Evidence map›Paper›PMID 29123231›Full record

ArticleScientific reports2017

Synergistic combinations of short high-voltage pulses and long low-voltage pulses enhance irreversible electroporation efficacy.

Chenguo Yao, Yanpeng Lv, Yajun Zhao, Shoulong Dong, Hongmei Liu, Jianhao Ma

Abstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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

  1. Pooled it
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  5. 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

6 authors.

Chenguo YaoThe State Key Laboratory of Power Transmission Equipment and System Security and New Technology, the School of Electrical Engineering, Chongqing University, Chongqing, 400030, China. yaochenguo@cqu.edu.cn.ORCID 0000-0002-1781-2756
Yanpeng LvThe State Key Laboratory of Power Transmission Equipment and System Security and New Technology, the School of Electrical Engineering, Chongqing University, Chongqing, 400030, China. lvyanpeng@cqu.edu.cn.
Yajun ZhaoThe State Key Laboratory of Power Transmission Equipment and System Security and New Technology, the School of Electrical Engineering, Chongqing University, Chongqing, 400030, China.
Shoulong DongThe State Key Laboratory of Power Transmission Equipment and System Security and New Technology, the School of Electrical Engineering, Chongqing University, Chongqing, 400030, China.
Hongmei LiuThe State Key Laboratory of Power Transmission Equipment and System Security and New Technology, the School of Electrical Engineering, Chongqing University, Chongqing, 400030, China.
Jianhao MaThe State Key Laboratory of Power Transmission Equipment and System Security and New Technology, the School of Electrical Engineering, Chongqing University, Chongqing, 400030, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Irreversible electroporation (IRE) uses ~100 μs pulsed electric fields to disrupt cell membranes for solid tumor ablation. Although IRE has achieved exciting preliminary clinical results, implementing IRE could be challenging because of volumetric limitations at the ablation region. Combining short high-voltage (SHV: 1600V, 2 μs, 1 Hz, 20 pulses) pulses with long low-voltage (LLV: 240-480 V, 100 μs, 1 Hz, 60-80 pulses) pulses induces a synergistic effect that enhances IRE efficacy. Here, cell cytotoxicity and tissue ablation were investigated. The results show that combining SHV pulses with LLV pulses induced SKOV3 cell death more effectively, and compared to either SHV pulses or LLV pulses applied alone, the combination significantly enhanced the ablation region. Particularly, prolonging the lag time (100 s) between SHV and LLV pulses further reduced cell viability and enhanced the ablation area. However, the sequence of SHV and LLV pulses was important, and the LLV + SHV combination was not as effective as the SHV + LLV combination. We offer a hypothesis to explain the synergistic effect behind enhanced cell cytotoxicity and enlarged ablation area. This work shows that combining SHV pulses with LLV pulses could be used as a focal therapy and merits investigation in larger pre-clinical models and microscopic mechanisms.

Indexed as

Ablation TechniquesAnimalsCarcinomaCell Line, TumorCell SurvivalElectroporationFemaleHumansMiceModels, TheoreticalOvarian Neoplasms

Identifiers

PMID29123231
PMCPMC5680269

What OpenQuestion holds

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Registered trials

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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.