Evidence map›Paper›PMID 32340652›Full record

ReviewGene expression2020

Immune Checkpoint Inhibitors in Hepatocellular Cancer: Current Understanding on Mechanisms of Resistance and Biomarkers of Response to Treatment.

Amblessed E Onuma, Hongji Zhang, Hai Huang, Terence M Williams, Anne Noonan, Allan Tsung

Open access · hybridAbstract readReview
In one paragraph

Review in Gene expression, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

59 citing papers in PubMed, 91 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Cancer Metastasis: Therapeutic Challenges and Opportunities.Medical oncology (Northwood, London, England) · 2025
    Review
  5. Review
  6. Review
  7. Review
  8. Immune Cell Homing Hydrogels for Cancer Immunotherapy.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Immunotherapy for Advanced Hepatocellular Carcinoma-a Large Tertiary Center Experience.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
    Article
  19. Review
  20. Review
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

6 authors at 1 institution in 1 country.

Amblessed E OnumaDepartment of Surgery, Division of Surgical Oncology, The Ohio State University Wexner Medical CenterColumbus, OHUSA.
Hongji ZhangDepartment of Surgery, Division of Surgical Oncology, The Ohio State University Wexner Medical CenterColumbus, OHUSA.
Hai HuangDepartment of Surgery, Division of Surgical Oncology, The Ohio State University Wexner Medical CenterColumbus, OHUSA.
Terence M WilliamsDepartment of Radiation Oncology, The Ohio State University Wexner Medical CenterColumbus, OHUSA.
Anne NoonanDepartment of Internal Medicine, Division of Medical Oncology, The Ohio State University Wexner Medical CenterColumbus, OHUSA.
Allan TsungDepartment of Surgery, Division of Surgical Oncology, The Ohio State University Wexner Medical CenterColumbus, OHUSA.
The Ohio State University Wexner Medical Center · US

Funding

Advanced Research Training in Immunology for Surgery Trainees (ARTIST)T32AI106704 · NIAID · OHIO STATE UNIVERSITY · PI GINNY L BUMGARDNER, Jon R Wisler · 2014 to 2026
$3.5M
Surgery triggered immune response and liver metastasesR01CA214865 · NCI · UNIVERSITY OF VIRGINIA · PI Allan Tsung · 2018 to 2026
$3.4M
NCI NIH HHS R01 CA214865NIAID NIH HHS T32 AI106704
6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) is the most common primary liver malignancy worldwide and a leading cause of death worldwide. Its incidence continues to increase in the US due to hepatitis C infection and nonalcoholic steatohepatitis. Liver transplantation and resection remain the best therapeutic options for cure, but these are limited by the shortage of available organs for transplantation, diagnosis at advanced stage, and underlying chronic liver disease found in most patients with HCC. Immune checkpoint inhibitors (ICIs) have been shown to be an evolving novel treatment option in certain advanced solid tumors and have been recently approved for inoperable, advanced, and metastatic HCC. Unfortunately, a large cohort of patients with HCC fail to respond to immunotherapy. In this review, we discuss the ICIs currently approved for HCC treatment and their various mechanisms of action. We will highlight current understanding of mechanism of resistance and limitations to ICIs. Finally, we will describe emerging biomarkers of response to ICIs and address future direction on overcoming resistance to immune checkpoint therapy.

Indexed as

Antineoplastic AgentsAntineoplastic Agents, ImmunologicalB7-H1 AntigenBiomarkersCarcinoma, HepatocellularClinical Trials as TopicCTLA-4 AntigenCytokinesDrug Resistance, NeoplasmDrug SynergismEpithelial-Mesenchymal TransitionGastrointestinal MicrobiomeHumansImmune Checkpoint InhibitorsLiver NeoplasmsLymphocytes, Tumor-InfiltratingAntineoplastic AgentsAntineoplastic Agents, ImmunologicalB7-H1 AntigenBiomarkersCD274 protein, humanCTLA-4 AntigenCytokinesImmune Checkpoint InhibitorsNeoplasm ProteinsPDCD1 protein, humanProgrammed Cell Death 1 Receptor

Identifiers

PMID32340652
PMCPMC7284108
OpenAlexW3018381281

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.