Evidence map›Paper›PMID 41580863›Full record

ReviewJournal of translational medicine2026

Cancer-associated fibroblasts: enablers of tumor drug resistance.

Yanting Chen, Wei Xi, Xingyue Lai, Linglin Xiang, Anqi Zeng, Linjiang Song

Abstract readReview
In one paragraph

Review in Journal of translational medicine, 2026. 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

6 authors.

Yanting ChenSchool of Medical and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, P. R. China.
Wei XiSchool of Medical and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, P. R. China.
Xingyue LaiSchool of Medical and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, P. R. China.
Linglin XiangSchool of Medical and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, P. R. China.
Anqi ZengTranslational Chinese Medicine Key Laboratory of Sichuan Province, Sichuan Academy of Chinese Medicine Sciences, Sichuan Institute for Translational Chinese Medicine, Chengdu, Sichuan, 610041, P. R. China. zeng6002aq@163.com.
Linjiang SongSchool of Medical and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, P. R. China. songlinjiang@cdutcm.edu.cn.ORCID 0009-0001-6218-8382

Funding

National Natural Science Foundation of China 82305011, 82404939Sichuan Science and Technology Program 2023YFH0104
6 · The paper itself

Abstract

backgroundTreatment failure due to drug resistance has always been a “roadblock” to cancer cure. For a long time, drug resistance research has focused on the nature of the cancer cells themselves; however, more and more studies have found the non-negligible significance of the tumor microenvironment (TME) in cancer malignant progression and therapeutic resistance. Within the TME, cancer-associated fibroblasts (CAFs) represent the most prevalent and highly plastic cells, exerting profound influence on tumor progression.

methodsWe integrate recent literature and synthesize evidence from both preclinical and clinical studies to elucidate the potential mechanisms by which CAFs contribute to therapeutic resistance and to summarize up-to-date research developments in nanotherapeutic strategies targeting CAFs.

resultsEmerging findings demonstrate that CAFs substantially contribute to drug resistance by secreting various soluble factors and metabolites, remodeling the extracellular matrix (ECM), and regulating immune responses and cell death. Nanotherapeutic strategies show considerable promise in improving treatment efficacy, while further research is required to facilitate their clinical translation.

conclusionsCAFs act as key orchestrators of the drug-resistant TME, positioning them as compelling targets for next-generation anticancer strategies. Moreover, advancing progress in nano-strategies targeting CAFs holds substantial promise for improving clinical outcomes in cancer therapy.

Indexed as

Cancer-Associated FibroblastsDrug Resistance, NeoplasmNeoplasmsAnimalsExtracellular MatrixHumansTumor MicroenvironmentCancer-associated fibroblastsNanoparticlesResistanceTumor microenvironment

Identifiers

PMID41580863
PMCPMC12911359

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.