Evidence map›Paper›PMID 30875730›Full record

ReviewInternational journal of molecular sciences2019

Innovative Therapeutic Strategies for Effective Treatment of Brain Metastases.

Malcolm Lim, Simon Puttick, Zachary H Houston, Kristofer J Thurecht, Priyakshi Kalita-de Croft, Stephen Mahler, Stephen E Rose, Rosalind L Jeffree, Roberta Mazzieri, Riccardo Dolcetti and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. Real-world application ofEuropean journal of nuclear medicine and molecular imaging · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. The In Vivo Selection Method in Breast Cancer Metastasis.International journal of molecular sciences · 2021
    Review
  12. Review
  13. Proteomic Analysis of the Breast Cancer Brain Metastasis Microenvironment.International journal of molecular sciences · 2019
    Article
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

12 authors at 4 institutions in 1 country.

Malcolm LimFaculty of Medicine, the University of Queensland, Centre for Clinical Research, Herston, Queensland 4029, Australia. m.lim@uq.edu.au.
Simon PuttickProbing Biosystems Future Science Platform, CSIRO Health & Biosecurity, Herston, Queensland 4029, Australia. Simon.Puttick@csiro.au.
Zachary H HoustonAustralian Institute for Bioengineering and Nanotechnology, the University of Queensland, St Lucia, Queensland 4072, Australia. z.houston@uq.edu.au.
Kristofer J ThurechtAustralian Institute for Bioengineering and Nanotechnology, the University of Queensland, St Lucia, Queensland 4072, Australia. k.thurecht@uq.edu.au.ORCID 0000-0002-4100-3131
Priyakshi Kalita-de CroftFaculty of Medicine, the University of Queensland, Centre for Clinical Research, Herston, Queensland 4029, Australia. p.kalita@uq.edu.au.ORCID 0000-0001-8877-7655
Stephen MahlerAustralian Institute for Bioengineering and Nanotechnology, the University of Queensland, St Lucia, Queensland 4072, Australia. s.mahler@eng.uq.edu.au.
Stephen E RoseProbing Biosystems Future Science Platform, CSIRO Health & Biosecurity, Herston, Queensland 4029, Australia. Stephen.Rose@csiro.au.ORCID 0000-0003-1558-6297
Rosalind L JeffreeKenneth G. Jamieson Department of Neurosurgery, the Royal Brisbane and Women's Hospital, Herston, Queensland 4029, Australia. Lindy.Jeffree@health.qld.gov.au.ORCID 0000-0001-7663-2694
Roberta MazzieriDiamantina Institute, Translational Research Institute, the University of Queensland, Brisbane, Queensland 4102, Australia. r.mazzieri@uq.edu.au.
Riccardo DolcettiDiamantina Institute, Translational Research Institute, the University of Queensland, Brisbane, Queensland 4102, Australia. r.dolcetti@uq.edu.au.ORCID 0000-0003-1625-9853
Sunil R LakhaniFaculty of Medicine, the University of Queensland, Centre for Clinical Research, Herston, Queensland 4029, Australia. s.lakhani@uq.edu.au.
Jodi M SaunusFaculty of Medicine, the University of Queensland, Centre for Clinical Research, Herston, Queensland 4029, Australia. j.saunus@uq.edu.au.ORCID 0000-0002-4604-4709
The University of Queensland · AUCSIRO Health and Biosecurity · AUTranslational Research Institute · AURoyal Brisbane and Women's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Brain metastases are the most prevalent of intracranial malignancies. They are associated with a very poor prognosis and near 100% mortality. This has been the case for decades, largely because we lack effective therapeutics to augment surgery and radiotherapy. Notwithstanding improvements in the precision and efficacy of these life-prolonging treatments, with no reliable options for adjunct systemic therapy, brain recurrences are virtually inevitable. The factors limiting intracranial efficacy of existing agents are both physiological and molecular in nature. For example, heterogeneous permeability, abnormal perfusion and high interstitial pressure oppose the conventional convective delivery of circulating drugs, thus new delivery strategies are needed to achieve uniform drug uptake at therapeutic concentrations. Brain metastases are also highly adapted to their microenvironment, with complex cross-talk between the tumor, the stroma and the neural compartments driving speciation and drug resistance. New strategies must account for resistance mechanisms that are frequently engaged in this milieu, such as HER3 and other receptor tyrosine kinases that become induced and activated in the brain microenvironment. Here, we discuss molecular and physiological factors that contribute to the recalcitrance of these tumors, and review emerging therapeutic strategies, including agents targeting the PI3K axis, immunotherapies, nanomedicines and MRI-guided focused ultrasound for externally controlling drug delivery.

Indexed as

Antineoplastic AgentsBrainBrain NeoplasmsChemoradiotherapy, AdjuvantDrug Delivery SystemsDrug Resistance, NeoplasmHumansImmunotherapyMolecular Targeted TherapyNanomedicineNanoparticlesTreatment OutcomeTumor MicroenvironmentAntineoplastic Agentsbrain metastasesdrug deliveryimmunotherapynanomedicine

Identifiers

PMID30875730
PMCPMC6471202
OpenAlexW2921097668

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.