Evidence map›Paper›PMID 41543193›Full record

ReviewMolecular medicine reports2026

<p>Converting 'cold' to 'hot' hepatocellular carcinoma for improved immunotherapy (Review)</p>.

Ching-Hua Hsieh, Pei-Chin Chuang

Abstract readReview
In one paragraph

Review in Molecular medicine reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Physical Exercise in Immunotherapy.Sports medicine - open · 2026
    Review
  2. Review
  3. 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

2 authors.

Ching-Hua HsiehDepartment of Plastic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan, R.O.C.
Pei-Chin ChuangDepartment of Medical Research, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 83301, Taiwan, R.O.C.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

<p>Hepatocellular carcinoma (HCC) often exhibits an immunologically 'cold' tumor microenvironment (TME) characterized by poor T cell infiltration and active immunosuppressive mechanisms, limiting the efficacy of immunotherapies such as immune checkpoint inhibitors (ICIs). Therefore, converting immunologically cold HCC tumors into 'hot', immune‑reactive tumors has emerged as a critical strategy to enhance immunotherapy responsiveness. In the present review, the tumor immune landscape in HCC is summarized, and the mechanisms underlying its immunologically cold phenotype, and current strategies for reprogramming the TME toward an immune‑active state are described. In addition, the roles of various immune cells, cytokines and tumor‑intrinsic pathways in driving immune exclusion and tolerance are discussed. Therapeutic approaches include ICI‑based combinations with anti‑angiogenic agents or locoregional therapies, as well as dual checkpoint blockade. Other strategies involve targeting immunosuppressive cell populations, oncolytic virus therapy, cancer vaccines, adoptive cell therapies and epigenetic modulators. Clinical evidence supports the potential of these strategies, with several combinations demonstrating improved response rates and survival. Research aims to optimize these therapies, identify predictive biomarkers and explore novel immune targets to further improve outcomes. Overall, converting HCC from an immunologically cold‑to‑hot tumor represents a promising paradigm to potentiate immunotherapy efficacy, although additional studies and innovative strategies are required to achieve durable benefits for a broader population of patients with HCC.</p>.

Indexed as

Carcinoma, HepatocellularImmunotherapyLiver NeoplasmsAnimalsCancer VaccinesHumansImmune Checkpoint InhibitorsTumor MicroenvironmentCancer VaccinesImmune Checkpoint Inhibitorshepatocellular carcinomaimmune checkpoint inhibitorsimmunotherapyT cell infiltrationtumor microenvironment

Identifiers

PMID41543193
PMCPMC12848564

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.