Evidence map›Paper›PMID 37891512›Full record

ArticleBMC cancer2023

Hormetic and synergistic effects of cancer treatments revealed by modelling combinations of radio - or chemotherapy with immunotherapy.

Sanyi Tang, Shuo Li, Biao Tang, Xia Wang, Yanni Xiao, Robert A Cheke

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Modeling combination chemo-immunotherapy for heterogeneous tumors.Quantitative biology (Beijing, China) · 2025
    Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. 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

6 authors at 3 institutions in 2 countries.

Sanyi TangSchool of Mathematics and Statistics, Shaanxi Normal University, Xi'an, 710119, People's Republic of China.
Shuo LiSchool of Mathematics and Statistics, Shaanxi Normal University, Xi'an, 710119, People's Republic of China.
Biao TangThe Interdisplinary Research Center for Mathematics and Life Sciences, Xi'an Jiaotong University, Xi'an, 710049, People's Republic of China.
Xia WangSchool of Mathematics and Statistics, Shaanxi Normal University, Xi'an, 710119, People's Republic of China. xiawang@snnu.edu.cn.ORCID http://orcid.org/0000-0001-9317-4824
Yanni XiaoThe Interdisplinary Research Center for Mathematics and Life Sciences, Xi'an Jiaotong University, Xi'an, 710049, People's Republic of China.
Robert A ChekeNatural Resources Institute, University of Greenwich at Medway, Central Avenue, Chatham Maritime, Kent, ME4 4TB, UK.
Shaanxi Normal University · CNXi'an Jiaotong University · CNNatural Resources Institute · GB

Funding

National Natural Science Foundation of China 12031010National Natural Science Foundation of China 12101488National Natural Science Foundation of China 12126350National Natural Science Foundation of China 12171295Project of Science and Technology Young Star in Shaanxi Province 2022KJXX-29
6 · The paper itself

Abstract

backgroundRadio/chemotherapy and immune systems provide examples of hormesis, as tumours can be stimulated (or reduced) at low radio/chemical or antibody doses but inhibited (or stimulated) by high doses.

methodsInteractions between effector cells, tumour cells and cytokines with pulsed radio/chemo-immunotherapy were modelled using a pulse differential system.

resultsOur results show that radio/chemotherapy (dose) response curves (RCRC) and/or immune response curves (IRC) or a combination of both, undergo homeostatic changes or catastrophic shifts revealing hormesis in many parameter regions. Some mixed response curves had multiple humps, posing challenges for interpretation of clinical trials and experimental design, due to a fuzzy region between an hormetic zone and the toxic threshold. Mixed response curves from two parameter bifurcation analyses demonstrated that low-dose radio/chemotherapy and strong immunotherapy counteract side-effects of radio/chemotherapy on effector cells and cytokines and stimulate effects of immunotherapy on tumour growth. The implications for clinical applications were confirmed by good fits to our model of RCRC and IRC data.

conclusionsThe combination of low-dose radio/chemotherapy and high-dose immunotherapy is very effective for many solid tumours. The net benefit and synergistic effect of combined therapy is conducive to the treatment and inhibition of tumour cells.

Indexed as

HormesisNeoplasmsCytokinesHumansImmunotherapyCytokinesHormesisImmune response curveMixed response curveRadio-chemotherapy response curveSynergyTumour

Identifiers

PMID37891512
PMCPMC10605942
OpenAlexW4387996172

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.