Evidence map›Paper›PMID 41008657›Full record

ReviewDiagnostics (Basel, Switzerland)2025

The Evolving Landscape of microRNAs in Cholangiocarcinoma and Pancreatic Cancer.

Andrada Ozana Schneider, Sabrina Birsan, Paula Anderco, Cristian Ichim, Samuel Bogdan Todor, Horatiu Dura, Radu Fleacă, Adrian Boicean

Abstract readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 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. Review
  2. 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

8 authors.

Andrada Ozana SchneiderFaculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania.
Sabrina BirsanFaculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania.ORCID 0009-0007-7368-7674
Paula AndercoFaculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania.
Cristian IchimFaculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania.ORCID 0009-0005-9111-6088
Samuel Bogdan TodorFaculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania.
Horatiu DuraFaculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania.
Radu FleacăFaculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania.ORCID 0000-0002-2444-9828
Adrian BoiceanFaculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania.ORCID 0000-0002-6646-1585

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cholangiocarcinoma (CCA) and pancreatic ductal adenocarcinoma (PDAC) are aggressive malignancies with limited therapeutic options and poor prognoses. In recent years, microRNAs (miRNAs) have gained attention as key molecular regulators involved in tumor progression, chemoresistance, and metastasis. This review explores the diagnostic, prognostic, and therapeutic potential of miRNAs in CCA and PDAC, emphasizing their shared and distinct molecular pathways and their utility in the context of precision oncology. Several dysregulated miRNAs, most notably miR-21 and miR-155, are overexpressed in both cancers and contribute to activation of oncogenic pathways such as PI3K/AKT signaling, epithelial-mesenchymal transition, and inflammatory cascades. miR-21, in particular, is associated with resistance to gemcitabine and cisplatin. In contrast, tumor-suppressive miRNAs such as miR-34a and miR-145 are often downregulated, and their restoration using synthetic mimics has demonstrated promising antitumor effects in preclinical studies. Moreover, circulating miRNAs show potential as non-invasive biomarkers for early detection and disease monitoring. Advanced delivery platforms, including nanoparticles and exosome-based systems, are being developed to improve the stability and tumor specificity of miRNA-based therapeutics. miRNAs represent a promising class of molecules in the diagnosis, stratification, and treatment of CCA and PDAC. Their dual role as biomarkers and therapeutic agents positions them at the intersection of molecular pathology and personalized medicine. Further multicenter clinical trials and mechanistic studies are needed to validate their clinical applicability and to refine delivery strategies for targeted miRNA modulation.

Indexed as

biomarkerschemoresistancecholangiocarcinomamicroRNApancreatic ductal adenocarcinomatargeted therapy

Identifiers

PMID41008657
PMCPMC12468360

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.