Evidence map›Paper›PMID 41438763›Full record

ReviewFrontiers in immunology2025

Cancer stem cells in hepatocellular carcinoma: therapy resistance and emerging treatments.

Dipesh Kumar Yadav, Rajesh Kumar Yadav, Alina Singh, Yi Huang, Dandan Bao, Zhangwei Yang, Hanzhang Huang, Yin Jiang, Pengwei Wang, Sisi Lin and 2 more

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. 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.

Dipesh Kumar Yadav *Department of General Surgery, The Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, China.
Rajesh Kumar Yadav *College of Pharmacy, University of Louisiana at Monroe, Monroe, LA, United States.
Alina SinghDepartment of Surgery, Parkland Medicare and Research Center, Janakpur, Nepal.
Yi HuangDepartment of General Surgery, The Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, China.
Dandan BaoDepartment of General Surgery, The Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, China.
Zhangwei YangDepartment of General Surgery, The Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, China.
Hanzhang HuangDepartment of General Surgery, The Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, China.
Yin JiangDepartment of Hepatobiliary and Pancreatic Surgery, Ningbo Medical Center Lihuili Hospital, Ningbo University, Ningbo, Zhejiang, China.
Pengwei WangDepartment of General Surgery, The Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, China.
Sisi LinDepartment of General Surgery, The Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, China.
Yongfei HuaDepartment of Hepatobiliary and Pancreatic Surgery, Ningbo Medical Center Lihuili Hospital, Ningbo University, Ningbo, Zhejiang, China.
Yiren HuDepartment of General Surgery, The Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) imposes a significant global cancer mortality burden, with conventional therapies (surgery, ablation, chemotherapy, radiotherapy) and newer modalities (targeted agents, immune checkpoint inhibitors) limited by therapeutic resistance. Notably, liver cancer stem cells (Liver-CSCs)-defined by their self-renewal and unlimited proliferative capacity-drive tumor initiation, metastasis, heterogeneity, and therapy resistance. This review synthesizes current knowledge on Liver-CSCs, focusing on their distinctive features, supporting microenvironments, signaling pathways, and therapy resistance mechanisms. We also examine novel therapeutic strategies targeting these cells. Clinically, we evaluate recent research, identify knowledge gaps, and suggest potential directions for advancing HCC therapies. Finally, we discuss how these insights may inform development of more effective treatments to improve clinical HCC management. Understanding Liver-CSC biology and treatment resistance mechanisms will enable better-tailored therapies to overcome these challenges and enhance patient outcomes.

Indexed as

Carcinoma, HepatocellularDrug Resistance, NeoplasmLiver NeoplasmsNeoplastic Stem CellsAnimalsHumansSignal TransductionTumor Microenvironmentcancer stem cellshepatocellular carcinomaimmunotherapyliver cancer stem cellsliver cancer treatment resistance

Identifiers

PMID41438763
PMCPMC12719528

What OpenQuestion holds

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LicenceCC BY
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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.