Evidence map›Paper›PMID 31409896›Full record

ArticleOncogene2019

Metformin prevents liver tumourigenesis by attenuating fibrosis in a transgenic mouse model of hepatocellular carcinoma.

Ram C Shankaraiah, Elisa Callegari, Paola Guerriero, Alessandro Rimessi, Paolo Pinton, Laura Gramantieri, Enrico M Silini, Silvia Sabbioni, Massimo Negrini

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Oncogene, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
3.8field-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

44 citing papers in PubMed, 76 citations in OpenAlex.

  1. Review
  2. Review
  3. Chemoprevention of hepatocellular carcinoma.Hepatology communications · 2025
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Cancer-Associated Fibroblasts in Hepatocellular Carcinoma and Cholangiocarcinoma.Cellular and molecular gastroenterology and hepatology · 2023
    Review
  18. Article
  19. Article
  20. 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

9 authors at 3 institutions in 1 country.

Ram C ShankaraiahDepartment of Morphology Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy.
Elisa CallegariDepartment of Morphology Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy.
Paola GuerrieroDepartment of Morphology Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy.
Alessandro RimessiDepartment of Morphology Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy.
Paolo PintonDepartment of Morphology Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy.
Laura GramantieriCenter for Applied Biomedical Research, St. Orsola-Malpighi University Hospital, 40138, Bologna, Italy.
Enrico M SiliniSection of Anatomy and Pathology, University Hospital of Parma, Parma, Italy.
Silvia SabbioniDepartment of Life Sciences and Biotechnology, University of Ferrara, Ferrara, Italy.
Massimo NegriniDepartment of Morphology Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy. ngm@unife.it.ORCID http://orcid.org/0000-0002-0007-1920
University of Ferrara · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITUniversity of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metformin is a hypoglycaemic agent used to treat type 2 diabetes mellitus (DM2) patients, with a broad safety profile. Since previous epidemiological studies had shown that the incidence of hepatocellular carcinoma (HCC) decreased significantly in metformin treated DM2 patients, we hypothesised that intervention with metformin could reduce the risk of neoplastic transformation of hepatocytes. HCC is the most common primary liver malignancy and it generally originates in a background of liver fibrosis and cirrhosis. In the present study, we took advantage of a transgenic mouse (TG221) characterized by microRNA-221 overexpression, with cirrhotic liver background induced by chronic administration of carbon tetrachloride (CCl4). This mouse model develops fibrosis, cirrhosis and liver tumours that become visible in 100% of mice at 5-6 months of age. Our results demonstrated that metformin intervention improves liver function, inhibits hepatic stellate cell (HSC) activation, reduces liver fibrosis, depletes lipid accumulation in hepatocytes, halts progression to decompensated cirrhosis and abrogates development HCC in CCl4 challenged transgenic mouse model. The study establishes the rationale for investigating metformin in cirrhotic patients regardless of concomitant DM2 status.

Indexed as

Disease Models, AnimalAnimalsCarbon TetrachlorideCarcinoma, HepatocellularCell Transformation, NeoplasticFibrosisHumansHypoglycemic AgentsLiver Neoplasms, ExperimentalMaleMetforminMiceMice, TransgenicMicroRNAsCarbon TetrachlorideHypoglycemic AgentsMetforminMicroRNAsMIRN221 microRNA, mouse

Identifiers

PMID31409896
OpenAlexW2967962604

What OpenQuestion holds

Textmetadata
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.