Evidence map›Paper›PMID 39342223›Full record

ReviewChinese medicine2024

Unveiling correlations between aristolochic acids and liver cancer: spatiotemporal heterogeneity phenomenon.

Chengxian Li, Xinyu Li, Ming Niu, Dake Xiao, Ye Luo, Yinkang Wang, Zhi-E Fang, Xiaoyan Zhan, Xu Zhao, Mingxia Fang and 3 more

Abstract readReview
In one paragraph

Review in Chinese medicine, 2024. 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. Review
  2. Article
  3. Article
  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

13 authors.

Chengxian Li *Department of Liver Disease, Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Xinyu Li *Department of Liver Disease, Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Ming Niu *Department of Hematology, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100071, China.
Dake XiaoDepartment of Liver Disease, Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Ye LuoDepartment of Liver Disease, Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Yinkang WangDepartment of Liver Disease, Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Zhi-E FangDepartment of Pharmacy, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, 400021, China.
Xiaoyan ZhanDepartment of Liver Disease, Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Xu ZhaoDepartment of Liver Disease, Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Mingxia FangDepartment of Liver Disease, Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Jiabo WangSchool of Traditional Chinese Medicine, Capital Medical University, Beijing, 100069, China. wjb0128@126.com.
Xiaohe XiaoDepartment of Liver Disease, Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China. pharmacy_302@126.com.ORCID http://orcid.org/0000-0002-2836-2738
Zhaofang BaiDepartment of Liver Disease, Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China. baizf2008@hotmail.com.

Funding

Innovation Team and Talents Cultivation Program of National Administration of Traditional Chinese Medicine ZYYCXTD-C-202005Innovative Research Group Project of the National Natural Science Foundation of China 81721002Key project of the National Natural Science Foundation 82230118National Key New Drug Creation and Manufacturing Program, Ministry of Science and Technology 2018ZX09101002-001-002
6 · The paper itself

Abstract

Aristolochic acids are a class of naturally occurring compounds in Aristolochiaceae that have similar structural skeletons and chemical properties. Exposure to aristolochic acids is a risk factor for severe kidney disease and urinary system cancer. However, the carcinogenicity of aristolochic acids to the liver, which is the main site of aristolochic acid metabolism, is unclear. Although the characteristic fingerprint of aristolochic acid-induced mutations has been detected in the liver and aristolochic acids are known to be hepatotoxic, whether aristolochic acids can directly cause liver cancer is yet to be verified. This review summarizes the findings of long-term carcinogenicity studies of aristolochic acids in experimental animals. We propose that spatiotemporal heterogeneity in the carcinogenicity of these phytochemicals could explain why direct evidence of aristolochic acids causing liver cancer has never been found in adult individuals. We also summarized the reported approaches to mitigate aristolochic acid-induced hepatotoxicity to better address the associated global safety issue and provide directions and recommendations for future investigation.

Indexed as

Aristolochic acidLiver cancerSpatiotemporal heterogeneity

Identifiers

PMID39342223
PMCPMC11439320

What Socratic 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 Socratic graph.