Evidence map›Paper›PMID 31160272›Full record

ArticleEBioMedicine2019

Tumour-specific amplitude-modulated radiofrequency electromagnetic fields induce differentiation of hepatocellular carcinoma via targeting Ca

Hugo Jimenez, Minghui Wang, Jacquelyn W Zimmerman, Michael J Pennison, Sambad Sharma, Trevor Surratt, Zhi-Xiang Xu, Ivan Brezovich, Devin Absher, Richard M Myers and 25 more

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. The Application of Electromagnetic Fields in Cancer.Advances in experimental medicine and biology · 2024
    Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Translational cancer research · 2022
    Article
  18. CaCells · 2022
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors at 9 institutions in 4 countries.

Hugo JimenezDepartment of Cancer Biology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Minghui WangDepartment of Cancer Biology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Jacquelyn W ZimmermanDepartment of Medicine, The Johns Hopkins School of Medicine, Baltimore, MD, United States of America; Division of Haematology/Oncology, The University of Alabama at Birmingham, Birmingham, AL, United States of America.
Michael J PennisonDepartment of Cancer Biology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Sambad SharmaDepartment of Cancer Biology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Trevor SurrattDepartment of Cancer Biology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Zhi-Xiang XuDivision of Haematology/Oncology, The University of Alabama at Birmingham, Birmingham, AL, United States of America.
Ivan BrezovichDepartment of Radiation Oncology, The University of Alabama at Birmingham, Birmingham, AL, United States of America.
Devin AbsherHudsonAlpha Institute for Biotechnology, Huntsville, AL, United States of America.
Richard M MyersHudsonAlpha Institute for Biotechnology, Huntsville, AL, United States of America.
Barry DeYoungDepartment of Pathology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
David L CaudellDepartment of Pathology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Dongquan ChenDivision of Preventive Medicine, The University of Alabama at Birmingham, Birmingham, AL, United States of America.
Hui-Wen LoDepartment of Cancer Biology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Hui-Kuan LinDepartment of Cancer Biology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Dwayne W GodwinDepartment of Neurobiology and Anatomy, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Michael OlivierSection of Molecular Medicine, Department of Medicine, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Anand GhanekarDepartment of Surgery, University Health Network, Toronto, Ontario, Canada.
Kui ChenToronto General Hospital Research Institute, Toronto, Ontario, Canada.
Lance D MillerDepartment of Cancer Biology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Yijian GongIT'IS Foundation, Swiss Federal Institute of Technology, Zurich, Switzerland.
Myles CapstickIT'IS Foundation, Swiss Federal Institute of Technology, Zurich, Switzerland.
Ralph B D'AgostinoDepartment of Biostatistical Sciences, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Reginald MundenDepartment of Radiology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Philippe MerleCroix-Rousse University Hospital, Hepato-Gastroenterology and Digestive Oncology, Lyon, France.
Alexandre BarbaultTheraBionic GmbH, Ettlingen, Germany.
Arthur W BlackstockDepartment of Radiation Oncology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Herbert L BonkovskySection on Gastroenterology, Department of Medicine, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Guang-Yu YangDepartment of Pathology, Northwestern University, Feinberg School of Medicine, Chicago, IL, United States of America.
Guangxu JinDepartment of Cancer Biology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Liang LiuDepartment of Cancer Biology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Wei ZhangDepartment of Cancer Biology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Kounosuke WatabeDepartment of Cancer Biology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America.
Carl F BlackmanDepartment of Cancer Biology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America. Electronic address: cblackma@wakehealth.edu.
Boris C PascheDepartment of Cancer Biology, Wake Forest Baptist Medical Centre, Winston-Salem, NC, United States of America. Electronic address: bpasche@wakehealth.edu.
Atrium Health Wake Forest Baptist · USUniversity of Alabama at Birmingham · USFoundation for Research on Information Technologies in Society · CHHudsonAlpha Institute for Biotechnology · USHôpital de la Croix-Rousse · FRJohns Hopkins University · USNorthwestern University · USToronto General Hospital · CAUniversity Health Network · CA

Funding

XRAY CRYSTALLOGRAPHYP30CA013148 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Robert S Welner · 1985 to 2026
$165.9M
Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
Roles of hyaluronic acid in cancer stem cell nicheR01CA173499 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI WATABE, KOUNOSUKE · 2014 to 2018
$2.3M
Roles of long-non-coding RNA, XIST, in brain metastasis of breast cancerR01CA205067 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI WATABE, KOUNOSUKE · 2017 to 2021
$2.2M
Role of inflammation and microRNA network in brain metastasis of breast cancerR01CA185650 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI WATABE, KOUNOSUKE · 2016 to 2020
$1.9M
NCI NIH HHS P30 CA012197NCI NIH HHS P30 CA013148NCI NIH HHS R01 CA173499NCI NIH HHS R01 CA185650NCI NIH HHS R01 CA205067
6 · The paper itself

Abstract

backgroundAdministration of amplitude modulated 27·12 MHz radiofrequency electromagnetic fields (AM RF EMF) by means of a spoon-shaped applicator placed on the patient's tongue is a newly approved treatment for advanced hepatocellular carcinoma (HCC). The mechanism of action of tumour-specific AM RF EMF is largely unknown.

methodsWhole body and organ-specific human dosimetry analyses were performed. Mice carrying human HCC xenografts were exposed to AM RF EMF using a small animal AM RF EMF exposure system replicating human dosimetry and exposure time. We performed histological analysis of tumours following exposure to AM RF EMF. Using an agnostic genomic approach, we characterized the mechanism of action of AM RF EMF.

findingsIntrabuccal administration results in systemic delivery of athermal AM RF EMF from head to toe at levels lower than those generated by cell phones held close to the body. Tumour shrinkage results from differentiation of HCC cells into quiescent cells with spindle morphology. AM RF EMF targeted antiproliferative effects and cancer stem cell inhibiting effects are mediated by Ca

interpretationIntrabuccally-administered AM RF EMF is a systemic therapy that selectively block the growth of HCC cells. AM RF EMF pronounced inhibitory effects on cancer stem cells may explain the exceptionally long responses observed in several patients with advanced HCC. FUND: Research reported in this publication was supported by the National Cancer Institute's Cancer Centre Support Grant award number P30CA012197 issued to the Wake Forest Baptist Comprehensive Cancer Centre (BP) and by funds from the Charles L. Spurr Professorship Fund (BP). DWG is supported by R01 AA016852 and P50 AA026117.

Indexed as

Magnetic Field TherapyAnimalsCalciumCalcium Channel BlockersCalcium Channels, T-TypeCarcinoma, HepatocellularDisease Models, AnimalGene Knockdown TechniquesHumansLiver NeoplasmsMiceNeoplastic Stem CellsOrgan SpecificityRadiometryRNA, Small InterferingTreatment OutcomeCACNA1H protein, humanCalciumCalcium Channel BlockersCalcium Channels, T-TypeRNA, Small InterferingAdvanced hepatocellular carcinomaAmplitude-modulatedAM RF EMFCACNA1HCalcium influxCa(v) 3·2Electromagnetic fieldsRadiofrequencyT-type voltage gated calcium channels

Identifiers

PMID31160272
PMCPMC6604666
OpenAlexW2947719769

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LicenceCC BY-NC-ND
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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.