Evidence map›Paper›PMID 34504109›Full record

ReviewNature reviews. Disease primers2021

Cholangiocarcinoma.

Paul J Brindley, Melinda Bachini, Sumera I Ilyas, Shahid A Khan, Alex Loukas, Alphonse E Sirica, Bin Tean Teh, Sopit Wongkham, Gregory J Gores

Registry-linked trialAbstract readReview
In one paragraph

Review in Nature reviews. Disease primers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06381648 (An Exosome-based Liquid Biopsy Signature for Pre-operative Identification of Lymph Node Metastasis in Patients With Intrahepatic Cholangiocarcinoma), which is not on this map. Cited by 529 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
529citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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.

NCT06381648 completednot on this mapstarted 2023, after this paper: background citation

An Exosome-based Liquid Biopsy Signature for Pre-operative Identification of Lymph Node Metastasis in Patients With Intrahepatic Cholangiocarcinoma

TypeobservationalSponsorCity of Hope Medical CenterRan2023 to 2025Enrolled230ConditionsCholangiocarcinoma, Cholangiocarcinoma, Intrahepatic, Cholangiocarcinoma Resectable, CholangiocarcinomaArmsLyMIC (Lymph Node Metastasis in Intrahepatic Cholangiocarcinoma)
3 · Its place in the literature

Who cites it

529 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  17. AURKB drives aggressive phenotype and clinicopathological progression in cholangiocarcinoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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469 more citing papers are in PubMed but not listed here.

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.

Paul J BrindleyDepartment of Microbiology, Immunology & Tropical Medicine, and Research Center for Neglected Diseases of Poverty, School of Medicine and Health Sciences, George Washington University, Washington, DC, USA.ORCID http://orcid.org/0000-0003-1765-0002
Melinda BachiniCholangiocarcinoma Foundation, Salt Lake City, UT, USA.ORCID http://orcid.org/0000-0001-6850-2929
Sumera I IlyasDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Shahid A KhanLiver Unit, Division of Digestive Diseases, Imperial College London, London, UK.
Alex LoukasCentre for Molecular Therapeutics, Australian Institute of Tropical Health and Medicine, James Cook University, Cairns, Queensland, Australia.
Alphonse E SiricaDepartment of Pathology, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.ORCID http://orcid.org/0000-0003-1775-3829
Bin Tean TehLaboratory of Cancer Epigenome, Division of Medical Sciences, National Cancer Centre, Singapore, Singapore.ORCID http://orcid.org/0000-0003-1514-1124
Sopit WongkhamDepartment of Biochemistry, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Gregory J GoresDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA. gores.gregory@mayo.edu.ORCID http://orcid.org/0000-0003-3151-009X

Funding

Project 4: ImmunovirotherapyP50CA210964 · NCI · MAYO CLINIC ROCHESTER · PI Rory Smoot · 2018 to 2026
$20.5M
Targeting parasite-host communication to combat liver fluke-induced bile duct cancerR01CA164719 · NCI · GEORGE WASHINGTON UNIVERSITY · PI Paul J Brindley, THEWARACH LAHA · 2012 to 2026
$5.0M
Pathogenesis of Opisthorchiasis induced persistent periductal fibrosis and CCAP50AI098639 · NIAID · KHON KAEN UNIVERSITY · PI THINKHAMROP, BANDIT · 2012 to 2016
$1.6M
The Pro-Tumor Immunologic Niche of the LiverK08CA236874 · NCI · MAYO CLINIC ROCHESTER · PI ILYAS, SUMERA I. · 2019 to 2023
$1.2M
NCI NIH HHS K08 CA236874NCI NIH HHS P50 CA210964NCI NIH HHS R01 CA164719NIAID NIH HHS P50 AI098639
6 · The paper itself

Abstract

Cholangiocarcinoma (CCA) is a highly lethal adenocarcinoma of the hepatobiliary system, which can be classified as intrahepatic, perihilar and distal. Each anatomic subtype has distinct genetic aberrations, clinical presentations and therapeutic approaches. In endemic regions, liver fluke infection is associated with CCA, owing to the oncogenic effect of the associated chronic biliary tract inflammation. In other regions, CCA can be associated with chronic biliary tract inflammation owing to choledocholithiasis, cholelithiasis, or primary sclerosing cholangitis, but most CCAs have no identifiable cause. Administration of the anthelmintic drug praziquantel decreases the risk of CCA from liver flukes, but reinfection is common and future vaccination strategies may be more effective. Some patients with CCA are eligible for potentially curative surgical options, such as resection or liver transplantation. Genetic studies have provided new insights into the pathogenesis of CCA, and two aberrations that drive the pathogenesis of non-fluke-associated intrahepatic CCA, fibroblast growth factor receptor 2 fusions and isocitrate dehydrogenase gain-of-function mutations, can be therapeutically targeted. CCA is a highly desmoplastic cancer and targeting the tumour immune microenvironment might be a promising therapeutic approach. CCA remains a highly lethal disease and further scientific and clinical insights are needed to improve patient outcomes.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaLiver TransplantationBile Ducts, IntrahepaticHumansTumor Microenvironment

Identifiers

PMID34504109
PMCPMC9246479

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Registered trials

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.