Evidence map›Paper›PMID 37961749›Full record

ArticleClinical and translational radiation oncology2024

Enhancing radiotherapy outcomes in rectal cancer: A systematic review of targeting hypoxia-induced radioresistance.

Matthew Fok, Rhianna Hill, Hayley Fowler, Rachael Clifford, Aaron Kler, Jayanma Uzzi-Daniel, Sonia Rocha, Gabrielle Grundy, Jason Parsons, Dale Vimalachandran

Abstract read
In one paragraph

Article in Clinical and translational radiation oncology, 2024. 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
–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

2 citing papers in PubMed.

  1. Electron Irradiation Effects on N and FeInternational journal of nanomedicine · 2026
    Article
  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

10 authors.

Matthew FokInstitute of Systems, Molecular and Integrative Biology University of Liverpool, UK.
Rhianna HillInstitute of Systems, Molecular and Integrative Biology University of Liverpool, UK.
Hayley FowlerInstitute of Systems, Molecular and Integrative Biology University of Liverpool, UK.
Rachael CliffordInstitute of Systems, Molecular and Integrative Biology University of Liverpool, UK.
Aaron KlerInstitute of Systems, Molecular and Integrative Biology University of Liverpool, UK.
Jayanma Uzzi-DanielInstitute of Systems, Molecular and Integrative Biology University of Liverpool, UK.
Sonia RochaInstitute of Systems, Molecular and Integrative Biology University of Liverpool, UK.
Gabrielle GrundyInstitute of Systems, Molecular and Integrative Biology University of Liverpool, UK.
Jason ParsonsInstitute of Cancer and Genomic Sciences, University of Birmingham, UK.
Dale VimalachandranInstitute of Systems, Molecular and Integrative Biology University of Liverpool, UK.

Funding

Wellcome Trust 206293/Z/17/Z
6 · The paper itself

Abstract

Introduction: Neoadjuvant radiotherapy is successfully used in rectal cancer to improve overall survival. However, treatment response is both unpredictable and variable. There is strong evidence to show that the phenomenon of tumour hypoxia is associated with radioresistance, however the mechanism(s) behind this are poorly understood. Consequently, there have only been a small number of studies evaluating methods targeting hypoxia-induced radioresistance. The purpose of this systematic review is to evaluate the potential effectiveness of targeting hypoxia-induced radioresistance in rectal cancer and provide recommendations for future research in this area. Methods: A comprehensive literature search was performed following the PRISMA guidelines. This study was registered on the Prospero database (CRD42023441983). Results: Eight articles met the inclusion criteria. All studies identified were Discussion: The importance of investigating hypoxia-induced radioresistance in rectal cancer is crucial. However, to date, only a small number of preclinical studies exist evaluating this phenomenon. This systematic review highlights the importance of further research to fully understand the mechanism behind this radioresistance. There are promising targets identified in this systematic review however, substantially more pre-clinical and clinical research as a priority for future research is needed.

Indexed as

HypoxiaRadiotherapyRectal cancerTumour hypoxia

Identifiers

PMID37961749
PMCPMC10637894

What OpenQuestion holds

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Registered trials

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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.