Evidence map›Paper›PMID 34633987›Full record

ReviewAging2021

Impact of aging on primary liver cancer: epidemiology, pathogenesis and therapeutics.

Rocio I R Macias, Maria J Monte, Maria A Serrano, Jesús M González-Santiago, Isabel Martín-Arribas, André L Simão, Rui E Castro, Javier González-Gallego, José L Mauriz, Jose J G Marin

Open access · hybridAbstract readReview
In one paragraph

Review in Aging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
6.7field-weighted citation impact, top 2% 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

42 citing papers in PubMed, 56 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Liver, ageing and disease.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
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  18. Review
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  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

10 authors at 5 institutions in 2 countries.

Rocio I R MaciasExperimental Hepatology and Drug Targeting (HEVEPHARM) Group, University of Salamanca, IBSAL, Salamanca, Spain.
Maria J MonteExperimental Hepatology and Drug Targeting (HEVEPHARM) Group, University of Salamanca, IBSAL, Salamanca, Spain.
Maria A SerranoExperimental Hepatology and Drug Targeting (HEVEPHARM) Group, University of Salamanca, IBSAL, Salamanca, Spain.
Jesús M González-SantiagoDepartment of Gastroenterology and Hepatology, University Hospital of Salamanca, IBSAL, Salamanca, Spain.
Isabel Martín-ArribasDepartment of Gastroenterology and Hepatology, University Hospital of Salamanca, IBSAL, Salamanca, Spain.
André L SimãoResearch Institute for Medicines (iMed.ULisboa), Faculty of Pharmacy, Universidade de Lisboa, Lisbon, Portugal.
Rui E CastroResearch Institute for Medicines (iMed.ULisboa), Faculty of Pharmacy, Universidade de Lisboa, Lisbon, Portugal.
Javier González-GallegoInstitute of Biomedicine (IBIOMED), University of León, León, Spain.
José L MaurizInstitute of Biomedicine (IBIOMED), University of León, León, Spain.
Jose J G MarinExperimental Hepatology and Drug Targeting (HEVEPHARM) Group, University of Salamanca, IBSAL, Salamanca, Spain.
Universidad de Salamanca · ESUniversidad de León · ESUniversity of Lisbon · PTCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas · ESInstituto de Investigación Biomédica de Salamanca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aging involves progressive physiological and metabolic reprogramming to adapt to gradual deterioration of organs and functions. This includes mechanisms of defense against pre-malignant transformations. Thus, certain tumors are more prone to appear in elderly patients. This is the case of the two most frequent types of primary liver cancer, i.e., hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (iCCA). Accordingly, aging hallmarks, such as genomic instability, telomere attrition, epigenetic alterations, altered proteostasis, mitochondrial dysfunction, cellular senescence, exhaustion of stem cell niches, impaired intracellular communication, and deregulated nutrient sensing can play an important role in liver carcinogenesis in the elders. In addition, increased liver fragility determines a worse response to risk factors, which more frequently affect the aged population. This, together with the difficulty to carry out an early detection of HCC and iCCA, accounts for the late diagnosis of these tumors, which usually occurs in patients with approximately 60 and 70 years, respectively. Furthermore, there has been a considerable controversy on what treatment should be used in the management of HCC and iCCA in elderly patients. The consensus reached by numerous studies that have investigated the feasibility and safety of different curative and palliative therapeutic approaches in elders with liver tumors is that advanced age itself is not a contraindication for specific treatments, although the frequent presence of comorbidities in these individuals should be taken into consideration for their management.

Indexed as

AgingCarcinoma, HepatocellularCholangiocarcinomaLiver NeoplasmsAgedAged, 80 and overAge FactorsFemaleGenomic InstabilityHumansMaleMiddle AgedRisk FactorsTelomere Shorteningagingcholangiocarcinomafragilityhepatocarcinomasenescence

Identifiers

PMID34633987
PMCPMC8544321
OpenAlexW3206413215

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.