Evidence map›Paper›PMID 42089947›Full record

ReviewClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2026

Mechanisms of chemoresistance in gastric cancer: interplay between microRNAs and the tumor microenvironment.

Vlad-Costin Ilie, Corina-Elena Minciuna, Catalin Andras, Simona Nicoleta Turcu, Vlad Herlea, Simona Olimpia Dima, Gabriela Droc, Monica Lacatus, Stefan Tudor, Catalin Vasilescu

Abstract readReview
In one paragraph

Review in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 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

10 authors.

Vlad-Costin IlieDepartment of General Surgery , Fundeni Clinical Institute, Bucharest, Romania.
Corina-Elena MinciunaDepartment of General Surgery , Fundeni Clinical Institute, Bucharest, Romania. corina.minciuna@umfcd.ro.ORCID http://orcid.org/0000-0002-4074-8967
Catalin AndrasDepartment of General Surgery , Fundeni Clinical Institute, Bucharest, Romania.
Simona Nicoleta TurcuDepartment of General Surgery , Fundeni Clinical Institute, Bucharest, Romania.
Vlad Herlea"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Simona Olimpia DimaDepartment of General Surgery , Fundeni Clinical Institute, Bucharest, Romania.
Gabriela Droc"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Monica LacatusDepartment of General Surgery , Fundeni Clinical Institute, Bucharest, Romania.
Stefan TudorDepartment of General Surgery , Fundeni Clinical Institute, Bucharest, Romania.
Catalin VasilescuDepartment of General Surgery , Fundeni Clinical Institute, Bucharest, Romania.

Funding

Ministry of European Investments and Projects 324809/2024
6 · The paper itself

Abstract

Chemoresistance remains a major barrier to durable disease control in gastric cancer, limiting the effectiveness of perioperative and palliative systemic therapies. Increasing evidence indicates that resistance is driven by a complex interplay between tumor-intrinsic adaptations and tumor microenvironment-mediated survival pathways. Although chemoresistance can be innate or acquired, a variety of mechanisms could coexist within the tumor, with various processes acting synergistically. MicroRNAs, as key post-transcriptional regulators, have emerged as central modulators of these resistance networks. This review summarizes the principal mechanisms of chemoresistance in gastric cancer and synthesizes current evidence on how microRNAs-derived from tumor cells and the tumor microenvironment-promote or reverse resistance to commonly used chemotherapeutic agents and targeted therapy/immunotherapies, highlighting therapeutic opportunities. Evidence was organized by mechanism (drug transport and metabolism, DNA damage response, apoptosis and survival signaling, autophagy, epithelial-to-mesenchymal transition/cancer stem cell plasticity, and immune escape) and by drug class.

Indexed as

Antineoplastic AgentsDrug Resistance, NeoplasmMicroRNAsStomach NeoplasmsTumor MicroenvironmentAnimalsAutophagyEpithelial-Mesenchymal TransitionHumansNeoplastic Stem CellsSignal TransductionAntineoplastic AgentsMicroRNAsChemoresistanceGastric cancermicroRNAsTumor microenvironment

Identifiers

PMID42089947
PMCPMC13601129

What OpenQuestion holds

Textmetadata
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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.