC5346564
OpenAlexW2593051558

What OpenQuestion 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 OpenQuestion graph.