Evidence map›Paper›PMID 34884853›Full record

ReviewInternational journal of molecular sciences2021

Limitations and Possibilities of Transarterial Chemotherapeutic Treatment of Hepatocellular Carcinoma.

Charlotte Ebeling Barbier, Femke Heindryckx, Hans Lennernäs

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 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.

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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

3 authors.

Charlotte Ebeling BarbierDepartment of Surgical Sciences, Section of Radiology, Uppsala University, 752 36 Uppsala, Sweden.ORCID 0000-0003-4855-5841
Femke HeindryckxDepartment of Medical Cell Biology, Uppsala University, 751 23 Uppsala, Sweden.ORCID 0000-0002-1987-7676
Hans LennernäsDepartment of Pharmaceutical Biosciences, Uppsala University, 751 23 Uppsala, Sweden.ORCID 0000-0002-1578-5184

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Because diagnostic tools for discriminating between hepatocellular carcinoma (HCC) and advanced cirrhosis are poor, HCC is often detected in a stage where transarterial chemoembolization (TACE) is the best treatment option, even though it provides a poor survival gain. Despite having been used worldwide for several decades, TACE still has many limitations. First, there is a vast heterogeneity in the cellular composition and metabolism of HCCs as well as in the patient population, which renders it difficult to identify patients who would benefit from TACE. Often the delivered drug does not penetrate sufficiently selectively and deeply into the tumour and the drug delivery system is not releasing the drug at an optimal clinical rate. In addition, therapeutic effectiveness is limited by the crosstalk between the tumour cells and components of the cirrhotic tumour microenvironment. To improve this widely used treatment of one of our most common and deadly cancers, we need to better understand the complex interactions between drug delivery, local pharmacology, tumour targeting mechanisms, liver pathophysiology, patient and tumour heterogeneity, and resistance mechanisms. This review provides a novel and important overview of clinical data and discusses the role of the tumour microenvironment and lymphatic system in the cirrhotic liver, its potential response to TACE, and current and possible novel DDSs for locoregional treatment.

Indexed as

AnimalsAntineoplastic AgentsCarcinoma, HepatocellularChemoembolization, TherapeuticDrug Delivery SystemsDrug-Eluting StentsEthiodized OilHumansHydrogelsLiver NeoplasmsLymphatic SystemTumor MicroenvironmentAntineoplastic AgentsEthiodized OilHydrogelsanthracyclinesdrug delivery systemshepatocellular carcinomatransarterial chemoembolizationtumour microenvironment

Identifiers

PMID34884853
PMCPMC8658005

What OpenQuestion holds

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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.