Evidence map›Paper›PMID 30315182›Full record

ReviewExperimental & molecular medicine2018

Sorafenib resistance in hepatocarcinoma: role of hypoxia-inducible factors.

Carolina Méndez-Blanco, Flavia Fondevila, Andrés García-Palomo, Javier González-Gallego, José L Mauriz

Open access · goldAbstract readReview
In one paragraph

Review in Experimental & molecular medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 193 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
193citing papers in PubMed, 4 pooled it
10.7field-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

193 citing papers in PubMed, 4 syntheses or guidelines pooled it, 344 citations in OpenAlex.

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  13. Understanding how hypoxia contributes to liver cancer stem cells maintenance.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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133 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

5 authors at 2 institutions in 1 country.

Carolina Méndez-BlancoInstitute of Biomedicine, University of León, León, Spain.ORCID http://orcid.org/0000-0001-6378-2554
Flavia FondevilaInstitute of Biomedicine, University of León, León, Spain.ORCID http://orcid.org/0000-0003-2881-704X
Andrés García-PalomoInstitute of Biomedicine, University of León, León, Spain.
Javier González-GallegoInstitute of Biomedicine, University of León, León, Spain.ORCID http://orcid.org/0000-0002-4386-9342
José L MaurizInstitute of Biomedicine, University of León, León, Spain. jl.mauriz@unileon.es.ORCID http://orcid.org/0000-0003-3160-8599
Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas · ESComplejo Asistencial Universitario de Palencia · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sorafenib, a multikinase inhibitor with antiproliferative, antiangiogenic, and proapoptotic properties, constitutes the only effective first-line drug approved for the treatment of advanced hepatocellular carcinoma (HCC). Despite its capacity to increase survival in HCC patients, its success is quite low in the long term owing to the development of resistant cells through several mechanisms. Among these mechanisms, the antiangiogenic effects of sustained sorafenib treatment induce a reduction of microvessel density, promoting intratumoral hypoxia and hypoxia-inducible factors (HIFs)-mediated cellular responses that favor the selection of resistant cells adapted to the hypoxic microenvironment. Clinical data have demonstrated that overexpressed HIF-1α and HIF-2α in HCC patients are reliable markers of a poor prognosis. Thus, the combination of current sorafenib treatment with gene therapy or inhibitors against HIFs have been documented as promising approaches to overcome sorafenib resistance both in vitro and in vivo. Because the depletion of one HIF-α subunit elevates the expression of the other HIF-α isoform through a compensatory loop, targeting both HIF-1α and HIF-2α would be a more interesting strategy than therapies that discriminate among HIF-α isoforms. In conclusion, there is a marked correlation between the hypoxic microenvironment and sorafenib resistance, suggesting that targeting HIFs is a promising way to increase the efficiency of treatment.

Indexed as

Drug Resistance, NeoplasmAnimalsAntineoplastic AgentsBiomarkersCarcinoma, HepatocellularHumansHypoxiaHypoxia-Inducible Factor 1, alpha SubunitLiver NeoplasmsMolecular Targeted TherapyProtein Kinase InhibitorsSorafenibTumor MicroenvironmentAntineoplastic AgentsBiomarkersHypoxia-Inducible Factor 1, alpha SubunitProtein Kinase InhibitorsSorafenib

Identifiers

PMID30315182
PMCPMC6185986
OpenAlexW2897214576

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.