Evidence map›Paper›PMID 39979070›Full record

ArticleJournal for immunotherapy of cancer2025

Ethanol inhibits the growth and metastasis of hepatocellular carcinoma by inducing immunogenic cell death.

Yu-Chen Hsu, Meng-Chuan Wu, Meng Tzu Weng, Ying-Te Lee, Huei-Chi Chou, Hsuan-Shu Lee, Li-Fang Wang, Jin-Chuan Sheu, Chien-Hung Chen

Abstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

3 citing papers in PubMed.

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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

9 authors.

Yu-Chen HsuDepartment of Clinical Laboratory Sciences and Medical Biotechnology, National Taiwan University College of Medicine, Taipei City, Taiwan.
Meng-Chuan WuLiver Disease Prevention and Treatment Research Foundation, Taipei City, Taiwan.
Meng Tzu WengDepartment of Medical Research, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan.ORCID http://orcid.org/0000-0002-4143-6607
Ying-Te LeeLiver Disease Prevention and Treatment Research Foundation, Taipei City, Taiwan.
Huei-Chi ChouLiver Disease Prevention and Treatment Research Foundation, Taipei City, Taiwan.
Hsuan-Shu LeeLiver Disease Prevention and Treatment Research Foundation, Taipei City, Taiwan.
Li-Fang WangLiver Disease Prevention and Treatment Research Foundation, Taipei City, Taiwan.
Jin-Chuan SheuLiver Disease Prevention and Treatment Research Foundation, Taipei City, Taiwan.
Chien-Hung ChenDepartment of Internal Medicine, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei City, Taiwan chenhcc@ntu.edu.tw.ORCID http://orcid.org/0000-0003-4979-3761

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunogenic cell death (ICD) can elicit an adaptive immune response with significant antitumor effects. Percutaneous ethanol injection therapy has been applied as tumor ablation for small hepatocellular carcinoma (HCC). However, it was not clear whether ethanol can elicit ICD. The aim of this study is to investigate the role of ethanol as an ICD inducer.

methodsHCC cell lines were treated with low-concentration ethanol and ICD markers, such as calreticulin, high-mobility group box 1, and ATP were assayed. The mouse vaccination-rechallenge assay was used to further confirm ethanol as an ICD inducer. Western blot and real-time PCR were used to investigate ICD-related endoplasmic reticulum (ER) stress and signaling pathways. The genes with differential expression levels between primary and distant tumors were analyzed by nCounter gene expression. Intratumoral injection of ethanol was done to investigate the abscopal effect.

resultsThe low-concentration ethanol could induce ICD in HCC cell lines through unfolded protein responses initiated by ER stress and multiple cell-death pathways. Intratumoral injections of low-concentration ethanol had significantly direct and abscopal antitumor effects in mouse models of both subcutaneous and orthotopic HCC. nCounter gene expression analysis in primary and distant tumors revealed the activation of various immune-response pathways, notably those mediated by CD8 T cells and the interferon pathway. Vaccinating mice with low-concentration ethanol-treated HCC cells successfully inhibited metastasis in both intravenous and intrasplenic metastasis models.

conclusionsOur results suggest that low-concentration ethanol could serve as an inducer of ICD. Low-concentration ethanol could potentially improve therapeutic antitumor immunity by inducing substantial ICD.

Indexed as

Carcinoma, HepatocellularEthanolImmunogenic Cell DeathLiver NeoplasmsAnimalsCell Line, TumorCell ProliferationEndoplasmic Reticulum StressHumansMiceEthanolAbscopalHepatocellular CarcinomaImmunotherapy

Identifiers

PMID39979070
PMCPMC11843001

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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.