Evidence map›Paper›PMID 41439988›Full record

ReviewCells2025

Radiation-Induced Fibrosis (RIF) in Head and Neck Squamous Cell Carcinoma (HNSCC): A Review.

Molly E Muehlebach, Sidharth Pradeep, Xin Chen, Levi Arnold, Anna E Arthur, Gregory N Gan, Sufi Mary Thomas

Abstract readReview
In one paragraph

Review in Cells, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
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

7 authors.

Molly E MuehlebachDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, KS 66160, USA.ORCID 0009-0002-7448-0775
Sidharth PradeepDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, KS 66160, USA.ORCID 0009-0004-5601-322X
Xin ChenDepartment of Dietetics and Nutrition, University of Kansas Medical Center, Kansas City, KS 66160, USA.
Levi ArnoldDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, KS 66160, USA.ORCID 0000-0003-4076-5772
Anna E ArthurDepartment of Dietetics and Nutrition, University of Kansas Medical Center, Kansas City, KS 66160, USA.ORCID 0000-0002-5208-4336
Gregory N GanDepartment of Radiation Oncology, University of Kansas Medical Center, Kansas City, KS 66160, USA.
Sufi Mary ThomasDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, KS 66160, USA.

Funding

Transgenic & Gene-Targeting Shared ResourceP30CA168524 · NCI · UNIVERSITY OF KANSAS MEDICAL CENTER · PI ROY A. JENSEN · 2012 to 2026
$40.1M
Implementation of Inpatient Postpartum Human Papillomavirus ImmunizationK07CA230234 · NCI · YALE UNIVERSITY · PI SHETH, SANGINI S. · 2018 to 2021
$680k
NCI NIH HHS K07 CA230234NCI NIH HHS P30 CA168524The University of Kansas Cancer Center CCSG P30CA168524United States Department of Defense CA230234
6 · The paper itself

Abstract

Radiation-induced fibrosis (RIF) refers to the aberrant and continuous induction of myofibroblast-mediated wound healing in response to radiation therapy (RT) and occurs in up to 50% of head and neck squamous cell carcinoma (HNSCC) patients post-RT. Frontline treatment consists of an anti-inflammatory agent, pentoxifylline, in combination with an antioxidant, Vitamin E, (PENTOX) along with palliative care agents such as corticosteroids, non-steroidal anti-inflammatory agents, muscle relaxants (i.e., botulinum toxin A), or physical therapy for alleviation of symptoms such as pain, inflammation, and lymphedema. However, while efficacious in stabilization and palliation of disease, PENTOX is one of the only established agents with confirmed anti-fibrotic effects in HNSCC. Alternative therapies such as hyperbaric oxygen therapy or superoxide dismutase show efficacy in alleviating acute radiation toxicities but lack a substantial reduction in fibrotic burden. Furthermore, experimental investigations into natural antioxidants, anti-fibrotic agents approved for idiopathic pulmonary fibrosis, mesenchymal stem cell therapy, and general nutritional support, indicate anti-RIF potential, but studies in HNSCC specifically are lacking. This review aims to characterize the pathogenesis of RIF development in the HNSCC disease setting and summarize promising anti-fibrotic agents under investigation for radiation-induced toxicities.

Indexed as

Head and Neck NeoplasmsRadiation InjuriesSquamous Cell Carcinoma of Head and NeckAnimalsAntioxidantsFibrosisHumansPentoxifyllineAntioxidantsPentoxifyllinehead and neck squamous cell carcinomaradiation-induced fibrosisradiation therapy

Identifiers

PMID41439988
PMCPMC12731690

What OpenQuestion holds

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Registered trials

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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.