Evidence map›Paper›PMID 42052167›Full record

ReviewPeerJ2026

Multilayered analysis of cisplatin resistance mechanisms in bladder cancer: from the cell membrane to organelles.

Longtu Ma, Yan Tao, Long Cheng, Chengyu You, Xi Xiao, Weiguang Yang, Yidong Liu, Zhilong Dong

Abstract readReview
In one paragraph

Review in PeerJ, 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. 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.

Longtu MaDepartment of Urology, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, China.
Yan TaoDepartment of Urology, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, China.
Long ChengDepartment of Urology, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, China.
Chengyu YouDepartment of Urology, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, China.
Xi XiaoDepartment of Urology, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, China.
Weiguang YangDepartment of Urology, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, China.
Yidong LiuThe Affiliated Taian City Central Hospital of Qingdao University, Taian, China.
Zhilong DongDepartment of Urology, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bladder cancer (BCa) is one of the most common malignancies of the urinary tract worldwide. Cisplatin-based combination chemotherapy remains a cornerstone of treatment for muscle-invasive and advanced disease and has substantially improved clinical outcomes, yet primary and acquired resistance frequently leads to treatment failure and disease recurrence. Classical mechanisms, including altered drug uptake and efflux and detoxification by glutathione or metallothioneins, account for only part of this phenotype. Recent work in BCa increasingly points to cisplatin resistance as a multilayered cellular adaptation involving coordinated changes in drug handling, stress responses, and cell-death control. Drawing primarily on studies published between January 2020 and April 2025, while incorporating selected foundational studies from the preceding decade, this review maps cisplatin resistance in BCa within a structured "cell membrane and tumor microenvironment-cytoplasm-nucleus and chromatin-organelles" framework. Particular emphasis is placed on the interaction of epithelial-mesenchymal transition and cancer stem cell programs with stromal and immune signals at the membrane level; on metabolic rewiring, ferroptosis regulation, and stress-activated signaling cascades in the cytoplasm; on reinforced DNA damage response pathways and RNA- or chromatin-directed epigenetic remodeling in the nucleus; and on the resetting of apoptotic, autophagic, and mitophagic thresholds at the organelle level. Across these compartments, recurrent regulatory nodes and signaling axes are outlined, and areas are delineated where mechanisms are supported by convergent

Indexed as

Antineoplastic AgentsCisplatinDrug Resistance, NeoplasmUrinary Bladder NeoplasmsAnimalsCell MembraneEpithelial-Mesenchymal TransitionHumansNeoplastic Stem CellsOrganellesTumor MicroenvironmentAntineoplastic AgentsCisplatinBladder cancerCisplatinMolecular mechanismsResistance

Identifiers

PMID42052167
PMCPMC13116410

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.