Evidence map›Paper›PMID 36979659›Full record

ReviewBiomedicines2023

Overcoming EGFR Resistance in Metastatic Colorectal Cancer Using Vitamin C: A Review.

Ahmad Machmouchi, Laudy Chehade, Sally Temraz, Ali Shamseddine

Open access · goldFull text readReview
In one paragraph

Review in Biomedicines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Review
  3. High-dose vitamin C as a metabolic treatment of cancer: a new dimension in the era of adjuvant and intensive therapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  4. Review
  5. Article
  6. From Antioxidant to Anticancer is Vitamin C Effective in Colorectal Cancer?Asian Pacific journal of cancer prevention : APJCP · 2024
    Article
  7. 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

4 authors at 1 institution in 1 country.

Ahmad MachmouchiDepartment of Internal Medicine, Division of Hematology/Oncology, Naef Khaled Basile Cancer Institute-NKBCI, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon.ORCID 0000-0002-5325-7016
Laudy ChehadeDepartment of Internal Medicine, Division of Hematology/Oncology, Naef Khaled Basile Cancer Institute-NKBCI, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon.
Sally TemrazDepartment of Internal Medicine, Division of Hematology/Oncology, Naef Khaled Basile Cancer Institute-NKBCI, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon.
Ali ShamseddineDepartment of Internal Medicine, Division of Hematology/Oncology, Naef Khaled Basile Cancer Institute-NKBCI, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon.ORCID 0000-0003-3725-8403
American University of Beirut Medical Center · LB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Targeted monoclonal antibody therapy against Epidermal Growth Factor Receptor (EGFR) is a leading treatment modality against metastatic colorectal cancer (mCRC). However, with the emergence of KRAS and BRAF mutations, resistance was inevitable. Cells harboring these mutations overexpress Glucose Transporter 1 (GLUT1) and sodium-dependent vitamin C transporter 2 (SVCT2), which enables intracellular vitamin C transport, leading to reactive oxygen species generation and finally cell death. Therefore, high dose vitamin C is proposed to overcome this resistance. A comprehensive search strategy was adopted using Pubmed and MEDLINE databases (up to 11 August 2022). There are not enough randomized clinical trials to support its use in the clinical management of mCRC, except for a subgroup analysis from a phase III study. High dose vitamin C shows a promising role in overcoming EGFR resistance in mCRC with wild KRAS mutation with resistance to anti-epidermal growth factor inhibitors and in patients with KRAS and BRAF mutations.

Indexed as

ascorbic acidBRAF mutationcolorectal cancerEGFR ResistanceKRAS mutationvitamin C

Identifiers

PMID36979659
PMCPMC10045351
OpenAlexW4321786508

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read29
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.