Evidence map›Paper›PMID 40673385›Full record

ArticleCancer medicine2025

Combination of LowDose Epigenetic Modifiers and TIC10 for the Activation of Antitumor Immunity and Inhibition of Tumor Growth in Gastrointestinal Cancer.

Jianling Zou, Wentao Yang, Shuang Li, Fei Liu, Jinjia Chang, Wenhua Li, Mingzhu Huang, Xiaodong Zhu, Jianyin Zou, Weijian Guo and 1 more

Abstract read
In one paragraph

Article in Cancer medicine, 2025. 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. Article
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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

11 authors.

Jianling ZouDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.ORCID https://orcid.org/0009-0007-1582-3914
Wentao YangDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Shuang LiDepartment of Gastrocolorectal Surgery, General Surgery Center, The First Hospital of Jilin University, Jilin, China.
Fei LiuDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Jinjia ChangDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.ORCID https://orcid.org/0000-0002-9105-8691
Wenhua LiDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.ORCID https://orcid.org/0000-0001-9181-0428
Mingzhu HuangDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Xiaodong ZhuDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Jianyin ZouDepartment of Otolaryngology-Head and Neck Surgery, Otolaryngology Institute of Shanghai JiaoTong University, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Weijian GuoDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.ORCID https://orcid.org/0000-0002-6155-8345
Zhiyu ChenDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.ORCID https://orcid.org/0000-0002-5988-6294

Funding

National Natural Science Foundation of China 82002498National Natural Science Foundation of China 82102097National Natural Science Foundation of China 82203749Science and Technology Commission of Shanghai Municipality 20YF1408900Science and Technology Commission of Shanghai Municipality 22ZR1413500Wu Jieping Medical Foundation 320.6750.2022-22-48
6 · The paper itself

Abstract

backgroundCytotoxic agents remain the mainstay treatment for advanced gastrointestinal cancer. However, the number of cytotoxic agents is limited, and the treatment effect is not satisfactory. Therefore, new agent and combination strategies are to be explored.

methodsThe antitumor efficacy of low-dose epigenetic modifiers (LD-EMs) of 5-azacytidine and entinostat, cytotoxic agents of paclitaxel, cisplatin, oxaliplatin, 5-fluorouracil, and a novel cytotoxic agent TIC10, and the combination of LD-EMs and cytotoxic agents was investigated in vivo. Flow cytometry and immunohistochemistry were conducted to analyze the immune phenotype in the tumor microenvironment. The proliferation and apoptosis analyses were performed in vitro.

resultsLD-EM therapy demonstrated superior tumor inhibition compared with commonly used chemotherapy in gastrointestinal cancer. A novel cytotoxic agent TIC10 resulted in weak to moderate tumor growth inhibition (TGI). LD-EMs exhibited a more pronounced antitumor effect than TIC10 alone (CT26: TGI of 74.5% vs. 46.2%, respectively; p < 0.05; HNM007: TGI of 52.0% vs. 21.4%, respectively; p < 0.05; AKR: TGI of 53.8% vs. 10.1%, respectively; p < 0.05). The combination of TIC10 and LD-EMs led to a more pronounced tumor reduction with tolerable toxicity. Analysis of the immune profiles showed increased percentages of CD45

conclusionsLD-EMs remodeled the tumor microenvironment to an immune-promoting environment. Although TIC10 could suppress cell viability and induce cell apoptosis. A combination of LD-EMs and TIC10 indicated a rational strategy through complementary mechanisms.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsEpigenesis, GeneticGastrointestinal NeoplasmsAnimalsApoptosisAzacitidineBenzamidesCell Line, TumorCell ProliferationCisplatinFemaleFluorouracilHumansMiceMice, Inbred BALB COxaliplatinAzacitidineBenzamidesCisplatinentinostatFluorouracilOxaliplatinPaclitaxelPyridinescombination therapyepigenetic modifiersgastrointestinal cancerTIC10tumor microenvironment

Identifiers

PMID40673385
PMCPMC12268316

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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.