Evidence map›Paper›PMID 33807929›Full record

ArticleCells2021

The Angiotensin II Receptor Blocker Losartan Sensitizes Human Liver Cancer Cells to Lenvatinib-Mediated Cytostatic and Angiostatic Effects.

Hirotetsu Takagi, Kosuke Kaji, Norihisa Nishimura, Koji Ishida, Hiroyuki Ogawa, Hiroaki Takaya, Hideto Kawaratani, Kei Moriya, Tadashi Namisaki, Takemi Akahane and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cells, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.7field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
  2. Review
  3. Current Status of Research on Losartan in Tumour Therapy.Journal of cellular and molecular medicine · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. 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

12 authors at 1 institution in 1 country.

Hirotetsu TakagiDepartment of Gastroenterology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan.
Kosuke KajiDepartment of Gastroenterology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan.
Norihisa NishimuraDepartment of Gastroenterology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan.
Koji IshidaDepartment of Gastroenterology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan.ORCID 0000-0003-3090-170X
Hiroyuki OgawaDepartment of Gastroenterology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan.
Hiroaki TakayaDepartment of Gastroenterology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan.
Hideto KawarataniDepartment of Gastroenterology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan.ORCID 0000-0002-4361-0592
Kei MoriyaDepartment of Gastroenterology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan.
Tadashi NamisakiDepartment of Gastroenterology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan.ORCID 0000-0002-3158-5318
Takemi AkahaneDepartment of Gastroenterology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan.ORCID 0000-0002-6675-0475
Akira MitoroDepartment of Gastroenterology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan.ORCID 0000-0002-6666-5633
Hitoshi YoshijiDepartment of Gastroenterology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan.
Nara Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Molecular targeted therapy with lenvatinib is commonly offered to advanced hepatocellular carcinoma (HCC) patients, although it is often interrupted by adverse effects which require a reduction in the initial dose. Thus, an alternative lenvatinib-based therapy to compensate for dose reduction is anticipated. This study aimed to assess the effect of combination of low-dose of lenvatinib and the angiotensin-II (AT-II) receptor blocker losartan on human HCC cell growth. In vitro studies found that losartan suppressed the proliferation by inducing G1 arrest and caused apoptosis as indicated by the cleavage of caspase-3 in AT-II-stimulated HCC cell lines (Huh-7, HLE, and JHH-6). Losartan attenuated the AT-II-stimulated production of vascular endothelial growth factor-A (VEGF-A) and interleukin-8 and suppressed lenvatinib-mediated autocrine VEGF-A production in HCC cells. Moreover, it directly inhibited VEGF-mediated endothelial cell growth. Notably, the combination of lenvatinib and losartan augmented the cytostatic and angiostatic effects of the former at a low-dose, reaching those achieved with a conventional dose. Correspondingly, a HCC tumor xenograft assay showed that the oral administration of losartan combined with lenvatinib reduced the subcutaneous tumor burden and intratumor vascularization in BALB/c nude mice. These findings support that this regimen could be a viable option for patients intolerant to standard lenvatinib dosage.

Indexed as

Angiotensin II Type 1 Receptor BlockersAnimalsCytostatic AgentsHumansLiver NeoplasmsLosartanMicePhenylurea CompoundsQuinolinesAngiotensin II Type 1 Receptor BlockersCytostatic AgentslenvatinibLosartanPhenylurea CompoundsQuinolinesangiogenesisangiotensin-IIHCClenvatinibVEGF

Identifiers

PMID33807929
PMCPMC8001516
OpenAlexW3133584830

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.