Evidence map›Paper›PMID 38806159›Full record

ReviewSeminars in liver disease2024

Overcoming Resistance to Immune Checkpoint Blockade in Liver Cancer with Combination Therapy: Stronger Together?

Wiebke Werner, Maria Kuzminskaya, Isabella Lurje, Frank Tacke, Linda Hammerich

Abstract readReview
In one paragraph

Review in Seminars in liver disease, 2024. 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
–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

11 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. The Role of Galectin-3 in Liver Inflammation and Fibrosis.Journal of inflammation research · 2026
    Review
  6. Review
  7. Therapeutic potential of natural triterpenoids in liver cancer.Medical oncology (Northwood, London, England) · 2025
    Review
  8. Review
  9. Review
  10. Article
  11. 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

5 authors.

Wiebke WernerDepartment of Hepatology and Gastroenterology, Charité Universitaetsmedizin Berlin, Berlin, Germany.
Maria KuzminskayaDepartment of Hepatology and Gastroenterology, Charité Universitaetsmedizin Berlin, Berlin, Germany.
Isabella LurjeDepartment of Hepatology and Gastroenterology, Charité Universitaetsmedizin Berlin, Berlin, Germany.
Frank TackeDepartment of Hepatology and Gastroenterology, Charité Universitaetsmedizin Berlin, Berlin, Germany.
Linda HammerichDepartment of Hepatology and Gastroenterology, Charité Universitaetsmedizin Berlin, Berlin, Germany.

Funding

Deutsche Forschungsgemeinschaft Ha7431/3-1Deutsche Forschungsgemeinschaft SFB1382, Project-ID 403224013Deutsche Forschungsgemeinschaft SFB/TRR 296Deutsche Forschungsgemeinschaft Ta434/8-1Else Kröner-Fresenius-Stiftung 2021_EKEA.145
6 · The paper itself

Abstract

Primary liver cancer, represented mainly by hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (CCA), is one of the most common and deadliest tumors worldwide. While surgical resection or liver transplantation are the best option in early disease stages, these tumors often present in advanced stages and systemic treatment is required to improve survival time. The emergence of immune checkpoint inhibitor (ICI) therapy has had a positive impact especially on the treatment of advanced cancers, thereby establishing immunotherapy as part of first-line treatment in HCC and CCA. Nevertheless, low response rates reflect on the usually cold or immunosuppressed tumor microenvironment of primary liver cancer. In this review, we aim to summarize mechanisms of resistance leading to tumor immune escape with a special focus on the composition of tumor microenvironment in both HCC and CCA, also reflecting on recent important developments in ICI combination therapy. Furthermore, we discuss how combination of ICIs with established primary liver cancer treatments (e.g. multikinase inhibitors and chemotherapy) as well as more complex combinations with state-of-the-art therapeutic concepts may reshape the tumor microenvironment, leading to higher response rates and long-lasting antitumor immunity for primary liver cancer patients.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, HepatocellularCholangiocarcinomaDrug Resistance, NeoplasmImmune Checkpoint InhibitorsLiver NeoplasmsTumor MicroenvironmentAnimalsBile Duct NeoplasmsHumansImmunotherapyTumor EscapeImmune Checkpoint Inhibitors

Identifiers

PMID38806159
PMCPMC11245330

What OpenQuestion holds

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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.