Evidence map›Paper›PMID 30907492›Full record

ReviewLiver international : official journal of the International Association for the Study of the Liver2019

The tumour microenvironment and immune milieu of cholangiocarcinoma.

Luca Fabris, María J Perugorria, Joachim Mertens, Niklas K Björkström, Thorsten Cramer, Ana Lleo, Antonio Solinas, Hanna Sänger, Veronika Lukacs-Kornek, Anja Moncsek and 2 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Liver international : official journal of the International Association for the Study of the Liver, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 2 pooled it
21.6field-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

108 citing papers in PubMed, 2 syntheses or guidelines pooled it, 190 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Advances in Immunotherapy for Intrahepatic Cholangiocarcinoma.International journal of molecular sciences · 2026
    Review
  7. Article
  8. Article
  9. METTL5 Enables Immune Evasion of Liver Cancer via Chemokine mRNA Translation Regulation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Cholangiocarcinoma 2026: status quo, unmet needs and priorities.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review

48 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

12 authors at 10 institutions in 7 countries.

Luca FabrisDepartment of Molecular Medicine, University of Padua, Padova, Italy.ORCID 0000-0001-8538-6317
María J PerugorriaDepartment of Liver and Gastrointestinal Diseases, Biodonostia Health Research Institute - Donostia University Hospital, University of the Basque Country (UPV/EHU), San Sebastián, Spain.ORCID 0000-0002-7636-0972
Joachim MertensDepartment of Gastroenterology and Hepatology, University Hospital Zürich, Zürich, Switzerland.ORCID 0000-0003-2007-0308
Niklas K BjörkströmCenter for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0002-0967-076X
Thorsten CramerDepartment of General, Visceral and Transplantation Surgery, RWTH Aachen University Hospital, Aachen, Germany.ORCID 0000-0002-6462-239X
Ana LleoDivision of Internal Medicine and Hepatology, Humanitas Clinical and Research Center IRCCS, Rozzano, Italy.ORCID 0000-0002-0561-7902
Antonio SolinasDepartment of Biomedical Sciences, University of Sassari, Sassari, Italy.ORCID 0000-0002-5537-6692
Hanna SängerDepartment of Visceral, Thoracic and Vascular Surgery, University Hospital, Technische Universität Dresden, Dresden, Germany.
Veronika Lukacs-KornekInstitute of Experimental Immunology, University Hospital, Friedrich-Wilhelms-Universität Bonn, Bonn, Germany.ORCID 0000-0002-6718-1219
Anja MoncsekDepartment of Gastroenterology and Hepatology, University Hospital Zürich, Zürich, Switzerland.ORCID 0000-0002-1191-5842
Alexander SiebenhünerDepartment of Hematology and Medical Oncology, University Hospital Zürich, Zürich, Switzerland.ORCID 0000-0002-5404-2383
Mario StrazzaboscoLiver Center and Section of Digestive Diseases, Department of Internal Medicine, Yale University, New Haven, Connecticut.ORCID 0000-0002-1995-6331
University Hospital of Zurich · CHHumanitas University · ITIkerbasque · ESKarolinska University Hospital · SEMaastricht University Medical Centre · NLTechnische Universität Dresden · DEUniversity Hospital Bonn · DEUniversity of Padua · ITUniversity of Sassari · ITYale University · US

Funding

Yale Liver CenterP30DK034989 · NIDDK · YALE UNIVERSITY · PI YASUKO IWAKIRI · 1986 to 2026
$31.1M
Liver disease in CF: CFTR controls innate immunity in biliary epitheliumR01DK096096 · NIDDK · YALE UNIVERSITY · PI STRAZZABOSCO, MARIO · 2013 to 2022
$4.6M
Cross talk between epithelial, inflammatory and mesenchymal cells in the development of portal fibrosisR01DK101528 · NIDDK · YALE UNIVERSITY · PI STRAZZABOSCO, MARIO · 2015 to 2023
$3.5M
Epithelial Angiogenic Signaling in Polycystic Diseases of the LiverR01DK079005 · NIDDK · YALE UNIVERSITY · PI STRAZZABOSCO, MARIO · 2008 to 2017
$3.5M
NIDDK NIH HHS P30 DK034989NIDDK NIH HHS R01 DK079005NIDDK NIH HHS R01 DK096096NIDDK NIH HHS R01 DK101528NIH HHS RO1DK-079005-07NIH HHS RO1DK096096
6 · The paper itself

Abstract

Tumour microenvironment is a complex, multicellular functional compartment that, particularly when assembled as an abundant desmoplastic reaction, may profoundly affect the proliferative and invasive abilities of epithelial cancer cells. Tumour microenvironment comprises not only stromal cells, mainly cancer-associated fibroblasts, but also immune cells of both the innate and adaptive system (tumour-associated macrophages, neutrophils, natural killer cells, and T and B lymphocytes), and endothelial cells. This results in an intricate web of mutual communications regulated by an extensively remodelled extracellular matrix, where the tumour cells are centrally engaged. In this regard, cholangiocarcinoma, in particular the intrahepatic variant, has become the focus of mounting interest in the last years, largely because of the lack of effective therapies despite its rising incidence and high mortality rates worldwide. On the other hand, recent studies in pancreatic cancer, which similarly to cholangiocarcinoma, is highly desmoplastic, have argued against a tumour-promoting function of the tumour microenvironment. In this review, we will discuss recent developments concerning the role of each cellular population and their multifaceted interplay with the malignant biliary epithelial counterpart. We ultimately hope to provide the working knowledge on how their manipulation may lead to a therapeutic gain in cholangiocarcinoma.

Indexed as

Adaptive ImmunityAnimalsBile Duct NeoplasmsCholangiocarcinomaDisease Models, AnimalEndothelial CellsFibroblastsHumansImmunity, InnateTumor Microenvironmentcancer associated fibroblastsextracellular matriximmune cellsimmunotherapytumor associated macrophagestumor reactive stroma

Identifiers

PMID30907492
PMCPMC10878127
OpenAlexW2942656542

What OpenQuestion holds

Textmetadata
LicenceTDM
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.