Evidence map›Paper›PMID 41562768›Full record

ReviewJournal of xenobiotics2026

Cisplatin as a Xenobiotic Agent: Molecular Mechanisms of Actions and Clinical Applications in Oncology.

Monia Cecati, Valentina Pozzi, Veronica Pompei, Valentina Schiavoni, Stefania Fumarola, Alice Romagnoli, Giovanni Tossetta, Angelo Montana, Alessandro Polizzi, Davide Sartini and 1 more

Abstract readReview
In one paragraph

Review in Journal of xenobiotics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Rational design of anticancer metallodrugs.Journal of computer-aided molecular design · 2026
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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

11 authors.

Monia CecatiDepartment of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma University, 00166 Rome, Italy.
Valentina PozziDepartment of Clinical Sciences, Polytechnic University of Marche, 60126 Ancona, Italy.ORCID 0000-0003-3941-0341
Veronica PompeiDepartment of Clinical Sciences, Polytechnic University of Marche, 60126 Ancona, Italy.
Valentina SchiavoniDepartment of Clinical Sciences, Polytechnic University of Marche, 60126 Ancona, Italy.ORCID 0009-0002-9943-3908
Stefania FumarolaAdvanced Technology Center for Aging Research, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) INRCA, 60121 Ancona, Italy.ORCID 0000-0002-5524-741X
Alice RomagnoliDepartment of Life and Environmental Sciences, Polytechnic University of Marche, 60131 Ancona, Italy.
Giovanni TossettaDepartment of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma University, 00166 Rome, Italy.ORCID 0000-0001-7003-1230
Angelo MontanaDepartment of Biomedical Sciences and Public Health, Section of Legal Medicine, Polytechnic University of Marche, 60126 Ancona, Italy.ORCID 0000-0002-0508-6523
Alessandro PolizziDepartment of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, 95124 Catania, Italy.ORCID 0000-0001-6717-8899
Davide SartiniDepartment of Clinical Sciences, Polytechnic University of Marche, 60126 Ancona, Italy.ORCID 0000-0003-3879-8647
Roberto CampagnaDepartment of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma University, 00166 Rome, Italy.ORCID 0000-0003-2607-2734

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cisplatin, a platinum-based compound, is a cornerstone of modern chemotherapy and remains widely used against a variety of solid tumors, including testicular, ovarian, lung, bladder, and head and neck cancers. Its anticancer activity is primarily attributed to the formation of DNA crosslinks, which obstruct replication and repair, ultimately leading to apoptosis. However, the clinical value of cisplatin is constrained by two major challenges: its toxic profile and the development of resistance. Cisplatin toxicity arises from its interaction not only with tumor DNA but also with proteins and nucleic acids in healthy tissues, resulting in a range of adverse effects, including, but not limited to, nephrotoxicity, ototoxicity, neurotoxicity, and gastrointestinal injury. In pediatric patients, permanent hearing loss represents a particularly debilitating complication. On the other hand, tumor cells can evade cisplatin cytotoxicity through diverse mechanisms, including reduced intracellular drug accumulation, enhanced DNA repair, detoxification by thiol-containing molecules, and alterations in apoptotic signaling. These resistance pathways severely compromise treatment outcomes and often necessitate alternative or combination strategies. This review examines the chemical structure of cisplatin, the molecular mechanisms of cisplatin cytotoxicity and cisplatin-induced resistance, as well as the main applications in cancer management and the complications associated with its clinical use.

Indexed as

chemoresistancecis-diamminedichloroplatinum(II)cisplatin

Identifiers

PMID41562768
PMCPMC12821418

What Socratic 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 Socratic graph.