Evidence map›Paper›PMID 36291840›Full record

ReviewCancers2022

Dialysis as a Novel Adjuvant Treatment for Malignant Cancers.

Sture Hobro, Anders Nilsson, Jan Sternby, Carl Öberg, Kristian Pietras, Håkan Axelson, Ana Carneiro, Sara Kinhult, Anders Christensson, Jonas Fors and 5 more

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
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

15 authors at 5 institutions in 3 countries.

Sture HobroBaxter International Inc., 226 43 Lund, Sweden.
Anders NilssonBaxter International Inc., 226 43 Lund, Sweden.
Jan SternbyBaxter International Inc., 226 43 Lund, Sweden.
Carl ÖbergDepartment of Nephrology, Clinical Sciences, Skane University Hospital, Lund University, 221 85 Lund, Sweden.
Kristian PietrasDepartment of Laboratory Medicine, Division of Translational Cancer Research, Lund University Cancer Centre, Medicon Village, 223 81 Lund, Sweden.ORCID 0000-0001-6738-4705
Håkan AxelsonDepartment of Laboratory Medicine, Division of Translational Cancer Research, Lund University Cancer Centre, Medicon Village, 223 81 Lund, Sweden.
Ana CarneiroSkane University Comprehensive Cancer Center, Skane University Hospital, Lund University, 222 41 Lund, Sweden.
Sara KinhultDepartment of Oncology, Skane University Hospital, 221 85 Lund, Sweden.
Anders ChristenssonDepartment of Nephrology, Skane University Hospital, Lund University, 205 02 Malmö, Sweden.ORCID 0000-0002-7328-8418
Jonas ForsBaxter International Inc., 226 43 Lund, Sweden.
Steven MaciejewskiBaxter International Inc., Deerfield, MA 60015, USA.
Jason KnoxBaxter International Inc., Old Toongabbie 2146, Australia.
Innas ForsalBaxter International Inc., 226 43 Lund, Sweden.
Linda KällquistBaxter International Inc., 226 43 Lund, Sweden.
Viktoria RoosBaxter International Inc., 226 43 Lund, Sweden.
Baxter (Sweden) · SELund University · SEBaxter (Australia) · AUBaxter (United States) · USSkåne University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer metabolism is characterized by an increased utilization of fermentable fuels, such as glucose and glutamine, which support cancer cell survival by increasing resistance to both oxidative stress and the inherent immune system in humans. Dialysis has the power to shift the patient from a state dependent on glucose and glutamine to a ketogenic condition (KC) combined with low glutamine levels-thereby forcing ATP production through the Krebs cycle. By the force of dialysis, the cancer cells will be deprived of their preferred fermentable fuels, disrupting major metabolic pathways important for the ability of the cancer cells to survive. Dialysis has the potential to reduce glucose levels below physiological levels, concurrently increase blood ketone body levels and reduce glutamine levels, which may further reinforce the impact of the KC. Importantly, ketones also induce epigenetic changes imposed by histone deacetylates (HDAC) activity (Class I and Class IIa) known to play an important role in cancer metabolism. Thus, dialysis could be an impactful and safe adjuvant treatment, sensitizing cancer cells to traditional cancer treatments (TCTs), potentially making these significantly more efficient.

Indexed as

cancerchemotherapiesdialysisHDACimmunotherapiesketone bodiesradiotherapiesredox balance

Identifiers

PMID36291840
PMCPMC9600214
OpenAlexW4306367148

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.