Evidence map›Paper›PMID 31004114›Full record

ArticleScientific reports2019

A patient tumour-on-a-chip system for personalised investigation of radiotherapy based treatment regimens.

R Kennedy, D Kuvshinov, A Sdrolia, E Kuvshinova, K Hilton, S Crank, A W Beavis, V Green, J Greenman

Abstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–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

25 citing papers in PubMed.

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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

9 authors.

R KennedyDepartment of Biomedical Sciences, The University of Hull, Cottingham Road, Hull, UK.
D KuvshinovSchool of Engineering & Computer Science, The University of Hull, Cottingham Road, Hull, UK.
A SdroliaDepartment of Medical Physics, Hull and East Yorkshire Hospitals NHS Trust, Cottingham, UK.
E KuvshinovaDepartment of Chemical & Biological Engineering, The University of Sheffield, Sheffield, UK.
K HiltonDepartment of Medical Physics, Hull and East Yorkshire Hospitals NHS Trust, Cottingham, UK.
S CrankDepartment of Maxillofacial Surgery, Hull and East Yorkshire Hospitals NHS Trust, Hull, UK.
A W BeavisDepartment of Biomedical Sciences, The University of Hull, Cottingham Road, Hull, UK.
V GreenDepartment of Biomedical Sciences, The University of Hull, Cottingham Road, Hull, UK.
J GreenmanDepartment of Biomedical Sciences, The University of Hull, Cottingham Road, Hull, UK. J.Greenman@hull.ac.uk.ORCID http://orcid.org/0000-0002-6003-6051

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Development of personalised cancer models to predict response to radiation would benefit patient care; particularly in malignancies where treatment resistance is prevalent. Herein, a robust, easy to use, tumour-on-a-chip platform which maintains precision cut head and neck cancer for the purpose of ex vivo irradiation is described. The device utilises sintered discs to separate the biopsy and medium, mimicking in vivo microvascular flow and diffusion, maintaining tissue viability for 68 h. Integrity of tissues is demonstrated by the low levels of lactate dehydrogenase release and retained histology, accompanied by assessment of cell viability by trypan blue exclusion and flow cytometry; fluid dynamic modelling validates culture conditions. An irradiation jig is described for reproducible delivery of clinically-relevant doses (5 × 2 Gy) to newly-presenting primary tumours (n = 12); the addition of concurrent cisplatin is also investigated (n = 8) with response analysed by immunohistochemistry. Fractionated irradiation reduced proliferation (BrdU, p = 0.0064), increased DNA damage (ƴH2AX, p = 0.0043) and caspase-dependent apoptosis (caspase-cleaved cytokeratin-18) compared to control; caspase-dependent apoptosis was further increased by concurrent cisplatin compared to control (p = 0.0063). This is a proof of principle study showing the response of cancer tissue to irradiation ex vivo in a bespoke system. The novel platform described has the potential to personalise treatment for patients in a cost-effective manner with applicability to any solid tumour.

Indexed as

Head and Neck NeoplasmsLab-On-A-Chip DevicesPrecision MedicineApoptosisHumansProof of Concept Study

Identifiers

PMID31004114
PMCPMC6474873

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.