Evidence map›Paper›PMID 34355266›Full record

ReviewCancer immunology, immunotherapy : CII2022

Chemotherapy: a double-edged sword in cancer treatment.

Nafiseh Behranvand, Farzad Nasri, Reza Zolfaghari Emameh, Pouria Khani, Asieh Hosseini, Johan Garssen, Reza Falak

Erratum issuedOpen access · greenAbstract readReview
In one paragraph

Review in Cancer immunology, immunotherapy : CII, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 166 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
166citing papers in PubMed, 2 pooled it
15.4field-weighted citation impact, top 1% 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

166 citing papers in PubMed, 2 syntheses or guidelines pooled it, 354 citations in OpenAlex.

  1. Assessment measures for chemotherapy-induced peripheral neuropathy among pediatric oncology patients: an updated systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  2. Application of nanoparticles in breast cancer treatment: a systematic review.Naunyn-Schmiedeberg's archives of pharmacology · 2024
    Pooled it
  3. Trial
  4. Article
  5. BiohybridMaterials today. Bio · 2026
    Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Cancer treatment-related cognitive impairment.Neuro-oncology advances · 2026
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Network pharmacology reveals thatGenes & diseases · 2026
    Article
  19. Review
  20. Article

106 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Nafiseh BehranvandImmunology Research Center, Iran University of Medical Sciences, Tehran, Iran.
Farzad NasriImmunology Research Center, Iran University of Medical Sciences, Tehran, Iran.
Reza Zolfaghari EmamehDepartment of Energy and Environmental Biotechnology, National Institute of Genetic Engineering and Biotechnology (NIGEB), Tehran, Iran.ORCID http://orcid.org/0000-0002-3253-7844
Pouria KhaniDepartment of Medical Genetics, Faculty of Medicine, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Asieh HosseiniRazi Drug Research Center, Iran University of Medical Sciences, Tehran, Iran.
Johan GarssenDivision of Pharmacology, Faculty of Science, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Universiteitsweg 99, 3584 CG, Utrecht, The Netherlands.
Reza FalakImmunology Research Center, Iran University of Medical Sciences, Tehran, Iran. falak.r@iums.ac.ir.ORCID http://orcid.org/0000-0002-1842-2952
Iran University of Medical Sciences · IRNational Institute of Genetic Engineering and Biotechnology · IRTehran University of Medical Sciences · IRUtrecht University · NL

Funding

Iran University of Medical Sciences 16572
6 · The paper itself

Abstract

Chemotherapy is a well-known and effective treatment for different cancers; unfortunately, it has not been as efficient in the eradication of all cancer cells as been expected. The mechanism of this failure was not fully clarified, yet. Meanwhile, alterations in the physiologic conditions of the tumor microenvironment (TME) were suggested as one of the underlying possibilities. Chemotherapy drugs can activate multiple signaling pathways and augment the secretion of inflammatory mediators. Inflammation may show two opposite roles in the TME. On the one hand, inflammation, as an innate immune response, tries to suppress tumor growth but on the other hand, it might be not powerful enough to eradicate the cancer cells and even it can provide appropriate conditions for cancer promotion and relapse as well. Therefore, the administration of mild anti-inflammatory drugs during chemotherapy might result in more successful clinical results. Here, we will review and discuss this hypothesis. Most chemotherapy agents are triggers of inflammation in the tumor microenvironment through inducing the production of senescence-associated secretory phenotype (SASP) molecules. Some chemotherapy agents can induce systematic inflammation by provoking TLR4 signaling or triggering IL-1B secretion through the inflammasome pathway. NF-kB and MAPK are key signaling pathways of inflammation and could be activated by several chemotherapy drugs. Furthermore, inflammation can play a key role in cancer development, metastasis and exacerbation.

Indexed as

Adaptive ImmunityAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsDisease ManagementDisease SusceptibilityHumansImmunity, InnateInflammationNeoplasmsNeovascularization, PathologicRecurrenceTumor MicroenvironmentAntineoplastic AgentsCancerChemotherapyInflammationMetastasisTumor microenvironment

Identifiers

PMID34355266
PMCPMC10992618
OpenAlexW3187419526

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.