Evidence map›Paper›PMID 41878524›Full record

ArticleFrontiers in oncology2026

Tumor Treating Fields (TTFields), and their concomitant application with FOLFOX, are effective for the treatment of gastric cancer cells.

Hila Fishman, Hila M Ene, Einav Zeevi, Naama Flint-Brodsly, Kerem Wainer-Katsir, Roni Frechtel-Gerzi, Antonia Martinez-Conde, Shany Greenstein, Eyal Dor-On, Mijal Munster and 8 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

18 authors.

Hila Fishman *Novocure Ltd., Haifa, Israel.
Hila M Ene *Novocure Ltd., Haifa, Israel.
Einav ZeeviNovocure Ltd., Haifa, Israel.
Naama Flint-BrodslyNovocure Ltd., Haifa, Israel.
Kerem Wainer-KatsirNovocure Ltd., Haifa, Israel.
Roni Frechtel-GerziNovocure Ltd., Haifa, Israel.
Antonia Martinez-CondeNovocure Ltd., Haifa, Israel.
Shany GreensteinNovocure Ltd., Haifa, Israel.
Eyal Dor-OnNovocure Ltd., Haifa, Israel.
Mijal MunsterNovocure Ltd., Haifa, Israel.
Yaara PoratNovocure Ltd., Haifa, Israel.
Tali VoloshinNovocure Ltd., Haifa, Israel.
Shiri DavidiNovocure Ltd., Haifa, Israel.
Gitit Lavy-ShahafNovocure Ltd., Haifa, Israel.
Adi HaberNovocure Ltd., Haifa, Israel.
Moshe GiladiNovocure Ltd., Haifa, Israel.
Uri WeinbergNovocure Ltd., Haifa, Israel.
Yoram PaltiNovocure Ltd., Haifa, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tumor Treating Fields (TTFields) are electric fields that exert antimitotic effects and impair DNA damage repair in cancerous cells. Gastric cancer, one of the most common types of cancers worldwide, demonstrates poor long-term survival despite advances in therapeutic options. The goal of the current study was to examine Methods: Human gastric cancer cell lines, AGS and KATOIII, were treated with TTFields using the inovitro system. To test the efficacy of TTFields (alone or together with oxaliplatin, 5-FU, or FOLFOX), cell count, colony formation, and apoptosis were examined. For mechanistic insight, control and TTFields-treated cells were examined by RNA sequencing. Immunofluorescent staining for phospho-histone H2AX (γH2AX), α-tubulin, phospho-histone 3 (pH3), and double stranded DNA was employed for detection of DNA damage, mitotic spindle defects, chromosome mislocalization, and micronuclei clusters, respectively. Expression of DNA damage repair proteins was measured using Western Blot. Results: Maximal cell count reduction following application of TTFields at various frequencies was identified at 150 kHz. Treatment also led to reduced colony formation, elevated apoptosis, and substantial changes in transcriptomic expression. TTFields-treated cells demonstrated increased DNA damage, elevated expression of DNA damage-related cyclin-dependent kinase (CDK) inhibitors, and reduced expression of proteins from the Fanconi Anemia-BRCA pathway for DNA repair. Treated cells further presented with abnormal mitotic figures, chromosome mislocalization, and micronuclei clusters, indicative of an antimitotic effect of TTFields. The application of TTFields concomitant with oxaliplatin, 5-FU or FOLFOX was more effective than each treatment alone. Conclusions: The study shows that TTFields induce an antimitotic effect and impair DNA damage repair in gastric cancer cells, and that concomitant treatment with FOLFOX improves treatment efficacy

Indexed as

5-fluorouracilantimitotic effectDNA damage repairFOLFOXgastric canceroxaliplatinTumor Treating Fields (TTFields)

Identifiers

PMID41878524
PMCPMC13006209

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.