Evidence map›Paper›PMID 38684648›Full record

ArticleCell death & disease2024

Arsenic trioxide augments immunogenic cell death and induces cGAS-STING-IFN pathway activation in hepatocellular carcinoma.

Xin Li, Yu-Fei Pan, Yi-Bin Chen, Qian-Qian Wan, Yun-Kai Lin, Tai-Yu Shang, Meng-You Xu, Tian-Yi Jiang, Meng-Miao Pei, Ye-Xiong Tan and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
11.1field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
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  6. Programmed cell death in lung cancer: mechanisms, immune responses, and therapeutics.Apoptosis : an international journal on programmed cell death · 2026
    Review
  7. Article
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  11. Review
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  18. Tetraarsenic Hexoxide Enhanced the Anticancer Effects ofInternational journal of molecular sciences · 2025
    Article
  19. Review
  20. Review
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

12 authors at 5 institutions in 2 countries.

Xin Li *Department of Integrated Chinese and Western Medicine, Eastern Hepatobiliary Surgery Hospital, Naval Medical University, Shanghai, China.
Yu-Fei Pan *National Center for Liver Cancer, Naval Medical University, Shanghai, China.ORCID 0000-0001-8978-3029
Yi-Bin Chen *National Center for Liver Cancer, Naval Medical University, Shanghai, China.
Qian-Qian WanDepartment of Integrated Chinese and Western Medicine, Eastern Hepatobiliary Surgery Hospital, Naval Medical University, Shanghai, China.
Yun-Kai LinNational Center for Liver Cancer, Naval Medical University, Shanghai, China.
Tai-Yu ShangNational Center for Liver Cancer, Naval Medical University, Shanghai, China.
Meng-You XuNational Center for Liver Cancer, Naval Medical University, Shanghai, China.
Tian-Yi JiangNational Center for Liver Cancer, Naval Medical University, Shanghai, China.
Meng-Miao PeiEastern Hepatobiliary Surgery Hospital, Naval Medical University, Shanghai, China.
Ye-Xiong TanNational Center for Liver Cancer, Naval Medical University, Shanghai, China. yxtan1214@163.com.ORCID 0000-0001-8241-6621
Li-Wei DongNational Center for Liver Cancer, Naval Medical University, Shanghai, China. dlw@smmu.edu.cn.ORCID 0000-0003-2116-1674
Xu-Ying WanDepartment of Integrated Chinese and Western Medicine, Eastern Hepatobiliary Surgery Hospital, Naval Medical University, Shanghai, China. wanxuying@126.com.ORCID 0009-0008-3026-1945
Second Military Medical University · CNCenter for Naval Analyses · USFudan University · CNFudan University Shanghai Cancer Center · CNPeking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The treatment of hepatocellular carcinoma (HCC) is particularly challenging due to the inherent tumoral heterogeneity and easy resistance towards chemotherapy and immunotherapy. Arsenic trioxide (ATO) has emerged as a cytotoxic agent effective for treating solid tumors, including advanced HCC. However, its effectiveness in HCC treatment remains limited, and the underlying mechanisms are still uncertain. Therefore, this study aimed to characterize the effects and mechanisms of ATO in HCC. By evaluating the susceptibilities of human and murine HCC cell lines to ATO treatment, we discovered that HCC cells exhibited a range of sensitivity to ATO treatment, highlighting their inherent heterogeneity. A gene signature comprising 265 genes was identified to distinguish ATO-sensitive from ATO-insensitive cells. According to this signature, HCC patients have also been classified and exhibited differential features of ATO response. Our results showed that ATO treatment induced reactive oxygen species (ROS) accumulation and the activation of multiple cell death modalities, including necroptosis and ferroptosis, in ATO-sensitive HCC cells. Meanwhile, elevated tumoral immunogenicity was also observed in ATO-sensitive HCC cells. Similar effects were not observed in ATO-insensitive cells. We reported that ATO treatment induced mitochondrial injury and mtDNA release into the cytoplasm in ATO-sensitive HCC tumors. This subsequently activated the cGAS-STING-IFN axis, facilitating CD8

Indexed as

Arsenic TrioxideCarcinoma, HepatocellularImmunogenic Cell DeathLiver NeoplasmsMembrane ProteinsNucleotidyltransferasesAnimalsCell Line, TumorCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseHumansInterferonsMiceMice, Inbred C57BLReactive Oxygen SpeciesSignal TransductionSTING ProteinArsenic TrioxidecGAS protein, humanCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseInterferonsMembrane ProteinsNucleotidyltransferasesReactive Oxygen SpeciesSTING1 protein, humanSTING Protein

Identifiers

PMID38684648
PMCPMC11058202
OpenAlexW4396221802

What OpenQuestion holds

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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.