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Mechanisms of Action and Cross-Matrix

The titles and abstracts of the 2529 publications in the corpus were scanned for 30 mechanism terms specific to the electroporation literature. The matrix below shows how often each mechanism is reported in each application area.

From Mechanism to Clinical Effect

In the reversible regime the chain passes through drug entry; in the irreversible regime step 3 is skipped

1

Electrical Stimulus

A pulse train of controlled strength is applied between an electrode pair, producing an electric field distribution in the tissue.

2

Membrane Permeability

In cells where the induced transmembrane potential exceeds threshold, the membrane becomes transiently permeable.

3

Drug Entry

Bleomycin or cisplatin is carried into the cell; for bleomycin the accumulation increase is several hundred fold.

4

Cell Death

DNA damage, mitotic catastrophe and apoptosis; in the irreversible regime, direct loss of homeostasis.

5

Tissue and Immune Response

Vascular lock, antivascular effect and systemic response components driven by immunogenic cell death.

Mechanism Weight in the Literature

This table covers the whole corpus; mechanisms are biophysical phenomena, so the non-oncological application area (cardiac pulsed-field ablation) is counted here too.

“Publications” is the total number of publications where the term was detected; “corpus share” is that as a fraction of 2529. The percentage on the right is not a raw count but the share within the area: the proportion of that area's publications containing the term. Since the areas differ greatly in size, this is the comparable measure; the figure in parentheses is the publication count. Only areas with at least four such publications are listed.

MechanismPublicationsCorpus shareAreas where it is most concentrated
Reversible Membrane PermeabilisationMembrane Biophysics122648%
Irreversible Pore Formation and Cell DeathMembrane Biophysics113145%
Increased Intracellular Bleomycin AccumulationDrug Transport52821%
Electric Field Distribution and ModellingDose and Device26811%
Optimisation of Pulse ParametersDose and Device2369%
Gene Electrotransfer (Plasmid DNA)Gene and Immune Pathways2269%
Potentiation of Cytotoxic Drug PermeabilityDrug Transport2088%
Increased Intracellular Cisplatin AccumulationDrug Transport2048%
Apoptosis InductionCell Death Pathways1928%
Necrosis and NecroptosisCell Death Pathways1877%
Electrode Geometry and PlacementDose and Device1817%
Muscle Contraction and Anaesthesia RequirementDose and Device1375%
Tissue Conductivity and Impedance ChangeDose and Device1275%
Thermal Effect and Joule HeatingDose and Device1124%
Systemic / Abscopal Immune ResponseGene and Immune Pathways873%
Calcium Electroporation and ATP DepletionDrug Transport863%
Interleukin-12 Mediated Immune StimulationGene and Immune Pathways703%
Mitochondrial Dysfunction and Oxidative StressCell Death Pathways653%
Immune Checkpoint Inhibitor CombinationGene and Immune Pathways622%
Preservation of Nerve and Vascular StructuresVascular and Tissue Effects602%
Immunogenic Cell Death (ICD)Gene and Immune Pathways562%
Nanosecond Pulsed Electric Field (nsPEF)Membrane Biophysics542%

Term matching runs only on the 2383 records that carry a machine-readable abstract; the 146 records without one are not represented in the matrix. The counts are therefore a lower bound on a mechanism’s true weight in the literature.

Thematic Mechanism Groups

Figures give the number of publications in which the term was detected.

Membrane Biophysics

Reversible Membrane Permeabilisation 1226 Irreversible Pore Formation and Cell Death 1131 Nanosecond Pulsed Electric Field (nsPEF) 54 Transmembrane Potential Change 32

Drug Transport

Increased Intracellular Bleomycin Accumulation 528 Potentiation of Cytotoxic Drug Permeability 208 Increased Intracellular Cisplatin Accumulation 204 Calcium Electroporation and ATP Depletion 86

Dose and Device

Electric Field Distribution and Modelling 268 Optimisation of Pulse Parameters 236 Electrode Geometry and Placement 181 Muscle Contraction and Anaesthesia Requirement 137 Tissue Conductivity and Impedance Change 127 Thermal Effect and Joule Heating 112

Gene and Immune Pathways

Gene Electrotransfer (Plasmid DNA) 226 Systemic / Abscopal Immune Response 87 Interleukin-12 Mediated Immune Stimulation 70 Immune Checkpoint Inhibitor Combination 62 Immunogenic Cell Death (ICD) 56

Cell Death Pathways

Apoptosis Induction 192 Necrosis and Necroptosis 187 Mitochondrial Dysfunction and Oxidative Stress 65 Disruption of Calcium Homeostasis 24 DNA Damage and Double-Strand Breaks 10

Vascular and Tissue Effects

Preservation of Nerve and Vascular Structures 60 Preservation of Extracellular Matrix and Tissue Scaffold 48 Antivascular Effect and Vessel Disruption 30 Vascular Lock Effect 21 Increased Blood–Brain Barrier Permeability 17 Haemostasis and Bleeding Control 13